Diabetic Ketoacidosis Following Colonoscopy in Fulminant Type 1 Diabetes: A Case Report.
10.3904/kjm.2018.93.2.216
- Author:
Dug Hyun CHOI
1
;
Bo Yeon KIM
;
Chan Hee JUNG
;
Chul Hee KIM
;
Sung Koo KANG
;
Ji Oh MOK
Author Information
1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Korea. hanna@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Diabetes mellitus, Type 1;
Diabetic ketoacidosis;
Colonoscopy
- MeSH:
Ambulatory Care Facilities;
Blood Glucose;
Colonoscopy*;
Diabetes Mellitus, Type 1;
Diabetic Ketoacidosis*;
Fasting;
Humans;
Insulin;
Insulin-Secreting Cells;
Japan;
Ketosis;
Korea;
Medical Staff;
Patient Education as Topic
- From:Korean Journal of Medicine
2018;93(2):216-219
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Fulminant type 1 diabetes is a distinct subtype of type 1 diabetes mellitus that is characterized by sudden, complete destruction of pancreatic beta cells at the disease onset. Since the disease was first described in 2000 in Japan, a number of case reports have also been published in Korea. However, this disease entity is still not well defined. A 48-year old man with no medical history was admitted with diabetic ketoacidosis. Fulminant type 1 diabetes was diagnosed and he was discharged with multiple insulin injections. His serum glucose level was well controlled in the outpatient clinic. A month later, diabetic ketoacidosis occurred again following a diagnostic colonoscopy. This case suggests that fulminant type 1 diabetes is an aggressive disease in which small stimuli can provoke ketoacidosis. Therefore, for tests that require fasting, close observation by medical staff and patient education about the disease is essential.
