A Case of Type 2 Diabetes Mellitus With Hepatic Encephalopathy Without Liver Cirrhosis
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- Tamai Anna
- Department of Diabetic Medicine, Osaka City General Hospital
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- Yakushiji Yosuke
- Department of Diabetic Medicine, Osaka City General Hospital
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- Hosoi Masayuki
- Department of Diabetic Medicine, Osaka City General Hospital
Bibliographic Information
- Other Title
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- 肝硬変を伴わずに肝性脳症を来した2型糖尿病の1例
Abstract
<p>We present the case of a 69-year-old man with type 2 diabetes mellitus. He had a medical history of hereditary hemorrhagic telangiectasia. Four months after being aware of the carbohydrate restriction, he was admitted to our hospital because of hyperglycemia and impaired consciousness. After admission, the patient was diagnosed with hyperammonemia and a portacaval shunt. BCAA treatment was initiated to prevent loss of muscle mass. Laxatives and metformin were administered, and the poor absorption of antibiotics, kanamycin, hyperammonemia, and consciousness disturbance improved. The quantity and quality of protein intake and defecation control are common issues in both hepatic encephalopathy and diabetes. To improve the patient's prognosis, as in this case, it is useful to consider treatment from multiple perspectives.</p>
Journal
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- Journal of the Japan Diabetes Society
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Journal of the Japan Diabetes Society 67 (3), 164-171, 2024-03-30
THE JAPAN DIABETES SOCIETY
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Details 詳細情報について
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- CRID
- 1390018198840130944
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- ISSN
- 1881588X
- 0021437X
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed