Short report
Diabetic ketoacidosis precipitated by thyrotoxicosis
A Bhattacharyya, P G Wiles
Diabetes Centre,
North Manchester General Hospital, Crumpsall, Manchester M8 5RB,
UK
Correspondence to: Dr Wiles
Accepted 16 November 1998
We report two patients with type 1 diabetes mellitus,
previously well controlled with good compliance, presenting with
unexplained diabetic ketoacidosis. Following initial correction of the
metabolic disorder, persisting tachycardia lead to the diagnosis of
thyrotoxicosis. In both cases, treatment with propranolol and
carbimazole helped in the stabilization of their metabolic states.
Although thyrotoxicosis is known to destabilise diabetes control, we
can find no reports of it precipitating diabetic ketoacidosis.
Keywords: diabetic ketoacidosis; thyrotoxicosis
© 1999 by The Fellowship of Postgraduate Medicine
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