An interesting case of young onset diabetes mellitus

Shipra Gulati; Tanvi Batra; Akshay A. Dhamne; Vijayashree S. Gokhale

doi:10.18203/2320-6012.ijrms20174007

Authors

Shipra Gulati Department of Medicine, Dr. DY Patil Medical College and Hospital, Pimpri, Pune, Maharashtra, India
Tanvi Batra Department of Medicine, Dr. DY Patil Medical College and Hospital, Pimpri, Pune, Maharashtra, India
Akshay A. Dhamne Department of Medicine, Dr. DY Patil Medical College and Hospital, Pimpri, Pune, Maharashtra, India
Vijayashree S. Gokhale Department of Medicine, Dr. DY Patil Medical College and Hospital, Pimpri, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20174007

Keywords:

C Peptide, Diabetes mellitus, Islet cell antibody, MODY, Sulfonylureas

Abstract

A 24 years old female, was admitted with symptoms of urinary tract infection. She was married and had bad obstetric history. She was known diabetic for 16 years of age and was on regular treatment with injection human insulin mixtard since the time of diagnosis, but had no episode of diabetic ketosis/ ketoacidosis. She had a positive family history of diabetes. She was further evaluated and was found to have normal C peptide levels and islet cell antibodies were found to be negative. Hence, the possibility of MODY (monogenic diabetes) was considered. Her genetic testing could not be done due to financial constraints. But a trial of sulfonylureas was given along with reduction in the dose of insulin to which she responded well and is presently well controlled.

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Author Biography

Shipra Gulati, Department of Medicine, Dr. DY Patil Medical College and Hospital, Pimpri, Pune, Maharashtra, India

Junior Resident

Department of Medicine

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