Abstract
Diabetic ketoacidosis (DKA) is the leading cause of morbidity and mortality in patients with Type I Diabetes (T1DM).A hyperosmolar state also presents in patients presenting as DKA due to increased glucose production and limited glucose utilisation. A hyperglycaemic state will lead to hyponatremia due to osmotic diuresis. Although mild hypernatremia could be present in patients who also exhibit as severely dehydrated DKA, the severe degree of hypernatremia is rarely presented.[1]Hereby we report a case of Type I Diabetes presenting as DKA having hypernatremia.
Keywords: Diabetic ketoacidosis, Type I Diabetes, hypernatremia.
References
- Hyung Jin Kim, Dong Hyun Kim, Yong Hoon Jun, et al. A rare diabetes ketoacidosis in combined severe hypernatremic hyperosmolarity in a new-onset Asian adolescent with type I diabetes, BMJ Case Rep 2014. doi:10.1136/bcr-2014-208016
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- KW Monroe, WD King, MH Nichols, et al. Hypernatremia in diabetic ketoacidosis, Practical Diabetes International September/ October 1997 Vol. 14 No. 6.
Corresponding Author
Yash Khanvilkar
2nd year Junior Resident ,Department of Medicine ,
Adichunchanagiri Institute of Medical Sciences Balagangadharanatha Nagara,
Nagamangala, mandya-571448, Karnataka, India
DOI: https://dx.doi.org/10.18535/jmscr/v5i12.61
