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ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Dilemma on Classifying Diabetes Mellitus in Adolescence: A Case Report and Review of Literature

Che-Ming Chiang1, Li-Wei Wu2,3, Wei-Liang Chen2,3, Chung-Ching Wang2,3, Shih-Yao Liu4, Chien-Hsing Lee5, Kao-Hsian Hsieh1, Chih-Chien Wang1 and Chien-Ming Lin1,2*

1Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

2Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan

3Department of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

4Department of Pediatrics, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan

5Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

*Corresponding Author:
Chien-Ming Lin
Department of Pediatrics, Tri-Service General Hospital
National Defense Medical Center
Taiwan
Tel: 886-02-87927025
Fax: 886-02- 87927293
E-mail: [email protected]

Received date: February 05, 2017; Accepted date: February 25, 2017; Published date: February 28, 2017

Citation: Chiang CM, Wu LW, Chen WL, Wang CC, Liu S, et al. (2017) Dilemma on Classifying Diabetes Mellitus in Adolescence: A Case Report and Review of Literature. J Clin Case Rep 7: 929. doi: 10.4172/2165-7920.1000929

Copyright: © 2017 Chiang CM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Diabetic ketoacidosis (DKA) is one of the most serious complications of diabetes mellitus (DM) that is prone to occur in children with type 1 DM (T1DM). We report a 17-year-old overweight girl who was treated with multiple oral antihyperglycemic drugs under the initial impression of type 2 DM (T2DM). Nevertheless, severe euglycemic DKA happened after the additional prescription of sodium-glucose cotransporter 2 inhibitors for two months. Consequently, T1DM was diagnosed on the basis of insulinopenic status in glucagon test and the presence of islet autoantibodies. This case highlighted the importance of precise classification before diabetes treatment in adolescence. A literature review is aimed to help clinicians differentiate various types of DM more specifically in clinical practice

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