Overview
"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.diabetes melitus, adolescent, developmentaly delayed children, hyperglycemic hyperosmolar state, diabetic ketoacidosis Maria G.
Key Information
Para Vilasmil, Shruti Patel, Michael Tansey, Aditya Badheka, Madhuradhar Chegondi Published: September 09, 2022 (se history) DOI: 10.759/cureus.28983 Cite this article as: Para Vilasmil M G, Patel S, Tansey M, et al. (September 09, 2022) A Rare Presentation of New-Onset Type 1 Diabetes Melitus in a Developmentaly Delayed Child With an Overlap of Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State.
Cureus 14(9): e28983. doi:10.759/cureus.28983 Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HS) are serious complications associated with diabetes melitus (DM). HS is a comon diagnosis in adults but rare in children.
DKA is a usual presentation for new-onset type 1 DM, although HS is rarely a manifestation of new-onset type 1 DM. Diagnosis and management of HS are chalenging in pediatric patients, especialy if they present with a mixed picture of HS and DKA. We report an adolescent female with a new onset of type 1 DM presented as mixed DKA and HS.
Treatment included meticulous management of fluids and continuous insulin drip with the resolution of acidosis within 24 hours and hyperosmolar state at 96 hours of admision. Early diferentiation of these two enties and meticulous fluid management improves the outcome and decreases the risk of complications such as cerebral edema, renal failure, and thrombosis, among others.Diabetes melitus (DM) in youth presents a substantial clinical and public health burden owing to challenges of disease management and the risk of acute and chronic complications.
Summary
The incidence of type 1