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August 15, 1953

EXTREME HYPERGLYCEMIA AND SEVERE KETOSIS WITH SPONTANEOUS REMISSION OF DIABETES MELLITUS

Author Affiliations

Oak Park, Ill.

JAMA. 1953;152(16):1531-1533. doi:10.1001/jama.1953.63690160006008c
Abstract

From time to time extreme hyperglycemia has been recorded. We wish to report on a patient who had an unusually high blood sugar but, after surviving profound and prolonged coma, apparently recovered completely from all symptoms and signs of diabetes mellitus.

REPORT OF A CASE  A 68-year-old Negro woman was admitted to the Cook County Hospital, Chicago, on July 3, 1952, in a coma. She had been well until three months previously, when she began to note unusual thirst and weakness. On the day before admission the patient had felt generally and indefinitely ill. She went to bed early that night, thinking that she might have a cold, and was found unconscious in bed the next morning. Her history previous to the three months before admission was irrelevant, and there was no known diabetes in her family.On admission the patient appeared to have extreme ketosis. Kussmaul's breathing with an

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