Open AccessAcute post-operative diabetic ketoacidosis: Atypical harbinger unmasking latent diabetes mellitus
Author(s) -
Rudrashish Haldar,
Ankur Khandelwal,
Devendra Gupta,
Sheela Srivastava,
Prabhat Kumar Singh
Publication year - 2016
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.191697
Subject(s) - medicine , diabetic ketoacidosis , ketoacidosis , perioperative , diabetes mellitus , intensive care medicine , pediatrics , surgery , type 1 diabetes , endocrinology
Hyperglycaemia following surgical and anaesthetic stress is a well-established entity which might have undesirable clinical consequences in known diabetics. We encountered a rare event where an undiagnosed diabetic patient developed ketoacidosis in the immediate post-operative period which was her initial presenting symptom of deranged glucoregulation. Presumably, the stress induced by surgery and anaesthesia lead to the genesis of this event. We discuss the management of this case. In addition, we highlight the importance of glycosylated haemoglobin as a subject of future research in identifying such "at risk" patients and for stratifying the risk of hyperglycaemic complications in perioperative settings.