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The case aimed to illustrate the complexity of managing diabetic complications like DKA and HHS in adolescents.

Severe hyperglycemic hyperosmolar state complicated by diabetic ketoacidosis and rhabdomyolysis in an obese adolescent patient: a case report

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Case report demonstrates mixed DKA and HHS in an obese adolescent, highlighting the importance of early identification and management.

The case aimed to illustrate the complexity of managing diabetic complications like DKA and HHS in adolescents.
Case report of a 13-year-old obese Chinese girl with acute DKA and HHS.
Diagnosis based on clinical presentation, including blood glucose levels, urine ketones, and venous pH.
Reviewed guidelines from the International Society for Pediatric and Adolescent Diabetes for management recommendations.
The patient presented with severe hyperglycemia and moderate DKA, with blood glucose levels and comorbid rhabdomyolysis.
She responded positively to fluid resuscitation and insulin administration, achieving good recovery without complications.
Follow-up indicated continued insulin therapy, underscoring the importance of ongoing management in such cases.

Wang et al. (2026) studied this question.

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