Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report
2013 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 118, no 2, 130-133 p.Article in journal (Refereed) Published
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.
Place, publisher, year, edition, pages
2013. Vol. 118, no 2, 130-133 p.
Anorexia nervosa, diabetic ketoacidosis, starvation, type 1 diabetes
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-200057DOI: 10.3109/03009734.2013.786000ISI: 000317486000010OAI: oai:DiVA.org:uu-200057DiVA: diva2:622910