A diabetic ketoacidosis in a context of hyperglycemia addiction.
Details
Serval ID
serval:BIB_7253273ED282
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
A diabetic ketoacidosis in a context of hyperglycemia addiction.
Journal
International journal of legal medicine
ISSN
1437-1596 (Electronic)
ISSN-L
0937-9827
Publication state
Published
Issued date
05/2018
Peer-reviewed
Oui
Volume
132
Number
3
Pages
787-790
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
We herein present a case of a 20-year-old woman who suffered from type I diabetes mellitus and died from a diabetic ketoacidosis in a context of addiction to hyperglycemia. Diabetic ketoacidosis is a lethal complication of insulin-dependent diabetes mellitus, which can result from insulin therapy stoppage. This can occur voluntarily with suicidal intent or involuntarily due to treatment inaccessibility, forgotten injections, or material deficiency. A new possibility is investigated in our case study: hyperglycemia addiction. The patient was treated by insulin glargine and insulin aspartate. She regularly stopped insulin glargine injections seeking the asthenia sensation produced by hyperglycemia, keeping the insulin aspartate injections to treat the disabling symptom related to hyperketonemia.
Keywords
Asthenia/etiology, Asthenia/psychology, Behavior, Addictive, Depression/psychology, Diabetes Mellitus, Type 1/drug therapy, Diabetic Ketoacidosis/etiology, Female, Humans, Hyperglycemia/etiology, Hyperglycemia/psychology, Hypoglycemic Agents/administration & dosage, Insulin Aspart/administration & dosage, Insulin Glargine/administration & dosage, Medication Adherence, Young Adult, Addiction, Biochemistry, Diabetic ketoacidosis, Hyperglycemia
Pubmed
Web of science
Create date
19/10/2017 17:18
Last modification date
20/08/2019 15:30