Type 2 diabetes with ketosis tendency

Case report

Authors

  • Kalina Pessoa Daniel de Sousa
  • Bruna Sobral Ferraz de Moura Maniçoba
  • Thaís Pessoa Lins
  • Abílio Costa e Silva
  • Lucio Vilar

DOI:

https://doi.org/10.56102/afmo.2018.36

Keywords:

Diabetes mellitus, Diabetes Flatbush, Diabetes mellitus com tendência à Ketosis-prone type 2 diabetes, diabetic ketoacidosis

Abstract

In the United States, in recent years, a growing number of cases of ketosis-prone type 2 diabetes (KPTD) have been reported. In Brazil, this is still a rare condition and its exact prevalence is still unknown. The typical initial presentation is diabetic ketoacidosis (DKA) without apparent triggering factor but a within a few weeks or few months it is possible to withdraw insulin therapy and to maintain an adequate glycemic control only with oral drugs or even with diet therapy. Antibodies against beta cell antigens are negative and most patients are obese Afro-american or Hispanic
men with a strong family history of type 2 diabetes mellitus. In the article, it was reported a case of KPTD in a 31-year-old
man, in whom it was possible to discontinue insulin therapy 3 months after the DKA episode, with maintenance of
metformin. Eighteen months after DKA, the patient remained well controlled with diet only (fasting glucose of 102 mg/dL and HbA1c of 5.7%).

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Published

2018-08-04

How to Cite

Pessoa Daniel de Sousa, K., Sobral Ferraz de Moura Maniçoba, B., Pessoa Lins, T., Costa e Silva, A., & Vilar, L. (2018). Type 2 diabetes with ketosis tendency: Case report. Annals of Olinda Medical School, 1(2), 61–64. https://doi.org/10.56102/afmo.2018.36

Issue

Vol. 1 No. 2 (2018)

Section

Case Reports

License

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