在两名幼儿中,新发糖尿病与高血糖超状况的非典型表现
Alina Haque1, Esther E Bell-Sambataro2, Foram Patel3
1The Ohio State University School of Medicine, Columbus, Ohio, United States.
概括
过高血糖超状态 (HHS) 是儿童罕见的糖尿病并发症. 早期识别和积极的补水对于管理HHS和预防严重后果至关重要.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 过高血糖超状态 (HHS) 和混合的HHS与糖尿病酸性酸症 (DKA) 是儿童罕见但严重的糖尿病并发症.
- 快速识别超度对于预防严重的发病率和死亡率至关重要.
研究的目的:
- 报告两个最年轻的已记录的HHS病例,在儿童中出现新发型1型糖尿病.
- 突出在发育迟缓的幼儿中诊断和管理HHS的挑战.
主要方法:
- 两名患有新发型1型糖尿病的儿科患者的病例报告,呈现出HHS和混合HHS-DKA.
- 对临床表现,实验室值和管理策略的审查,包括补水和胰岛素治疗.
主要成果:
- 两名年轻男性 (3岁和4岁) 患有自闭症谱系障碍和Trisomy 21,呈现出严重的高血糖和高度,并由急性损伤和胰腺炎复杂化.
- 最初的管理忽视了高度,导致典型的DKA的激进胰岛素剂量,在适当的补水和延迟胰岛素启动之前.
结论:
- 年龄较小和发育迟缓可能会导致HHS的发展,原因是沟通困难和有限的饮用水.
- 在儿科糖尿病中,对HHS的高怀疑指数是必不可少的,需要显著的补水和延迟开始低剂量胰岛素输注以预防并发症.
更多相关视频
06:59Characterization of Metabolic Status in Nonhuman Primates with the Intravenous Glucose Tolerance Test
Published on: November 13, 2016
10.8K
08:13Study of In Vivo Glucose Metabolism in High-fat Diet-fed Mice Using Oral Glucose Tolerance Test OGTT and Insulin Tolerance Test ITT
Published on: January 7, 2018
67.5K
相关概念视频
Diabetes: Symptoms, Diagnosis, and Complications
483
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
483
Diabetes Mellitus: Overview and Type I Subtype
2.3K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.3K
Pathophysiology of Diabetes
813
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
813
Diabetes Mellitus: Type 2 and Gestational
2.1K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.1K
Glucose Transporters
22.2K
Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
22.2K
Hypoglycemia and Glucagon
142
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
142
