Ketoacidosis and hyperosmolarity as first symptoms of type 1 diabetes …
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M. Vanelli, G. Chiari, L. Ghizzoni, C. Capuano, L. Bonetti, G. Costi, T. Giacalone, et al. (1999). Ketoacidosis and hyperosmolarity as first symptoms of type 1 diabetes mellitus following ingestion of high-carbohydrate-containing fluids. Journal of pediatric endocrinology & metabolism : JPEM, 12(5), 691-4. https://doi.org/10.1515/jpem.1999.12.5.691
[Abstract]
The concomitant occurrence of diabetic ketoacidosis and hyperosmolarity is reported in two children, as early symptoms of misdiagnosed type 1 diabetes mellitus. The precipitating factor for both severe metabolic abnormalities was the ingestion of a large amount of high-carbohydrate-containing fluids, a few days before admission. A similar situation has never been reported before in the literature. A successful therapeutic scheme is described.
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