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Diabetes mellitus in an infant
Anju Seth1, Sheetal Sharda, M K Narula
1Departments of Pediatrics, Lady Hardinge Medical College, New Delhi, India. docaseth@bol.net.in.
Indian Journal of Pediatrics
|November 9, 2004
Summary
Newborns rarely develop persistent diabetes. This case highlights a 10-week-old infant with diabetic keto-acidosis requiring ongoing insulin therapy, suggesting a rare form of early-onset diabetes.
Area of Science:
- Pediatrics
- Endocrinology
- Metabolic Disorders
Background:
- Diabetes mellitus in infancy is rare, with transient neonatal diabetes being the most common form.
- Early-onset diabetes presents diagnostic challenges due to its infrequency.
Observation:
- A 10-week-old infant presented with severe diabetic keto-acidosis.
- The infant required insulin therapy from presentation.
Findings:
- The child remained insulin-dependent at 18 months of age.
- This case represents a persistent form of early-onset diabetes, distinct from transient neonatal diabetes.
Implications:
- This case underscores the importance of considering persistent diabetes in infants presenting with diabetic keto-acidosis.
- Further research is needed to understand the etiology and long-term management of such rare cases of early-onset diabetes.