A Case of Diabetic Ketoacidosis Precipitated by Thyrotoxicosis

Lee, Jae Min; Ko, Bong Suk; Kim, Dong Pil; Lee, Ji Hye; Shin, Jong Ho; Kim, Hyun Jin; Park, Kang Seo

doi:2009.10.2.115

J Korean Diabetes > Volume 10(2); 2009 > Article

Case Report

The Journal of Korean Diabetes 2009;10(2):115-117.
DOI: https://doi.org/10.4093/kcd.2009.10.2.115

갑상선중독증에 의해 유발된 당뇨병성 케톤산증 1예

이재민, 고봉석, 김동필, 이지혜, 신종호, 김현진, 박강서

A Case of Diabetic Ketoacidosis Precipitated by Thyrotoxicosis

Jae Min Lee, Bong Suk Ko, Dong Pil Kim, Ji Hye Lee, Jong Ho Shin, Hyun Jin Kim, Kang Seo Park

Abstract

It is rare, but thyrotoxicosis may precipitate diabetic ketoacidosis. Cases of the simultaneous presentation of thyrotoxicosis and diabetic ketoacidosis have been reported and a delayed diagnosis result in serious complications such as cardiac arrest or death. Thyroid hormone has been well-documented in patients with glucose intolerance and thyroid hormone`s lipolytic effects on adipocytes may promote hepatic beta-oxidation. We report here on a case of diabetic ketoacidosis that was precipitated by thyrotoxicosis in a woman with type 1 diabetes mellitus. We propose that thyrotoxicosis is a significant contributor to the development of diabetic ketoacidosis. (Korean Clinical Diabetes J 10:115-117, 2009)

Key Words: Diabetic ketoacidosis, Diabetes mellitus, Thyrotoxicosis