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Type la glycogen storage disease complicated with diabetes mellitus: the role of flash continuous glucose monitoring.
Marcalo, Jose; Oliveira, Anabela; Nunes, Patrícia Almeida; do Vale, Sónia.
  • Marcalo J; Serviço de Endocrinologia, Centro Hospitalar Universitário Lisboa Norte EPE, Lisboa, Portugal.
  • Oliveira A; Serviço de Medicina I, Centro Hospitalar Universitário Lisboa Norte EPE, Lisboa, Portugal.
  • Nunes PA; Serviço de Dietética e Nutrição, Centro Hospitalar Universitário Lisboa Norte EPE, Lisboa, Portugal.
  • do Vale S; Serviço de Endocrinologia, Centro Hospitalar Universitário Lisboa Norte EPE, Lisboa, Portugal sonia.vale@chln.min-saude.pt.
BMJ Case Rep ; 14(3)2021 Mar 25.
Article in English | MEDLINE | ID: covidwho-1186259
ABSTRACT
A 22-year-old woman with type Ia glycogen storage disease was referred to the endocrinology department with new-onset diabetes mellitus-glycated haemoglobin (HbA1c) of 8.2%. She had suffered from repeated bouts of hypoglycaemia since the first days of her life. The diagnosis was made at 5 months old, after clinical investigations revealed mixed dyslipidaemia, lactic acidosis and hepatomegaly. Compound heterozygosity was documented at the age of 4. The basis of her initial treatment was starch and reinforced soy milk, ingested multiple times a day and night. The patient suffered from obesity since childhood. This case shows a rare association between glycogen storage disease type Ia and diabetes mellitus. A multidisciplinary approach was implemented. Through diet and use of flash continuous glucose monitoring, we were able to improve patient's adherence and metabolic profile. Hypoglycaemia and hyperglycaemia risk significantly decreased; 86% time in range (70-180 mg/dL), 6% hypoglycaemia and 6.3% HbA1c in recent evaluations.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus, Type 1 / Hypoglycemia Type of study: Case report / Experimental Studies / Prognostic study Topics: Long Covid Limits: Adult / Child / Female / Humans / Infant / Young adult Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-240489

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Diabetes Mellitus, Type 1 / Hypoglycemia Type of study: Case report / Experimental Studies / Prognostic study Topics: Long Covid Limits: Adult / Child / Female / Humans / Infant / Young adult Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2020-240489