Double Diabetes; A Case Report:

Shivangi Gupta; Dr. Abhishek; Pal Satyajit Singh Athwal; Piyush Puri; Anil Kumar Kem

Shivangi Gupta PG1, Department of Internal Medicine, Saraswathi institute of medical sciences, Hapur, U.P, India
Dr. Abhishek PG2, Department of Internal Medicine, Saraswathi institute of medical sciences, Hapur, U.P, India.
Pal Satyajit Singh Athwal Junior Resident, Department of Internal Medicine, G.S Medical college and hospital, Pilkhuwa, U.P, India.
Piyush Puri Intern, Department of Internal Medicine, Saraswathi institute of medical sciences, Hapur,U.P, India.
Anil Kumar Kem Professor and Head of Department, Department of Internal Medicine, Saraswathi institute of medical sciences, Hapur,U.P, India.

Keywords: Double diabetes, Diabetes Mellitus

Abstract

Double diabetes is a new variant which is a combination of both type 1 and type 2 diabetes in children and adolescents. This variant is becoming more prevalent because of epidemic obesity in children. Obesity among people of different ethnicity and race is tripled since last decade. Although, obesity is linked to diabetes type 2 because of insulin resistance which is due to excess free fatty acids, high intracellular triglyceride and dysregulation of adipokines secretion. Double diabetes is coexistence of insulin resistance (type 2) and autoantibodies (type1). Person with type 1 diabetes who is obese and develop type 2 diabetes will lead to increase morbidity and early exhaustion of beta cells. We report a case of 25-year-old male with this new variant discussing diagnosis and management modalities.

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