title: Case report of excessive hand sweating that alters blood sugar measurements.
abstract: We present a clinical case that we did not find described in literature and yet is quite common in primary care. The patient described is female with a diagnosis of diabetes mellitus treated with insulin and poor clinical response according to glycated haemoglobin measurements. In addition to the main diagnosis, she also shows excessive sweating in palms and feet, which explains why her blood sugar levels were wrong. This also led to treatment adjustments that were carried out with disregard to her true plasma glucose concentration. To conclude, this case report highlights the importance of treating subjects in lieu of separate conditions, as well as the need of a team approach to patients in care.
authors.affiliation: Centro de Salud de Barbate, Cádiz, España. Address: Avda. Del Mar s/n, cp 11.160, Barbate, Cádiz, España. Email: miji_77@yahoo.com.
authors.forename: Eva
authors.initials: E
authors.lastname: Buller Viqueira
authors.affiliation: Centro de Salud de Vejer, Vejer de la Frontera, Cádiz, España.
authors.forename: Juana
authors.initials: J
authors.lastname: Cabello Pulido
authors.affiliation: Centro de Salud de Barbate, Cádiz, España.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Jiménez Fernández
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000379:methods; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006225:Hand; D006801:Humans; D006945:Hyperhidrosis / Q000150:complications*; D007004:Hypoglycemic Agents / Q000627:therapeutic use
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents
keywords: diabetes mellitus; glucemia; hiperhidrosis