A diabetic ketoacidosis in a context of hyperglycemia addiction

被引：1

作者：

Rousseau, Guillaume ^{[1
,2
,3
]}

Palmiere, Cristian ^{[4
]}

Dupont, Vincent ^{[1
,2
]}

Verschoore, Marion ^{[1
,2
]}

Savary, Caroline ^{[1
,2
,5
]}

Jousset, Nathalie ^{[1
,2
]}

Rouge-Maillart, Clotilde ^{[1
,2
,6
]}

机构：

[1] Lunam Univ, Angers, France

[2] Univ Hosp Angers, Dept Forens Med, F-49933 Angers 09, France

[3] Univ Hosp Angers, Dept Biochem & Genet, F-49933 Angers 09, France

[4] Lausanne Univ Hosp, Univ Ctr Legal Med, CURML, Chemin Vuliette 4, CH-1000 Lausanne 25, Switzerland

[5] Univ Hosp Angers, Cellular & Tissue Pathol Dept, F-49933 Angers 09, France

[6] Lunam Univ, Univ Hosp Angers, GEROM LHEA, IRIS IBS Inst Biol Sante, F-49933 Angers, France

来源：

INTERNATIONAL JOURNAL OF LEGAL MEDICINE | 2018年 / 132卷 / 03期

关键词：

Diabetic ketoacidosis; Hyperglycemia; Addiction; Biochemistry; POSTMORTEM DIAGNOSIS; VITREOUS-HUMOR; COGNITIVE PERFORMANCE; MELLITUS; GLUCOSE; PROCALCITONIN; VACUOLIZATION; SEPSIS; UPDATE; DEATH;

D O I：

10.1007/s00414-017-1716-1

中图分类号：

DF [法律]; D9 [法律]; R [医药、卫生];

学科分类号：

0301 ; 10 ;

摘要：

We herein present a case of a 20-year-old woman who suffered from type I diabetes mellitus and died from a diabetic ketoacidosis in a context of addiction to hyperglycemia. Diabetic ketoacidosis is a lethal complication of insulin-dependent diabetes mellitus, which can result from insulin therapy stoppage. This can occur voluntarily with suicidal intent or involuntarily due to treatment inaccessibility, forgotten injections, or material deficiency. A new possibility is investigated in our case study: hyperglycemia addiction. The patient was treated by insulin glargine and insulin aspartate. She regularly stopped insulin glargine injections seeking the asthenia sensation produced by hyperglycemia, keeping the insulin aspartate injections to treat the disabling symptom related to hyperketonemia.

引用

页码：787 / 790

页数：4

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