A previously well 52-year-old man was seen with a 3-week history of hyperglycaemic symptoms. He had a BMI of 40.8 kg/m2 , with no evidence of eruptive xanthomas. His random… Click to show full abstract
A previously well 52-year-old man was seen with a 3-week history of hyperglycaemic symptoms. He had a BMI of 40.8 kg/m2 , with no evidence of eruptive xanthomas. His random blood glucose was 19.0 mmol/l (reference range 3.5-6.9 mmol/l), with an HbA1c concentration of 128 (28-42) mmol/mol [13.9 (4.7-6.0)%]. A venous blood sample was reported as being 'turbid', with a serum triglyceride level of 128.4 (0.5-1.7) mmol/l. His visual acuity was normal.
               
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