Normoglycaemia in acute renal failure--a difficult diagnosis of diabetes.
We report diagnostic difficulties in a case of diabetes mellitus presenting as acute on chronic renal failure with normoglycaemia. A renal biopsy indicated diabetic nephropathy; she developed hyperglycaemia following the institution of haemodialysis. It is important to remember that diabetic patients may have normal blood glucose concentrations in renal failure. In a patient with undiagnosed diabetes mellitus presenting with acute on chronic renal failure, choice of diagnostic biochemical test for diabetes may be difficult.
Mukhopadhyay
B
B
Department of Diabetes, Glasgow Royal Infirmary, Glasgow.
Geddes
J
J
Fisher
M
M
D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000628:therapy*; D001707:Biopsy, Needle; D001774:Blood Chemical Analysis; D001786:Blood Glucose / Q000032:analysis; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis*; D018450:Disease Progression; D017809:Fatal Outcome; D005260:Female; D005951:Glucose Tolerance Test; D006323:Heart Arrest / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007150:Immunohistochemistry; D008875:Middle Aged; D006435:Renal Dialysis / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index
D001786:Blood Glucose