An extremely high blood glucose level in a child with hyperglycemic hyperosmolar state and type 1 diabetes (CROSBI ID 299027)
Prilog u časopisu | prikaz, osvrt, kritika | međunarodna recenzija
Podaci o odgovornosti
Butorac Ahel, Ivona ; Severinski, Srećko ; Lah Tomulić, Kristina ; Milardović, Ana ; Baraba Dekanić, Kristina ; Palčevski, Dora
engleski
An extremely high blood glucose level in a child with hyperglycemic hyperosmolar state and type 1 diabetes
Objectives. Hyperglycemic hyperosmolar state (HHS) is one of the most severe acute complications of diabetes mellitus (DM) characterized by severe hyperglycemia and hyperosmolality without significant ketosis and acidosis. What is new? Since HHS in the pediatric population is rare and potentially life-threatening, every reported case is very valuable for raising awareness among healthcare professionals. Case presentation A 7-year-old boy with previously diagnosed Joubert syndrome was admitted due to vomiting, polydipsia and polyuria started several days earlier. He was severely dehydrated, and the initial blood glucose level was 115 mmol/L. Based on clinical manifestations and laboratory results, he was diagnosed with T1DM and HHS. The treatment with intravenous fluid was started and insulin administration began later. He was discharged after 10 days without any complications related to HHS. Conclusions Since HHS has a high mortality rate, early recognition, and proper management are necessary for a better outcome.
child ; hyperglycemic hyperosmolar state ; type 1 diabetes mellitus
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Podaci o izdanju
34 (8)
2021.
1045-1048
objavljeno
2191-0251
10.1515/jpem-2020-0720
Povezanost rada
Kliničke medicinske znanosti