Open AccessMilk pancreatitis with hypertriglyceridemia and diabetic ketoacidosis
Author(s) -
Shinotsuka Manami,
Tokuda Yasuharu
Publication year - 2017
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.82
Subject(s) - medicine , ketonuria , diabetic ketoacidosis , hypertriglyceridemia , pancreatitis , acute pancreatitis , diabetes mellitus , dyslipidemia , ketoacidosis , gastroenterology , pediatrics , triglyceride , endocrinology , cholesterol , type 1 diabetes
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.