Editor's Correspondence
June 22, 1998

Esophageal Stenosis and Graves Disease in Brittle Type 1 Diabetes Mellitus

Author Affiliations

Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

Arch Intern Med. 1998;158(12):1378-1379. doi:

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.

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