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经期糖尿病酮症酸中毒

CATAMENIAL DIABETIC KETOACIDOSIS.

作者信息

Hekimsoy Z, Eniseler E B, Erdem N, Ozdemir N

机构信息

Division of Endocrinology, Celal Bayar University - Faculty of Medicine, Manisa, Turkey.

Department of Internal Medicine, Celal Bayar University - Faculty of Medicine, Manisa, Turkey.

出版信息

Acta Endocrinol (Buchar). 2022 Oct-Dec;18(4):538-540. doi: 10.4183/aeb.2022.538.

Abstract

Diabetic ketoacidosis (DKA) is a common medical emergency situation. In rare cases, glycemic changes associated with the menstrual cycle may create a predisposing factor for DKA. In the absence of facilitating factors that may cause DKA, catamenial DKA should be considered. In the patients with catamenial DKA, increasing the insulin dose 1-2 days before menstruation may prevent the development of hyperglycemia or DKA associated with menstrual cycle. In this study, we present a 21-year-old female with type 1 diabetes mellitus (DM) that recurrently applied to our hospital due to DKA a few days prior to menstrual bleeding.

摘要

糖尿病酮症酸中毒(DKA)是一种常见的医疗紧急情况。在罕见情况下,与月经周期相关的血糖变化可能成为DKA的诱发因素。在没有可能导致DKA的促发因素时,应考虑月经相关性DKA。对于月经相关性DKA患者,在月经前1 - 2天增加胰岛素剂量可能预防与月经周期相关的高血糖或DKA的发生。在本研究中,我们报告了一名21岁的1型糖尿病女性患者,她在月经出血前几天因DKA反复发作而多次到我院就诊。

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本文引用的文献

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SGLT2 Inhibitors May Predispose to Ketoacidosis.钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂可能易引发酮症酸中毒。
J Clin Endocrinol Metab. 2015 Aug;100(8):2849-52. doi: 10.1210/jc.2015-1884. Epub 2015 Jun 18.
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Am J Emerg Med. 2013 Feb;31(2):464.e1-3. doi: 10.1016/j.ajem.2012.08.038. Epub 2012 Oct 27.
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