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Alcoholic ketoacidosis associated with hyperglycaemia: A diagnostic dilemma

✍ Scribed by Hart, SP ;Frier, BM

Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
245 KB
Volume
13
Category
Article
ISSN
1357-8170

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✦ Synopsis

Abstract

The acute presentation of alcoholic ketoacidosis accompanied by hyperglycaemia is rare, but it may lead to the misdiagnosis of metabolically decompensated Type 1 (insulin‐dependent) diabetes and to inadvertent treatment with insulin. A case of alcoholic ketoacidosis is described in which recent excessive alcohol consumption was concealed by the patient, which resulted in a diagnosis of diabetic ketoacidosis. The blood glucose concentration in alcoholic ketoacidosis may be determined by the extent to which endogenous insulin secretion is suppressed and the extent of the peripheral insulin resistance induced by alcohol and the concomitant secretion of counter‐regulatory hormones.

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