Type 2 diabetes mellitus is a condition that can bring serious complications if it is not handled properly.One of the least known but dangerous effects is the development ofHyperglycemia -induced epileptic crisis, a rare problem but with important neurological consequences.
The case of a 68 -year -old man was reported who, without previous medical history, presented symptoms such asexcessive thirst (polydipsia), frequent urination (polyuria) and episodes of disorientation and confusion, which led him to the emergency room.There was diagnosed with type 2 diabetes with an extremely high glucose (489 mg/dl).
Despite the initial treatment with insulin and its posterior high, the patientHe returned to the hospital days later with cognitive impairment, drowsiness and visual problems and engines.His glucose level was still uncontrolled (400 mg/dl), and during his entry, he sufferedFocal epileptic crisis, which required medication to stabilize it.
Why can this happen?
Severe hyperglycemia can affect the brain and, in extreme cases, induceseizures.This is due to:
🔹 Alterations in cerebral microcirculation, which can cause neuronal damage.
🔹 Changes in ATP potassium channels, which affect the excitability of neurons.
🔹 Decrease in Aquaporin-4 expression, a key protein for fluid balance in the brain.
Unlike epileptic crises caused by hypoglycemia, those induced byNon -ketosic hyperglycemiaThey are less common and less understood.
How was this case resolved?
After controlling their blood sugar levels, the patient experienced progressive improvement.Its antiepileptic treatment remained for three months and, in a two -year follow -up,did not present new crises or neurological sequelae.
Key lessons for people with diabetes
✅Regularly control blood glucose: Persistent hyperglycemia can have serious consequences, even affect the brain.
✅Attend any neurological symptom: Confusion, drowsiness, problems in the march or vision can be alarm signals.
✅Go to frequent medical reviews: Uncreated diabetes can have many silent complications.
📖The community is key
This case reminds us that diabetes is a complex disease that goes beyond blood sugar control.Having information and support can make a difference.