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January 1966

Hyperglycemia and Acetonuria Simulating Diabetes: Phenylephrine Associated Hyperglycemia and Acetonuria Simulating Diabetes Mellitus

Author Affiliations

From the Children's Hospital of Philadelphia (Drs. Baker, Kaye, and Moshang) and Department of Pediatrics University of Pennsylvania School of Medicine (Dr. Kaye), Philadelphia. Dr. Baker was formerly a trainee in Metabolism under Training grant No. AM-5197.

Am J Dis Child. 1966;111(1):59-62. doi:10.1001/archpedi.1966.02090040095009

DIABETES IN children is often dramaticts onset. The era when children typically presented in acidosis and precopr is happily gone, thanks to more awareness of the disease and earlier diagnosis. In general, juvenile diabetes is rarely a problem of falsefalse-positiveefinitive diagnosis must be made before insulin ade befor started. No comments concerning the ill effects due to misuse of insulin should be necessary.

In the past two years, three children have been seen in the Children's Hospital of Philadelphia with the referral diagnosis of diabetes mellitus and acidosis. These s noses were based on the findings of glucose and acetone in the urine and of an elevated blood glucose level. However, in these three instances, a careful history taken at the time of admission could not elicit any of the cardinal symptoms of diabetes. Thtoms of d on therefore made to withhold insulin despite the hyperglycemia anite the hyia and

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