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.
MeSH terms
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Blood Glucose / metabolism
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Carbohydrates*
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Child
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Diabetes Mellitus, Type 1 / diagnosis*
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Diabetes Mellitus, Type 1 / therapy
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Diabetic Ketoacidosis / chemically induced
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Diabetic Ketoacidosis / metabolism*
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Diabetic Ketoacidosis / therapy
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Fluid Therapy
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Humans
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Hypoglycemic Agents / administration & dosage
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Hypoglycemic Agents / therapeutic use
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Insulin / administration & dosage
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Insulin / therapeutic use
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Insulin Infusion Systems
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Male
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Solutions
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Water-Electrolyte Imbalance / chemically induced
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Water-Electrolyte Imbalance / metabolism*
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Water-Electrolyte Imbalance / therapy
Substances
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Blood Glucose
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Carbohydrates
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Hypoglycemic Agents
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Insulin
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Solutions