Korean J Med.  2018 Apr;93(2):216-219. 10.3904/kjm.2018.93.2.216.

Diabetic Ketoacidosis Following Colonoscopy in Fulminant Type 1 Diabetes: A Case Report

• Choi DH
• Kim BY
• Jung CH
• Kim CH
• Kang SK
• Mok JO

• KMID: 2435187
• DOI: http://doi.org/10.3904/kjm.2018.93.2.216

Abstract

Fulminant type 1 diabetes is a distinct subtype of type 1 diabetes mellitus that is characterized by sudden, complete destruction of pancreatic beta cells at the disease onset. Since the disease was first described in 2000 in Japan, a number of case reports have also been published in Korea. However, this disease entity is still not well defined. A 48-year old man with no medical history was admitted with diabetic ketoacidosis. Fulminant type 1 diabetes was diagnosed and he was discharged with multiple insulin injections. His serum glucose level was well controlled in the outpatient clinic. A month later, diabetic ketoacidosis occurred again following a diagnostic colonoscopy. This case suggests that fulminant type 1 diabetes is an aggressive disease in which small stimuli can provoke ketoacidosis. Therefore, for tests that require fasting, close observation by medical staff and patient education about the disease is essential.

Keyword

Diabetes mellitus, Type 1; Diabetic ketoacidosis; Colonoscopy

MeSH Terms

Ambulatory Care Facilities
Blood Glucose
Colonoscopy*
Diabetes Mellitus, Type 1
Diabetic Ketoacidosis*
Fasting
Humans
Insulin
Insulin-Secreting Cells
Japan
Ketosis
Korea
Medical Staff
Patient Education as Topic
Insulin