Santos Jasmine, Woloski Jason R, Wu Natasha
Family Medicine, Geisinger Health System, Geisinger Commonwealth School of Medicine, Wilkes-Barre, USA.
Cureus. 2021 Jun 29;13(6):e16032. doi: 10.7759/cureus.16032. eCollection 2021 Jun.
A 23-year-old woman with progressive Friedreich's ataxia (FRDA) presented to a local urgent care facility for urinary urgency and frequency. A urinalysis showed the presence of trace ketones and glucose, and point-of-care testing revealed severely elevated glucose. The patient was referred to the emergency department and was admitted for further evaluation of hyperglycemia. Laboratory tests were negative for a urinary tract infection; however, results revealed elevated serum glucose and hemoglobin A1C. She was diagnosed with new-onset diabetes mellitus and started on insulin therapy. Management of her diabetes was complicated due to advanced neurodegenerative symptoms related to FRDA. An individualized treatment plan and coordination of care with her home facility were essential for managing her diabetes.
一名患有进行性弗里德赖希共济失调（FRDA）的23岁女性因尿急和尿频前往当地的紧急护理机构就诊。尿液分析显示有微量酮体和葡萄糖，即时检测显示血糖严重升高。该患者被转诊至急诊科，并因高血糖接受进一步评估。实验室检查排除了尿路感染；然而，结果显示血清葡萄糖和糖化血红蛋白升高。她被诊断为新发糖尿病，并开始接受胰岛素治疗。由于与FRDA相关的晚期神经退行性症状，她的糖尿病管理变得复杂。制定个性化的治疗方案并与她的家庭护理机构协调护理对于管理她的糖尿病至关重要。
