Emesis and diarrhoea

A 37-year-old male was hospitalized in the endocrinology department of our hospital due to emesis and diarrhoea for 2 days; no previous hypertension, coronary heart disease, or diabetes history was reported. Furthermore, no hepatitis or tuberculosis history was reported. Moreover, the patient reported that he had no history of trauma surgery, no food and drug allergies, and no family history of diabetes. After admission, a physical examination was conducted: temperature (T), 36.7 °C; pulse rate (P), 102 bpm; respiratory rate (R), 18/min; blood pressure (BP) and 100/58 mmHg. The patient was lucid but in low spirits. There was no obvious yellow in the skin and sclera. 

After admission, a routine blood examination was immediately conducted (Table 1). After admission to our department, the relevant examinations were further completed (Table 2) and, administration of adequate liquid infusion, intravenous injection of regular insulin to reduce blood glucose, and correction of electrolyte disturbance and acid-base imbalance were conducted. Subsequently, the blood glucose level was gradually reduced, acidosis was corrected, and disease conditions gradually stabilized. The relevant examinations and tests were reconducted (Table 1). After the patient was treated with insulin glargine combined with insulin aspart, his blood glucose levels gradually became stable. At discharge, the prescribed blood glucose regulation regimen was as follows: subcutaneous injection of insulin glargine (12 U) before sleep and subcutaneous injection of 4 U, 6 U, and 6 U of insulin aspart before breakfast, lunch, and supper, respectively. The treatment continued after discharge for half year, whereupon relevant examinations and tests were reconducted (Table 2).