Hyperglycemic, Hyperosmolar, Nonketoacidotic Diabetes: A Complication of Steroid and Immunosuppressive Therapy

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Abstract
Two cases of hyperglycemic, hyperosmolar, nonketoacidotic diabetes are reported. Both had renal disease and were receiving corticosteroids and azathioprine. A third patient with hepatitis receiving corticosteroids alone and developing ketoacidosis is described also. The syndrome of hyperglycemic coma is discussed and speculations on the role of steroids and azathioprine are made.

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