Article Text

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}


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.

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  • Competing interests: None.