PT - JOURNAL ARTICLE AU - James Young AU - Aresh Anwar TI - Strong diabetes AID - 10.1136/bjsm.2006.030585 DP - 2007 May 01 TA - British Journal of Sports Medicine PG - 335--336 VI - 41 IP - 5 4099 - http://bjsm.bmj.com/content/41/5/335.short 4100 - http://bjsm.bmj.com/content/41/5/335.full SO - Br J Sports Med2007 May 01; 41 AB - The case of a 36-year-old male professional bodybuilder is reported. He presented to the accident and emergency department with right upper quadrant pain. This was on the background of a 15-year history of anabolic steroid and growth hormone misuse. Examination revealed mild hepatomegaly and a random blood sugar of 30.2 mmol/l. There was no evidence of ketonuria or acidosis. Biochemical evidence of hepatitis was found, and the patient was in acute renal failure. He was given a sliding scale of insulin and an intravenous infusion of crystalloid. The hepatitis and hyperglycaemia settled with conservative treatment. It is believed that this is the first reported case of frank diabetes precipitated by supraphysiological recreational growth hormone misuse.