TY - JOUR T1 - Strong diabetes JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 335 LP - 336 DO - 10.1136/bjsm.2006.030585 VL - 41 IS - 5 AU - James Young AU - Aresh Anwar Y1 - 2007/05/01 UR - http://bjsm.bmj.com/content/41/5/335.abstract N2 - 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. ER -