Diabetes Mellitus tipo 2 con tendencia a la cetosis: Caso clínico

• Luciana Concha L ^[2] ; Pilar Durruty A ^[1] ; Manuel García de los Ríos A ^[1]
  1. [1] Hospital San Juan de Dios

     Hospital San Juan de Dios

     Santiago, Chile

     
  2. [2] Hospital Gustavo Fricke Unidad de Endocrinología y Diabetes
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 143, Nº. 9, 2015, págs. 1215-1218
• Idioma: español
• Títulos paralelos:
  • Ketosis prone type 2 diabetes (KPD)
• Enlaces
  • Texto completo
• Resumen

  • Ketosis prone type 2 diabetes (KPD) is presently a well-defined clinical entity, characterized by a debut with severe hyperglycemia and ketoacidosis similar to the presenting form of Type 1 diabetes mellitus (DM1). However, it appears in subjects with Type 2 diabetes mellitus (DM2) phenotype. This situation is caused by an acute, reversible dysfunction of the beta cell in individuals with insulin resistance. Once the acute stage subsides, patients behave as having a DM2 and do not require insulin treatment. They should be kept on a diet and oral hypoglycemic drugs due to their susceptibility to have recurrent acute ketotic decompensations.