Article (Scientific journals)
Un diabete peut en cacher un autre.
Scheen, André
2002In Revue Médicale de Liège, 57 (5), p. 267-9
Peer reviewed
 

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Keywords :
Adult; Diabetes Mellitus, Type 1/diagnosis/therapy; Diabetes Mellitus, Type 2/diagnosis/therapy; Diabetic Ketoacidosis/etiology; Diagnosis, Differential; Diagnostic Errors; Dietary Carbohydrates; Female; Humans; Hypoglycemic Agents/therapeutic use; Insulin/therapeutic use; Ketones/urine; Obesity/complications
Abstract :
[en] The abrupt interruption of insulin therapy in a severely obese diabetic woman submitted to a protein-sparing modified fast in a metabolic ward led to a severe ketoacidosis. This complication occurred because the patient had type 1 rather than type 2 diabetes, and the diagnosis of ketoacidosis was delayed because of confusion between ketonuria resulting from insulin deprivation and ketonuria associated with carbohydrate and energy restriction. This case report illustrates the danger of accepting an apparently obvious diagnosis which might be in fact erroneous. More particularly, it points out the importance of a correct differential diagnosis between C-peptide positive insulin-requiring type 2 diabetes and C-peptide negative (insulin-dependent) type 1 diabetes.
Disciplines :
Endocrinology, metabolism & nutrition
Author, co-author :
Scheen, André  ;  Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Language :
French
Title :
Un diabete peut en cacher un autre.
Alternative titles :
[en] One type of diabetes may conceal another
Publication date :
2002
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
57
Issue :
5
Pages :
267-9
Peer reviewed :
Peer reviewed
Additional URL :
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