rss
BMJ Case Reports 2009; doi:10.1136/bcr.08.2008.0708
  • Unusual presentation of more common disease/injury

Strong diabetes

  1. James Young1,
  2. Aresh Anwar2
  1. 1
    Warwick University, Medical School, Gibbett Hill Road, Coventry, CV4 7AL, UK
  2. 2
    UHCW, WISDEM Centre, Clifford Bridge Road, Coventry, cv22dx, UK
  1. jamesywyoung{at}aol.com
  • Published 2 February 2009

Summary

The case of a 36-year-old male professional bodybuilder is reported. He presented to the accident and emergency department with right upper quadrant pain. This was on the background of a 15-year history of anabolic steroid and growth hormone misuse. Examination revealed mild hepatomegaly and a random blood sugar of 30.2 mmol/l. There was no evidence of ketonuria or acidosis. Biochemical evidence of hepatitis was found, and the patient was in acute renal failure. He was given a sliding scale of insulin and an intravenous infusion of crystalloid. The hepatitis and hyperglycaemia settled with conservative treatment. It is believed that this is the first reported case of frank diabetes precipitated by supraphysiological recreational growth hormone misuse.

Footnotes

  • Competing interests: None.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article