Precipitation of diabetic ketoacidosis by COVID 19 infection in Type 1 diabetic individual due to possible insulin resistance

Joshua Tsai*, Noemi Jubaer*

* American University of the Caribbean School of Medicine

A young gentleman with known diagnosis of Type 1 Diabetes Mellitus (T1DM) under care of physician and compliant with insulin therapy developed Diabetic Ketoacidosis (DKA) in the setting of an active asymptomatic SARS CoV-2 infection. These two conditions are not commonly discussed in synchronism; this case report works to expand on the sequence by which Diabetic Ketoacidosis may have been precipitated by an active SARS CoV-2 infection by exploring its effect on insulin sensitive cells with already established understanding of the tropism of SARS CoV-2 towards cells with ectoenzyme angiotensin-converting enzyme 2 (ACE2).

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