DIABETES MELLITUS AND HYPERTHYROIDISM

Abstract

This case is presented to record a fasting blood sugar of 1,500 mg. per hundred cubic centimeters in a diabetic patient without coma but manifesting all the signs and symptoms of marked hyperthyroidism. An extreme hyperglycemia of this degree has been observed infrequently in diabetes (the literature is summarized in the table); not one of the published cases was complicated by thyrotoxicosis. As far as I could learn, this is the only case on record of diabetes complicated by hyperthyroidism showing a blood sugar over 1,000 mg. per hundred cubic centimeters without any signs of coma, although in the present case coma undoubtedly was impending. REPORT OF CASE Mrs. L. J., white, aged 43, a seamstress, seen Sept. 13, 1929, complained of pruritus vulvae and vulvar boils. One month previously there had been a surgical intervention for an infected finger, and at that time sugar was found in the urine.