PROGESTERONE INDUCED DIABETIC KETOACIDOSIS IN A YOUNG FEMALE: A CASE REPORT
Abstract
A 25-year-old recently married female presented to our emergency department with a sudden the onset of breathlessness, pain abdomen, and fever from the past 1 hour. She was on tab progesterone 10 mg OD for the past 10 days to postpone her regular menstruation for her marriage. She was never been diagnosed to have diabetics mellitus in the past. On arrival at the emergency department, she was tachypoenic, severely dehydrated, and found to have elevated blood sugar levels. Arterial blood gas analysis showing severe wide anionic gap metabolic acidosis. She was diagnosed to have DKA. Managed as per standard DKA management protocol and was discharged from the hospital in euglycemic condition. Excess progesterone is known to impair both insulin sensitivity and secretion1 and deteriorate glycemic control and resulted in complications like Diabetic ketoacidosis / Hyperglycemia in previously Diabetic patients.
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References
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