Fulminant type 1 diabetes with Shock rescue: a case report

被引：0
作者：
Hongliang Dong
Yingying Ding
Jiawei Lai
Linfeng Yu
Xiaoyuan Shen
机构：
[1] The First People’s Hospital of Xiaoshan District,Department of Critical Care Medicine
[2] Xiaoshan Affiliated Hospital of Wenzhou Medical University,Department of Respiratory and Critical Care Medicine
[3] The First People’s Hospital of Xiaoshan District,undefined
[4] Xiaoshan Affiliated Hospital of Wenzhou Medical University,undefined
来源：
Endocrine | 2024年 / 84卷
关键词：
Fulminant type 1 diabetes mellitus; Shock; Fluid administration;
D O I：
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学科分类号：
摘要：
The shock in diabetes often requires rapid and adequate fluid administration, however, we report an anomalous case of fulminant type 1 diabetes mellitus (FT1DM) in which the patient’s condition worsened following fluid administration. In May 2020, a 29-year-old male presented with blood glucose of 89.8 mmol/L and diabetic ketoacidosis after a week of gastroenteritis. The diagnosis was finalized after C-peptide and Hemoglobin A1c (HbA1c) measurement. The patient was admitted with shock and received a positive fluid balance of 2800 ml in 5 h, but his condition deteriorated and progressed to multi-organ failure. This study attempts to explain the possible mechanisms and focuses on high-risk factors associated with FT1DM. Therefore, meticulous monitoring and individualized fluid administration strategies are crucial for the management of FT1DM. This case provides beneficial insights for clinical treatment of this condition.
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页码：350 / 354
页数：4
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