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A Case of Type-2 Diabetes Mellitus Presenting with Excessive Weight Loss

Year 2013, Volume: 3 Issue: 3, 59 - 61, 01.09.2013

Abstract

Involuntary excessive weight loss is one of the less common symptoms in type-2 diabetes mellitus. 62-year-old male patient was admitted to our hospital with the complaint of an acute involuntary excessive weight loss. There was a weight loss of 32 kg in the patient who had a story of drinking a lot of water and excessive urination in the last month. Laboratory analysis revealed that fasting blood glucose was 408 mg/dL and hemoglobin A1c was 17.6%. An initial diagnosis of malignancy, which might cause excessive weight loss, was excluded by chest radiography, abdominal ultrasonography and thoraco- abdominal computed tomography. High blood glucose levels were normalized with multiple subcutaneous insulin treatment. The patient’s complaints were resolved after the treatment.

References

  • 1. Rathmann W, Haastert B, Icks A, et al. High prevalence of undiagnosed diabetes mellitus in Southern Germany: target populations for efficient screening. The KORA survey 2000. Diabetologia 2003; 46: 182-9.
  • 2. Cowie CC, Rust KF, Ford ES, et al. Full accounting of diabetes and prediabetes in the U.S. population in 1988-1994 and 2005-2006. Diabetes Care 2009; 32: 287-94.
  • 3. Valdes S, Botas P, Delgado E, et al. Mortality risk in Spanish adults with diagnosed diabetes, undiagnosed diabetes or pre-diabetes. The Asturias study 1998- 2004. Rev Esp Cardiol 2009; 62: 528-34.
  • 4. Heidemann C, Boening H, Pischon T, et al. Association of a diabetes risk score with risk of myocardial infarction, stroke, specific types of cancer and mortality: a prospective study in the European Prospective Investigation into Cancer and nutrition (EPIC) – Potsdam cohort. Eur J Epidemiol 2009; 24: 281-8.
  • 5. Dinççağ N. Up to Date Diagnosis and Treatment of Diabetes Mellitus. İç Hastalıkları Dergisi 2011; 18: 181-223.
  • 6. Navigante A, Morgado PC, Casbarien O, et al. Relationship between weakness and phase angle in advanced cancer patients with fatigue. Support Care Cancer 2013;21(6):1685-90.
  • 7. Mattar L, Huas C, EVHAN group, et al. Relationship between affective symptoms and malnutrition severity in severe Anorexia Nervosa. PLoS One 2012; 7: 49380.

AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU

Year 2013, Volume: 3 Issue: 3, 59 - 61, 01.09.2013

Abstract

İstenmeyen aşırı kilo kaybı tip-2 diyabetes mellitusun az sıklıkta görülen semptomların- dan biridir. Altmışiki yaşında erkek hasta akut istenmeyen aşırı kilo kaybı şikayeti ile has- tanemize kabul edildi. Çok su içme ve çok idrara çıkma şikayetleri olan hastada son bir ay içerisinde yaklaşık 32 kg kilo kaybı mevcuttu. Laboratuvar analiz sonuçlarında açlık kan şekeri 408 mg/dL ve hemoglobin A1c %17.6 idi. Hastada aşırı kilo kaybı yapabilecek malignite ön tanısı akciğer grafisi, abdomen ultrasonografi ve torako-abdomen bilgisa- yarlı tomografi ile dışlandı. Yüksek kan şekeri seviyeleri çoklu subkutan insülin tedavisi ile normalize edildi. Tedavi sonrası hastanın şikayetlerinde gerileme oldu.

References

  • 1. Rathmann W, Haastert B, Icks A, et al. High prevalence of undiagnosed diabetes mellitus in Southern Germany: target populations for efficient screening. The KORA survey 2000. Diabetologia 2003; 46: 182-9.
  • 2. Cowie CC, Rust KF, Ford ES, et al. Full accounting of diabetes and prediabetes in the U.S. population in 1988-1994 and 2005-2006. Diabetes Care 2009; 32: 287-94.
  • 3. Valdes S, Botas P, Delgado E, et al. Mortality risk in Spanish adults with diagnosed diabetes, undiagnosed diabetes or pre-diabetes. The Asturias study 1998- 2004. Rev Esp Cardiol 2009; 62: 528-34.
  • 4. Heidemann C, Boening H, Pischon T, et al. Association of a diabetes risk score with risk of myocardial infarction, stroke, specific types of cancer and mortality: a prospective study in the European Prospective Investigation into Cancer and nutrition (EPIC) – Potsdam cohort. Eur J Epidemiol 2009; 24: 281-8.
  • 5. Dinççağ N. Up to Date Diagnosis and Treatment of Diabetes Mellitus. İç Hastalıkları Dergisi 2011; 18: 181-223.
  • 6. Navigante A, Morgado PC, Casbarien O, et al. Relationship between weakness and phase angle in advanced cancer patients with fatigue. Support Care Cancer 2013;21(6):1685-90.
  • 7. Mattar L, Huas C, EVHAN group, et al. Relationship between affective symptoms and malnutrition severity in severe Anorexia Nervosa. PLoS One 2012; 7: 49380.
There are 7 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Lütfi Akyol This is me

Asuman Çelikbilek This is me

Mehmet Çelikbilek This is me

Savaş Sarıkaya This is me

Murat Suher This is me

Publication Date September 1, 2013
Published in Issue Year 2013 Volume: 3 Issue: 3

Cite

APA Akyol, L., Çelikbilek, A., Çelikbilek, M., Sarıkaya, S., et al. (2013). AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU. Bozok Tıp Dergisi, 3(3), 59-61.
AMA Akyol L, Çelikbilek A, Çelikbilek M, Sarıkaya S, Suher M. AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU. Bozok Tıp Dergisi. September 2013;3(3):59-61.
Chicago Akyol, Lütfi, Asuman Çelikbilek, Mehmet Çelikbilek, Savaş Sarıkaya, and Murat Suher. “AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU”. Bozok Tıp Dergisi 3, no. 3 (September 2013): 59-61.
EndNote Akyol L, Çelikbilek A, Çelikbilek M, Sarıkaya S, Suher M (September 1, 2013) AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU. Bozok Tıp Dergisi 3 3 59–61.
IEEE L. Akyol, A. Çelikbilek, M. Çelikbilek, S. Sarıkaya, and M. Suher, “AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU”, Bozok Tıp Dergisi, vol. 3, no. 3, pp. 59–61, 2013.
ISNAD Akyol, Lütfi et al. “AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU”. Bozok Tıp Dergisi 3/3 (September 2013), 59-61.
JAMA Akyol L, Çelikbilek A, Çelikbilek M, Sarıkaya S, Suher M. AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU. Bozok Tıp Dergisi. 2013;3:59–61.
MLA Akyol, Lütfi et al. “AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU”. Bozok Tıp Dergisi, vol. 3, no. 3, 2013, pp. 59-61.
Vancouver Akyol L, Çelikbilek A, Çelikbilek M, Sarıkaya S, Suher M. AŞIRI KİLO KAYBI İLE PREZENTE OLAN BİR TİP 2 DİYABETES MELLİTUS OLGUSU. Bozok Tıp Dergisi. 2013;3(3):59-61.
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