Diabetes Mellitus Due to Liver Cirrhosis in 33-Year-Old Female

Authors

  • Henny Tanadi Tan
  • Suzanna Ndraha
  • Helena Fabiani
  • Fendra Wician
  • Mardi Santoso
  • Marshell Tendean

DOI:

https://doi.org/10.24871/1422013117-119

Abstract

Impaired glucose metabolism can occur in patient with chronic liver disease, either it is impaired glucose tolerance or diabetes mellitus (DM). DM due to liver cirrhosis is known as hepatogenous diabetes (HD). HD
is different from type 2 DM in clinical signs and management.

A 33-year-old female came with chief complaint of fatigue since three days before admission. Patient also complained of nausea, vomiting, and increased abdominal circumference since one year ago. Patient was
diagnosed with DM two months ago. From physical examination, anemic and ascites without signs of cirrhosis were obtained. Laboratory test showed mild anemia with hemoglobin levels 6.5 g/dL, elevated serum bilirubin
and liver enzymes, decreased serum albumin, prolonged prothrombin time and elevated random blood glucose. Serologic test showed chronic hepatitis B with HBV DNA 1.61 x 104 copy/mL. The abdominal ultrasound result
showed liver cirrhosis with ascites.

The patient was diagnosed with hepatogenous diabetes in liver cirrhosis due to chronic hepatitis B infection and anemia of chronic disease. The management of this patient was quite complex especially in administration
of oral antidiabetic agent which could affect the liver function.

Keywords: hepatogenous diabetes, liver cirrhosis, diabetes mellitus, chronic hepatitis B infection

Downloads

Published

2013-09-19

How to Cite

Tan, H. T., Ndraha, S., Fabiani, H., Wician, F., Santoso, M., & Tendean, M. (2013). Diabetes Mellitus Due to Liver Cirrhosis in 33-Year-Old Female. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, 14(2), 117–119. https://doi.org/10.24871/1422013117-119

Issue

VOLUME 14, NUMBER 2, August 2013

Section

Case Reports

License

Authors who publish with this journal agree to the following terms:

a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).