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Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus

Hyperglycaemia following surgical and anaesthetic stress is a well-established entity which might have undesirable clinical consequences in known diabetics. We encountered a rare event where an undiagnosed diabetic patient developed ketoacidosis in the immediate post-operative period which was her i...

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Autores principales: Haldar, Rudrashish, Khandelwal, Ankur, Gupta, Devendra, Srivastava, Shashi, Singh, Prabhat K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5064702/
https://www.ncbi.nlm.nih.gov/pubmed/27761041
http://dx.doi.org/10.4103/0019-5049.191697
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author Haldar, Rudrashish
Khandelwal, Ankur
Gupta, Devendra
Srivastava, Shashi
Singh, Prabhat K
author_facet Haldar, Rudrashish
Khandelwal, Ankur
Gupta, Devendra
Srivastava, Shashi
Singh, Prabhat K
author_sort Haldar, Rudrashish
collection PubMed
description Hyperglycaemia following surgical and anaesthetic stress is a well-established entity which might have undesirable clinical consequences in known diabetics. We encountered a rare event where an undiagnosed diabetic patient developed ketoacidosis in the immediate post-operative period which was her initial presenting symptom of deranged glucoregulation. Presumably, the stress induced by surgery and anaesthesia lead to the genesis of this event. We discuss the management of this case. In addition, we highlight the importance of glycosylated haemoglobin as a subject of future research in identifying such “at risk” patients and for stratifying the risk of hyperglycaemic complications in perioperative settings.
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spelling pubmed-50647022016-10-19 Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus Haldar, Rudrashish Khandelwal, Ankur Gupta, Devendra Srivastava, Shashi Singh, Prabhat K Indian J Anaesth Case Report Hyperglycaemia following surgical and anaesthetic stress is a well-established entity which might have undesirable clinical consequences in known diabetics. We encountered a rare event where an undiagnosed diabetic patient developed ketoacidosis in the immediate post-operative period which was her initial presenting symptom of deranged glucoregulation. Presumably, the stress induced by surgery and anaesthesia lead to the genesis of this event. We discuss the management of this case. In addition, we highlight the importance of glycosylated haemoglobin as a subject of future research in identifying such “at risk” patients and for stratifying the risk of hyperglycaemic complications in perioperative settings. Medknow Publications & Media Pvt Ltd 2016-10 /pmc/articles/PMC5064702/ /pubmed/27761041 http://dx.doi.org/10.4103/0019-5049.191697 Text en Copyright: © 2016 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Haldar, Rudrashish
Khandelwal, Ankur
Gupta, Devendra
Srivastava, Shashi
Singh, Prabhat K
Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus
title Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus
title_full Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus
title_fullStr Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus
title_full_unstemmed Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus
title_short Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus
title_sort acute post-operative diabetic ketoacidosis: atypical harbinger unmasking latent diabetes mellitus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5064702/
https://www.ncbi.nlm.nih.gov/pubmed/27761041
http://dx.doi.org/10.4103/0019-5049.191697
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