Roopa, 20, was brought to my hospital in an unconscious state, breathing heavily, looking pale and weak. "Look doctor what has happened to my wife" said a rather young looking husband of Roopa, "we are married for only about a month, and she was alright."
About 5-6 days back when she started going to toilet a bit too often at night, and looked weak, household medication was given to her thinking that it is indigestion, or MORNING SICKNESS, but today she started vomiting a lot and is gradually becoming Unconscious" The examination revealed that she had blood glucose level of 335mg/dl,
Urine ketones (++++), and features of severe urinary infection, and dehydration. The young girl were in DIABETIC KETOACIDOSIS. "Doctor I want to tell you something in confidence" said Roopa's mother who had reached hospital by then; "Roopa is a Juvenile diabetic since the age of 13 years and has been well controlled on insulin, we had kept this a secret at the time of her marriage, she probably managed once a day or once in 2-3 days insulin shots at her in laws' place".
Roopa gradually developed insulin deficiency but managed somehow, but when urinary infection