# Psychosis Associated With Hyperglycemia in a Female Patient With Type 1 Diabetes Mellitus: A Case Report

## TL;DR

A 22-year-old woman with type 1 diabetes and Graves' disease experienced psychosis linked to high blood sugar, highlighting challenges in managing health in refugee communities.

## Contribution

The paper uniquely explores hyperglycemia-induced psychosis in the context of autoimmune disorders and cultural complexities in refugee populations.

## Key findings

- Psychosis episodes in the patient coincided with hyperglycemia.
- Non-adherence to diabetes management worsened her condition.
- Cultural factors complicate mental health and diabetes care in refugees.

## Abstract

This paper presents the case of a 22-year-old woman who was hospitalized multiple times with episodes of psychosis co-occurring with hyperglycemia. Her psychosis was characterized by auditory hallucinations, visual hallucinations, and disorganized speech and behavior. The patient has a prior medical history of type 1 diabetes mellitus (T1DM) and Graves’ disease and was non-adherent to diabetic diet and medications. The patient is a Somalian refugee who moved to the United States (US) a year ago. We explore the relatively unique observation of hyperglycemia-induced psychosis in the patient, specifically in the context of autoimmune disorders. We also discuss some of the complexities associated with the cultural aspects of mental health and diabetes management in refugee communities and their implications in clinical practice.