Article Text

Unusual association of diseases/symptoms
A “growing cause” of diabetic ketoacidosis
  1. Mona Waterhouse1,
  2. Ian Sabin2,
  3. Nick Plowman3,
  4. Scott Akker4,
  5. Tahseen A Chowdhury1
  1. 1
    The Royal London Hospital, Diabetes and Metabolism, Whitechapel, London E1 1BB, UK
  2. 2
    The Royal London Hospital, Neurosciences, Whitechapel, London E1 1BB, UK
  3. 3
    St Bartholomews Hospital, Radiotherapy, West Smithfield, London EC1, UK
  4. 4
    St Bartholomews Hospital, Endocrinology, West Smithfield, London EC1, UK
  1. Tahseen Chowdhury, tahseen.chowdhury{at}


The progress of a young woman presenting with diabetic ketoacidosis is described. She was managed as for a new presentation of type 1 diabetes, but was subsequently diagnosed with acromegaly due to a large pituitary tumour. Following treatment for this, and relative normalisation of growth hormone levels, she was able to stop insulin completely. Subsequently, an oral glucose tolerance test showed no evidence of abnormal glucose tolerance and she remains non-diabetic.

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  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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