Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report

  • Daniel Espes
  • Joakim Engström
  • Henrik Reinius
  • Per-Ola Carlsson

Abstract

We here report a case of diabetic ketoacidosis at onset of type 1 diabetes after a prolonged period of starvation due to anorexia nervosa. A 53-year-old female with a history of anorexia nervosa was admitted to the psychiatric clinic due to psychotic behaviour and inability to take care of herself. Twenty-four hours after admission she was transferred to the clinic of internal medicine due to altered mental status, and laboratory screening revealed a pH of 6.895 and blood glucose concentration of 40 mmol/L. Due to the unusual combination of prolonged starvation and diabetic ketoacidosis we implemented some modifications of existing treatment guidelines and some special considerations regarding nutrition in order to prevent a refeeding syndrome.

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Published
2013-04-02
How to Cite
Espes D., Engström J., Reinius H., & Carlsson P.-O. (2013). Severe diabetic ketoacidosis in combination with starvation and anorexia nervosa at onset of type 1 diabetes: A case report. Upsala Journal of Medical Sciences, 118(2). https://doi.org/10.3109/03009734.2013.786000

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