Beta Thalassemia Major with Diabetes Mellitus: A Case Report

Dr. Sneha Mhaske; Dr. Abhijit Shinde; Dr. Sonal Shinde; Dr. Ramesh Kothari; Dr. Ganesh Misal; Dr. Sushruta Kumar; Prof. Dr. Sunil Natha  Mhaske

doi:10.46858/vimshsj.8208

Authors

Dr. Sneha Mhaske DVVPFs Medical College & Hospital, Ahmednagar-414111, Maharashtra, India
Dr. Abhijit Shinde
Dr. Sonal Shinde
Dr. Ramesh Kothari
Dr. Ganesh Misal
Dr. Sushruta Kumar
Prof. Dr. Sunil Natha Mhaske

DOI:

https://doi.org/10.46858/vimshsj.8208

Keywords:

Thalassemia, Diabetes Mellitus, Iron chelation, Blood transfusion, Hyperglycemia

Abstract

Thalassemia results from defects in normal hemoglobin production, and represents the most common inherited anemia worldwide. Diabetes is a complication of b-thalassemia major. We report a case of Diabetes mellitus in a known case of beta thalassemia major. Patient had undergone Splenectomy 1 year back. Patient is taking chelating agent Defasirox 1000mg orally once a day in the morning. Family history reveals, born through third degree consanguineous marri age. The patient was then subjected for laboratory examination reveals BSL was high, urine ketone 2+,urine sugar 3+, ABG was normal, HbA1c was 13 & 3 month old report of serum ferritin 1200 ng/dl. Multidisciplinary management was instituted. Blood sugar level got controlled over subcutaneous insulin. Patient may have landed in Diabetic ketoacidosis but was promptly diagnosed & treated. This case is presented for its rarity. As the life expectancy of patients with thalassaemia increases, this will also expose our patients potentially to many more years of hyperglycaemia and diabetes. Sustaining metabolic control and controlling cardiovascular risk factors will be critical in the future for preventing complications due to diabetes.

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