Delirium and Psychotic Symptoms Associated with Hyperglycemia in a Patient with Poorly controlled Type 2 Diabetes Mellitus

We present the case of an 80-year-old woman, single with no children, who lived alone, and, up until presentation, was able to perform activities of daily living self-sufficiently. She reported to have the support of friends and neighbors, and she lived in the small community of São Miguel Island, Azores, Portugal. She had completed two years of college before dropping out during her third year, and her last job was as an elder care-worker. She had no personal or family psychiatric antecedents and no history of alcohol or illicit drug addictions. The patient was diagnosed with DM2 two years previously and was treated with oral antihyperglycemic drugs (OADs), but she voluntarily discontinued these agents six months prior to admission to our hospital. She was referred to the emergency room, accompanied by a psychologist and a social worker (from the community home-team of the local health center), with an approximately one-month-long history of behavioral changes, including disorganization, confusion, agitation, irritability and impulsivity, insomnia, social isolation, and illogical thinking with delusional ideas of persecution. Additionally, the patient started neglecting her hygiene, lived in poor conditions (e.g., there were dirty dishes covered with remnants of spoiled food in her home), and presented with superficial burns on her eyebrows and hair, which had occurred while she was cooking. According to information provided by neighbors, the month before presentation...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Case Report Current Issue acute confusional state delirium diabetes hyperglycemia psychosis Source Type: research

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