DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20195557

A rare presentation of acute hyperglycemia with secondary mania: a case report

Kumari Padma, Sharol Fernandes, Supriya Hegde

Abstract


This case report aims to highlight the diagnostic challenges in consultation-liaison psychiatry in case of Type 1 Diabetes Mellitus. Author report the case of a 60-year-old male who presented to the Psychiatry OPD with first episode of mania. Although hypoglycaemia is known to be associated with multiple psychiatric manifestations, the incidence of psychiatric symptoms and disorders in association with hyperglycaemia is not well reported. This case report highlights the rare presentation of secondary mania in a patient with Type 1 Diabetes Mellitus.


Keywords


Consultation liaison psychiatry, Hyperglycemia, Mania, Type 1 diabetes mellitus

Full Text:

PDF

References


American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes care. 2013;36(Suppl1):S67-74.

Sommerfield AJ, Deary IJ, Frier BM. Acute hyperglycemia alters mood state and impairs cognitive performance in people with type 2 diabetes. Diab care. 2004;27(10):2335-40.

Cox DJ, Kovatchev BP, Gonder-Frederick LA, Summers KH, McCall A, Grimm KJ, et al. Relationships between hyperglycemia and cognitive performance among adults with type 1 and type 2 diabetes. Diab care. 2005;28(1):71-7.

Cebeci AN, Güven A. Delirium in diabetic ketoacidosis: a case report. J Clini Res Pediatr Endocrinol. 2012;4(1):39.

Cryer PE. Hypoglycemia in type 1 diabetes mellitus. Endocrinol Metabol Clinics. 2010;39(3):641-54.

Fishbain DA, Rotundo D. Frequency of hypoglycemic delirium in a psychiatric emergency service. Psychosomatics: J Consult Liais Psychiatr. 1988;29(3), 346-8.

Budner LJ. Behavioral effects of hypoglycemia. J Am Acad Child Adolesc Psychiatry. 1997;36(12): 1651-2.

Knezević A. Hypoglycemia and states of confusion. Medicinski Pregled. 1990;43(5-6):221-3.

Knezević A, Hrnjaković L. Hypoglycemia-a delirious state with vestibular hallucinations. Medicinski Pregled. 1991;44(5-6):231-2.

Roos U, Carlsson G. Acute psychosis caused by hypoglycemia. Lakartidningen. 1984;81(49):4645-6.

Singh SK, Agrawal JK, Srivastava AS, Bhardwaj VK, Bose BS. Acute psychotic disorder and hypoglycemia. Ind J Psychiatr. 1994;36(2):93.

Egede LE, Nietert PJ, Zheng D. Depression and all-cause and coronary heart disease mortality among adults with and without diabetes. Diabetes Care. 2005;28(6):1339-45