title: Strong diabetes.
abstract: The case of a 36-year-old male professional bodybuilder is reported. He presented to the accident and emergency department with right upper quadrant pain. This was on the background of a 15-year history of anabolic steroid and growth hormone misuse. Examination revealed mild hepatomegaly and a random blood sugar of 30.2 mmol/l. There was no evidence of ketonuria or acidosis. Biochemical evidence of hepatitis was found, and the patient was in acute renal failure. He was given a sliding scale of insulin and an intravenous infusion of crystalloid. The hepatitis and hyperglycaemia settled with conservative treatment. It is believed that this is the first reported case of frank diabetes precipitated by supraphysiological recreational growth hormone misuse.
authors.affiliation: University Hospital Coventry and Warwick, Warwickshire, UK. jamesywyoung@aol.com
authors.forename: James
authors.initials: J
authors.lastname: Young
authors.forename: Aresh
authors.initials: A
authors.lastname: Anwar
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000188:drug therapy; D000328:Adult; D045930:Anabolic Agents / Q000009:adverse effects; D000077324:Crystalloid Solutions; D003928:Diabetic Nephropathies / Q000139:chemically induced*; D013006:Growth Hormone / Q000009:adverse effects*; D006801:Humans; D006943:Hyperglycemia / Q000139:chemically induced* / Q000188:drug therapy; D007328:Insulin / Q000627:therapeutic use*; D007552:Isotonic Solutions / Q000627:therapeutic use; D008297:Male; D016896:Treatment Outcome; D014891:Weight Lifting
chemical_list: D045930:Anabolic Agents; D000077324:Crystalloid Solutions; D007328:Insulin; D007552:Isotonic Solutions; D013006:Growth Hormone