Sahoo Swapnajeet, Mehra Aseem, Grover Sandeep
All from the Department of Psychiatry at the Postgraduate Institute of Medical Education and Research in Chandigarh, India.
Innov Clin Neurosci. 2016 Dec 1;13(11-12):25-27. eCollection 2016 Nov-Dec.
Although psychiatric manifestations in the form of delirium, confusional states, and psychosis have been commonly reported in relation to hypoglycemia, association of hyperglycemia with psychiatric manifestations has been less commonly reported. In this case report, we present the case of a 36-year-old woman suffering from Type 1 diabetes mellitus who developed recurrent episodes of psychosis following poor adherence to her insulin therapy, leading to significantly high levels of blood glucose. Adequate control of blood glucose levels by improving the adherence with insulin led to lack of recurrence of psychosis.
虽然谵妄、意识模糊状态和精神病等形式的精神症状与低血糖相关的情况已屡有报道，但高血糖与精神症状的关联报道较少。在本病例报告中，我们呈现了一名36岁1型糖尿病女性的病例，该患者因胰岛素治疗依从性差导致血糖水平显著升高，进而反复出现精神病发作。通过改善胰岛素依从性充分控制血糖水平后，精神病未再复发。
