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Updated: Jul 15, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Case report: diabetes flatbush - from ketoacidosis to non pharmacological treatment]
Melanie Rodacki1, Lenita Zajdenverg, Giovana Aparecida B Lima
1Serviço de Nutrologia, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, RJ. mrodacki@hucff.ufrj.br
Abstract:
A subgroup of patients presents diabetic ketoacidosis at the onset of diabetes mellitus (DM) but later is classified as type 2 DM based on the clinical follow-up. These individuals, most commonly obese of African or Hispanic origin, have negative auto-antibodies associated with type 1 DM, but frequently HLA class II DRB1*03 and/or DRB1*04 are detected. This peculiar subtype of DM is commonly referred to as diabetes flatbush. Here we report the case of a Caucasian patient that exhibited the described evolution and in whom it was possible to withdraw insulin therapy. The possible factors associated with this favorable development are also discussed.
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