Case Report Euglycemic  Ketoacidosis in patient with acute gastroenteritis with known case of Diabetes Mellitus diagnosed to be Latent Autoimmune Diabetes of Adulthood (LADA): Ketoacidosis in Latent Autoimmune Diabetes of Adulthood Rathod

Dr Nitin Rathod; amishi amishi; Dr Nehal Munde

doi:10.15713/ins.bhj.164

Case Report Euglycemic Ketoacidosis in patient with acute gastroenteritis with known case of Diabetes Mellitus diagnosed to be Latent Autoimmune Diabetes of Adulthood (LADA)

Ketoacidosis in Latent Autoimmune Diabetes of Adulthood Rathod

Authors

Dr Nitin Rathod
amishi amishi a:1:{s:5:"en_US";s:6:"doctor";}
Dr Nehal Munde

DOI:

https://doi.org/10.15713/ins.bhj.164

Keywords:

Diabetes Ketoacidosis, Latent Autoimmune Diabetes of Adulthood (LADA), Insulin level, C- peptide levels.

Abstract

63-years female who is a known case of diabetes mellitus presented with history of vomiting and loose stool since 1 day following recent history of travel and outside food consumption. Patients blood sugar levels was within normal range. Patient was hemodynamically stable. Patient started developing breathlessness in the ward and was shifted to the ICU and was tested for serum acetone urine ketone which tested positive and was started on IV insulin infusion and patient showed improvement, patient was diagnosed with Latent Autoimmune Diabetes of Adulthood in view of Euglycemic ketoacidosis.

References

McDougal. J, Shubrook Jr. J, DO, et al: Latent Autoimmune Diabetes of the Adult (LADA): a case report of a misunderstood form of diabetes , Osteopathic Family Physician :(2009) 1, 9-11

Niskanen LK, Tuomi T, Karjalainen J, et al: GAD antibodies in NIDDM. Ten-year follow-up from the diagnosis. Diabetes Care :1995, 12: 1557-1565

Fourlanos S, Perry C, Stein MS, et al: A clinical screening tool identifies autoimmune diabetes in adults. Diabetes Care: 2006,29:970-975

Falorni A, Gambelunghe G, Forini F, et al: Autoantibody recognition of COOH-terminal epitopes of GAD65 marks the risk for insulin requirement in adult-onset diabetes mellitus. J Clin Endocrinol Metab :2000,1:309-316

Fourlanos.S, Dotta.F, Greenbaum C, et al: Latent autoimmune diabetes in adults (LADA) should be less latent: Diabetologia :48, 2206–2212

Costa.J, Mestre A, Marina S, et al : A Case of Late Diagnosis of Latent Autoimmune Diabetes in Adults, Cureus: 2022, Feb 2:14(2):e21826. Doi:10.7759/cureus.21826

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Published

16-09-2024

How to Cite

Dr Nitin Rathod, amishi, amishi, & Dr Nehal Munde. (2024). Case Report Euglycemic Ketoacidosis in patient with acute gastroenteritis with known case of Diabetes Mellitus diagnosed to be Latent Autoimmune Diabetes of Adulthood (LADA): Ketoacidosis in Latent Autoimmune Diabetes of Adulthood Rathod. Bombay Hospital Journal, 65(4). https://doi.org/10.15713/ins.bhj.164