Bullying-Precipitated Insulin Omission Leading to Diabetic Ketoacidosis in an Adolescent with Type 1 Diabetes Mellitus: A Case Report

Authors

  • TL Upadhyaya Department of Internal Medicine, Gandaki Medical College Teaching Hospital and Research Center, Pokhara
  • S Chudali
  • J Baduwal

Keywords:

Type 1 Diabetes Mellitus, Diabetic Ketoacidosis, Bullying, Insulin Omission, Adolescent

Abstract

A 15-year-old boy with known type 1 diabetes mellitus presented with Diabetic ketoacidosis (RBS 790 mg/ dL) after a week of insulin omission following school bullying over his diabetes. He was admitted to PICU for 3 days but resolved on the standard management. Bullying was precipitating factor for his insulin omission.

Abstract
126
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39

Author Biographies

S Chudali

3rd Year MBBS Students

J Baduwal

3rd Year MBBS Students

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Published

2026-09-24

Issue

Vol. 10 No. 1 (2026): January-June

Section

Case Reports

License

Copyright (c) 2026 The Author(s)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for non-commercial purposes only, and only so long as attribution is given to the creator.

How to Cite

Upadhyaya, T., Chudali, S., & Baduwal, J. (2026). Bullying-Precipitated Insulin Omission Leading to Diabetic Ketoacidosis in an Adolescent with Type 1 Diabetes Mellitus: A Case Report. Journal of Diabetes and Endocrinology Association of Nepal, 10(1), 29-31. https://doi.org/10.3126/jdean.v10i1.100505