Salty Diabetes: A Case Series of Hypernatremia Presenting with Diabetic Ketoacidosis

Authors

Elias Estifan, New York Medical College
Sushant M. Nanavati, New York Medical College
Vinod Kumar, New York Medical College
Sandra Gibiezaite
Patrick Michael, New York Medical CollegeFollow

Journal Title

AME Case Reports

First Page

27

Document Type

Case Report

Publication Date

July 2019

Department

Medicine

Abstract

Hyponatremia is an expected electrolyte resultant in diabetic ketoacidosis (DKA) that presents secondary to the dilutional effect of hyperglycemia. However, hypernatremia in DKA is a rare presentation, more common in the pediatric population, that rides poor morbidity and mortality. We describe three cases of patients presenting with DKA and hypernatremia with altered sensorium and share details on pathophysiology and treatment that expand our understanding amongst clinicians.

Recommended Citation

Estifan, E., Nanavati, S., Kumar, V., Gibiezaite, S., & Michael, P. (2019). Salty Diabetes: A Case Series of Hypernatremia Presenting with Diabetic Ketoacidosis. AME Case Reports, 3, 27. https://doi.org/10.21037/acr.2019.07.04