The use of vitreous humor levels of glucose, lactic acid and blood levels of acetone to establish antemortem hyperglycemia in diabetics.
Glucose and lactic acid concentrations were measured in 328 autopsy cases. Glucose and lactic acid in vitreous humor and blood levels of acetone were found to be valuable indicators of antemortem hyperglycemia in diabetics. Resuscitation significantly increased glucose concentrations in vitreous humor whereas blood levels of acetone were not significant (< 1 mg/dl: detection limit). Values encountered in postmortem cases are presented and case results are discussed.
Péclet
C
C
Direction des Expertises Judiciaires, Montréal, Québec, Canada.
Picotte
P
P
Jobin
F
F
D000096:Acetone / Q000097:blood*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001344:Autopsy; D002648:Child; D002675:Child, Preschool; D003645:Death, Sudden / Q000209:etiology*; D003920:Diabetes Mellitus / Q000378:metabolism*; D005947:Glucose / Q000032:analysis*; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis*; D007223:Infant; D007773:Lactates / Q000032:analysis*; D019344:Lactic Acid; D008875:Middle Aged; D011180:Postmortem Changes; D012151:Resuscitation; D014822:Vitreous Body / Q000737:chemistry*
D007773:Lactates; D000096:Acetone; D019344:Lactic Acid; D005947:Glucose