Shinotsuka Manami, Tokuda Yasuharu
Funabashi Futawa Hospital Funabashi City Chiba Japan.
Japan Community Healthcare Association (JCHO) Tokyo Japan.
J Gen Fam Med. 2017 May 17;18(6):422-424. doi: 10.1002/jgf2.82. eCollection 2017 Dec.
Excessive milk intake may lead to diabetic ketoacidosis and acute pancreatitis. A 55-year-old milk salesperson with diabetes and dyslipidemia presented with a 5-day history of fatigue and thirst. The patient had drunk a large amount of milk for 2 months prior to the admission. Laboratory data showed metabolic acidosis, hyperglycemia, ketonuria, hypertriglyceridemia, and elevated serum amylase. Abdominal CT with contrast material revealed the swelling of the pancreas. The patient received medical treatment for diabetic ketoacidosis and acute pancreatitis and was discharged uneventfully on day 18. Dietary advice for diabetics should include the avoidance of excessive amount of milk.
过量摄入牛奶可能导致糖尿病酮症酸中毒和急性胰腺炎。一名55岁患有糖尿病和血脂异常的牛奶销售员，出现了5天的疲劳和口渴症状。该患者在入院前2个月饮用了大量牛奶。实验室检查数据显示存在代谢性酸中毒、高血糖、酮尿、高甘油三酯血症以及血清淀粉酶升高。腹部增强CT显示胰腺肿胀。患者接受了糖尿病酮症酸中毒和急性胰腺炎的治疗，并于第18天顺利出院。糖尿病患者的饮食建议应包括避免过量饮用牛奶。
