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KMID : 1214920160220020158
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Soonchunhyang Medical Science
2016 Volume.22 No. 2 p.158 ~ p.162
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Diabetic Ketoacidosis with Hyperglycemic Hyperosmolar State at the Onset of Type 2 Diabetes Mellitus in an Adolescent Male
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Kim Jong-Hyun
Choi Eun-Jin
Rhie Young-Jun
Lee Jung-Hwa
Lee Kee-Hyoung
Nam Hyo-Kyoung
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Abstract
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A hyperglycemic hyperosmolar state is usually associated with type 2 diabetes. It has significant mortality and morbidity and is rare in the pediatric population. We describe a rare case of a 15-year-old boy with type 2 diabetes who presented to the emergency department with a mixed hyperglycemic hyperosmolar state and diabetic ketoacidosis. Excessive consumption of high-sugar carbonated drinks may have worsening the initial presentation. The patient recovered without any complications. We highlight the fact that gradual correction of osmolarity and sodium is important to avoid cerebral edema despite severe dehydration.
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KEYWORD
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Diabetes mellitus type 2, Diabetic ketoacidosis, Hyperglycemic hyperosmolar nonketotic coma, Carbonated beverages
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