+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Diabetic ketoacidosis presenting with pseudonormoglycemia in a 15-year-old girl with type 1 diabetes mellitus



Diabetic ketoacidosis presenting with pseudonormoglycemia in a 15-year-old girl with type 1 diabetes mellitus



Journal of Clinical Research in Pediatric Endocrinology 5(2): 133-135



Pseudonormoglycemic diabetic ketoacidosis (DKA) is a rare condition and has been reported only in a few adult patients. We present a 15-year-old girl with a 9-year history of type 1 diabetes who presented with euglycemic and extreme hypertriglyceridemia. The acidosis and hypertriglyceridemia resolved with intravenous insulin therapy and rehydration. Hyperlipidemia was the apparent cause of pseudonormoglycemia in this patient. The findings in the present case demonstrate that also in children, DKA can rarely occur without abnormal blood glucose levels. Assessment of the acid-base status, urinary glucose, and ketone readings is therefore important in all diabetic patients who are unwell at admission and have normal glucose levels. In such patients, hyperlipidemia may cause pseudonormoglycemia. An awareness of this rare treatable life-threatening condition is important.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052574881

Download citation: RISBibTeXText

PMID: 23748069

DOI: 10.4274/jcrpe.905


Related references

Sudden death of a 15-year-old girl due to fulminant type 1 diabetes mellitus-diabetic ketoacidosis induced cerebral edema?. Journal of Forensic and Legal Medicine 26: 5-9, 2015

Type 1 diabetes mellitus presenting with diabetic ketoacidosis (DKA) in a neonate. Jpma. Journal of the Pakistan Medical Association 66(8): 1026-1028, 2017

Non-autoimmune fulminant type 1 diabetes mellitus presenting with diabetic ketoacidosis after the delivery. Nihon Naika Gakkai Zasshi. Journal of the Japanese Society of Internal Medicine 92(4): 659-661, 2003

Severe Hypertriglyceridemia Causing Pancreatitis in a Child with New-onset Type-I Diabetes Mellitus Presenting with Diabetic Ketoacidosis. Indian Journal of Critical Care Medicine 21(3): 176-178, 2017

Normoglycemic Diabetic Ketoacidosis in a Pregnant Patient with Type II Diabetes Mellitus Presenting for Emergent Cesarean Delivery. A and a Case Reports 6(8): 228-229, 2016

Prevalence and characteristics of type 2 diabetes mellitus in 9-18 year-old children with diabetic ketoacidosis. Journal of Pediatric Endocrinology & Metabolism 18(9): 865-872, 2005

A 10-year review of childhood type 1 diabetes mellitus and the clinical value of interleukin-10 in diabetic ketoacidosis. Zhongguo Dang Dai Er Ke Za Zhi 12(11): 849-854, 2011

Type 1 (distal) renal tubular acidosis in a patient with Type 1 diabetes mellitus--not all cases of metabolic acidosis in Type 1 diabetes mellitus are due to diabetic ketoacidosis. Diabetic Medicine 25(1): 114-115, 2008

Massive ischemic intestinal necrosis at the onset of diabetes mellitus with ketoacidosis in a three-year-old girl. Journal of Pediatric Surgery 38(10): 1537-1539, 2003

Insulin-dependent diabetes mellitus presenting as diabetic ketoacidosis in pregnancy. Australian and New Zealand Journal of Obstetrics and Gynaecology 35(3): 321-322, 1995

Lipemic serum in a toddler with new-onset diabetes mellitus presenting with diabetic ketoacidosis. Jop 13(1): 73-75, 2012

A case of insulin-dependent diabetes mellitus presenting as diabetic ketoacidosis after delivery. Journal of the Japan Diabetes Society 42(6): 447-450, 1999

New-onset diabetes mellitus presenting with diabetic ketoacidosis after pediatric liver transplantation. Pediatric Transplantation 13(5): 536-539, 2009

Pseudonormoglycemia in diabetic ketoacidosis with elevated triglycerides. American Journal of Emergency Medicine 9(1): 61-63, 1991

Fulminant development of diabetes mellitus presenting as diabetic ketoacidosis in a pregnant Caucasian woman. Archives of Disease in Childhood - Fetal and Neonatal Edition 95(Suppl. 1): Fa59-Fa59, 2010