Two Clinical Cases: Severe Hypoglycemia and Then Hyperglycemia in Children with Anemia in Iron Therapy

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Abstract

Diabetes type 1 in children could be present in emergency with hypoglycemia acute episode like an absent or similar to an epilepsy seizure. Blood examinations give evidence of microcytosis iron anemia in a little group of these patients. This disease is often diagnosed when diabetic ketoacidosis occurs. Classical symptoms are frequent urination, increase thirst and hunger with weight loss and iron anemia and with a future risk of osteoporosis in adult age. Moreover, an early diagnostic of iron deficit in DMT1 may be a potential preventive therapeutic possibility with specific nutritional indication in case of confirm with a hyperglycemia and insulin deficit.
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儿童贫血经铁治疗后出现严重低血糖再高血糖2例
儿童1型糖尿病可能在紧急情况下出现低血糖急性发作,如没有或类似癫痫发作。血液检查显示少量患者有小细胞增多性铁性贫血。本病常在糖尿病酮症酸中毒时诊断。典型症状是尿频,口渴和饥饿增加,体重减轻和铁性贫血,成年后有骨质疏松症的风险。此外,在确认患有高血糖和胰岛素缺陷的情况下,早期诊断DMT1中的铁缺乏可能具有潜在的预防治疗可能性,并具有特定的营养指征。
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