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Acute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus
- Source :
- Indian Journal of Anaesthesia, Vol 60, Iss 10, Pp 763-765 (2016), Indian Journal of Anaesthesia
- Publication Year :
- 2016
- Publisher :
- Wolters Kluwer Medknow Publications, 2016.
-
Abstract
- Hyperglycaemia following surgical and anaesthetic stress is a well-established entity which might have undesirable clinical consequences in known diabetics. We encountered a rare event where an undiagnosed diabetic patient developed ketoacidosis in the immediate post-operative period which was her initial presenting symptom of deranged glucoregulation. Presumably, the stress induced by surgery and anaesthesia lead to the genesis of this event. We discuss the management of this case. In addition, we highlight the importance of glycosylated haemoglobin as a subject of future research in identifying such “at risk” patients and for stratifying the risk of hyperglycaemic complications in perioperative settings.
- Subjects :
- Anaesthetics
medicine.medical_specialty
Diabetic ketoacidosis
Case Report
lcsh:RD78.3-87.3
03 medical and health sciences
0302 clinical medicine
diabetic ketoacidosis
medicine
Glycosylated haemoglobin
blood glucose
030212 general & internal medicine
Post operative
Intensive care medicine
business.industry
Stress induced
Perioperative
medicine.disease
glycogenolysis
Surgery
Ketoacidosis
Anesthesiology and Pain Medicine
lcsh:Anesthesiology
Latent diabetes
Diabetic patient
business
030217 neurology & neurosurgery
hyperglycaemia
Subjects
Details
- Language :
- English
- ISSN :
- 09762817 and 00195049
- Volume :
- 60
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Indian Journal of Anaesthesia
- Accession number :
- edsair.doi.dedup.....e11a98d0c2b1f787f096bb27622faa4d