Treatment of type 1 diabetes mellitus in female patient with Graves’ orbitopathy, receiving intravenous systemic corticotherapy
Journal Title: Postępy Nauk Medycznych - Year 2012, Vol 25, Issue 11
Abstract
In this article we presented a patient woman with type 2 autoimmune polyglandular syndrome (APS2) – type 1 diabetes mellitus, vitiligo and Graves disease. In the curse of Graves disease she had hyperthyroidism and severe active phase of Graves orbitopathy. Because of orbitopathy she needed high dose of methylprednisolone applicated as intravenous weekly therapy. In the course of corticosteroids therapy her usually doses of insulin was three times higher in the first day, two times higher in the second day and one and a half higher in the third day after treatment in comparison with her usually doses. In discussion we showed problems connected with APS, treatment of orbitopathy and high insulin requirement in the course of corticosteroids therapy.
Authors and Affiliations
Małgorzata Godziejewska-Zawada, Helena Jastrzębska
Keywords
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