Severe Transient Hyperglycemia in a Prediabetic Patient during Mild Acute Pancreatitis.
A 30-year-old obese male patient had been diagnosed with diabetes mellitus due to acute hyperglycemia and ketonuria. He also presented with severe hypertriglyceridemia and high levels of serum lipase. He was initially misdiagnosed with type 1 diabetes and treated with insulin for one month. At two months from first presentation, pancreatic antibodies were negative, and the C-peptide level was normal. A1c level was 5.9% without insulin treatment. The association between diabetes mellitus and acute pancreatitis is well established. We reported a case of severe transient hyperglycemia during mild acute pancreatitis in a metabolically ill patient.
University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania ; Endocrinology and Diabetes Department, Elias University Hospital, 011461 Bucharest, Romania ; "Victor Babes" National Research and Development Institute of Pathology and Biomedical Sciences, 050096 Bucharest, Romania.
Aura Diana
AD
Reghina
Endocrinology and Diabetes Department, Elias University Hospital, 011461 Bucharest, Romania.
Silvia
S
Craciun
University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania ; Endocrinology and Diabetes Department, Elias University Hospital, 011461 Bucharest, Romania.
Simona
S
Fica