This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Patients with brittle type of diabetes readily develop hypoglycemia, which can lead to unconsciousness, or hyperglycemia, which can lead to ketoacidosis, even if they maintain a reasonable diet and receive insulin therapy.¹ As a result, it is difficult to control the diabetic state of such patients. In addition, if esophageal stenosis or hyperthyroidism accompanies brittle diabetes, blood glucose levels may fluctuate even more than with brittle diabetes alone.

Report of a Case

A 50-year-old woman who had a 19-year history of type 1 diabetes mellitus was admitted to our hospital in August 1997 because of diabetic ketoacidosis. The lower portion of her right leg had been amputated in 1987 because of diabetic gangrene. Although she had been treated with intensive insulin therapy using a sliding scale regimen, her glycemic control had been fluctuating and was poor. The patient had been admitted 2 or 3 times per year since 1989 because of ketoacidosis or hypoglycemic . . . [Full Text of this Article]

Comment