The patient had also developed diabetic ketoacidosis — a potentially life-threatening complication of diabetes as he was not taking his medicines regularly.

The authors hypothesize that that man’s extremely high blood triglyceride levels were caused by a combination of insulin resistance, obesity, inappropriate diet and insufficiently treated diabetes. They noted that the patient had a genetic marker that’s associated with higher triglyceride levels, which may have also affected his risk.

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DOI: 10.7326/L18-0706