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Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report

We here report a case of diabetic ketoacidosis at onset of type 1 diabetes after a prolonged period of starvation due to anorexia nervosa. A 53-year-old female with a history of anorexia nervosa was admitted to the psychiatric clinic due to psychotic behaviour and inability to take care of herself....

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Autores principales: Espes, Daniel, Engström, Joakim, Reinius, Henrik, Carlsson, Per-Ola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633328/
https://www.ncbi.nlm.nih.gov/pubmed/23544963
http://dx.doi.org/10.3109/03009734.2013.786000
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author Espes, Daniel
Engström, Joakim
Reinius, Henrik
Carlsson, Per-Ola
author_facet Espes, Daniel
Engström, Joakim
Reinius, Henrik
Carlsson, Per-Ola
author_sort Espes, Daniel
collection PubMed
description We here report a case of diabetic ketoacidosis at onset of type 1 diabetes after a prolonged period of starvation due to anorexia nervosa. A 53-year-old female with a history of anorexia nervosa was admitted to the psychiatric clinic due to psychotic behaviour and inability to take care of herself. Twenty-four hours after admission she was transferred to the clinic of internal medicine due to altered mental status, and laboratory screening revealed a pH of 6.895 and blood glucose concentration of 40 mmol/L. Due to the unusual combination of prolonged starvation and diabetic ketoacidosis we implemented some modifications of existing treatment guidelines and some special considerations regarding nutrition in order to prevent a re-feeding syndrome.
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spelling pubmed-36333282013-05-01 Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report Espes, Daniel Engström, Joakim Reinius, Henrik Carlsson, Per-Ola Ups J Med Sci Case Report We here report a case of diabetic ketoacidosis at onset of type 1 diabetes after a prolonged period of starvation due to anorexia nervosa. A 53-year-old female with a history of anorexia nervosa was admitted to the psychiatric clinic due to psychotic behaviour and inability to take care of herself. Twenty-four hours after admission she was transferred to the clinic of internal medicine due to altered mental status, and laboratory screening revealed a pH of 6.895 and blood glucose concentration of 40 mmol/L. Due to the unusual combination of prolonged starvation and diabetic ketoacidosis we implemented some modifications of existing treatment guidelines and some special considerations regarding nutrition in order to prevent a re-feeding syndrome. Informa Healthcare 2013-05 2013-05 /pmc/articles/PMC3633328/ /pubmed/23544963 http://dx.doi.org/10.3109/03009734.2013.786000 Text en © Informa Healthcare http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.
spellingShingle Case Report
Espes, Daniel
Engström, Joakim
Reinius, Henrik
Carlsson, Per-Ola
Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report
title Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report
title_full Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report
title_fullStr Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report
title_full_unstemmed Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report
title_short Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report
title_sort severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633328/
https://www.ncbi.nlm.nih.gov/pubmed/23544963
http://dx.doi.org/10.3109/03009734.2013.786000
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