Abstract #1412731: Sixth-Nerve Palsy in a Patient with Type 1 Diabetes

Oculomotor palsy is one of the most frequent neuro-ophthalmologic complications in patients with diabetes. Specifically, sixth nerve common. A 51-year-old female a past medical history type 1 diabetes on insulin and hypertension presented complaints worsening headache diplopia. Physical exam was remarkable for recurrent palsy. Patient hemodynamically stable. Labs showed blood glucose 367 mg/dL (70-100 mg/dL), an anion gap 2 mmol/L (3-13 mmol/L), creatinine 0.61 mg/dl (0.66-1.25 sodium 129 (135-145 potassium 4.4 (3.5-5.1 mmol/L). Her hemoglobin A1C 13.0% complete count shows white cell 6,000/uL (3,600-10,700/uL) 14 g/dL (13.0-18.0 g/dL). Magnetic resonance venography head negative cerebral venous sinus thrombosis magnetic imaging brain acute abnormalities. Blood readings improved during hospitalization after optimizing her regimen. She recommended to follow-up outpatient endocrinology discuss use pump better control Sixth-nerve but lesser-known complication poorly controlled diabetic patients. Studies have shown higher incidence sixth-nerve palsy, warranting more focused evaluation along close observation tighter levels A1C.