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Acromegaly presenting with diabetic ketoacidosis.
  1. J. R. Katz,
  2. R. Edwards,
  3. M. Khan,
  4. G. S. Conway
  1. Department of Endocrinology and Metabolic Medicine, University College London Hospitals NHS Trust, UK.

    Abstract

    Diabetes in acromegaly is usually non-insulin dependent and is secondary to insulin resistance caused by growth hormone excess. Diabetic ketoacidosis is a result of relative insulin deficiency and is a rare feature of acromegaly. We describe a case of acromegaly presenting with diabetic ketoacidosis. We demonstrate that growth hormone excess can cause diabetic ketoacidosis in the presence of relative, but not absolute insulin deficiency.

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