Diabetic Ketoacidosis with Hyperglycemic Hyperosmolar State at the Onset of Type 2 Diabetes Mellitus in an Adolescent Male.
- Author:
Jong Hyun KIM
1
;
Eunjin CHOI
;
Young Jun RHIE
;
Jung Hwa LEE
;
Kee Hyoung LEE
;
Hyo Kyoung NAM
Author Information
1. Department of Pediatrics, Korea University College of Medicine, Seoul, Korea. hknam0930@hanmail.net
- Publication Type:Case Report
- Keywords:
Diabetes mellitus type 2;
Diabetic ketoacidosis;
Hyperglycemic hyperosmolar nonketotic coma;
Carbonated beverages
- MeSH:
Adolescent*;
Brain Edema;
Carbonated Beverages;
Dehydration;
Diabetes Mellitus, Type 2*;
Diabetic Ketoacidosis*;
Emergency Service, Hospital;
Humans;
Hyperglycemic Hyperosmolar Nonketotic Coma;
Male*;
Mortality;
Osmolar Concentration;
Sodium
- From:Soonchunhyang Medical Science
2016;22(2):158-162
- CountryRepublic of Korea
- Language:English
-
Abstract:
A hyperglycemic hyperosmolar state is usually associated with type 2 diabetes. It has significant mortality and morbidity and is rare in the pediatric population. We describe a rare case of a 15-year-old boy with type 2 diabetes who presented to the emergency department with a mixed hyperglycemic hyperosmolar state and diabetic ketoacidosis. Excessive consumption of high-sugar carbonated drinks may have worsening the initial presentation. The patient recovered without any complications. We highlight the fact that gradual correction of osmolarity and sodium is important to avoid cerebral edema despite severe dehydration.
