# Steroid-Induced Hyperglycaemia in a Patient With Possible Body Dissatisfaction: A Case Report

## TL;DR

A young woman developed high blood sugar from using dexamethasone to change her body shape, highlighting the need to consider steroid abuse in patients with unexplained diabetes.

## Contribution

Highlights steroid abuse as a potential cause of hyperglycaemia in young women with body dissatisfaction.

## Key findings

- A young African woman developed hyperglycaemia after four months of dexamethasone use for cosmetic purposes.
- Steroid-induced hyperglycaemia may be under-recognized in patients without a family history of diabetes.
- Early detection of steroid abuse can lead to screening for related mental health issues like eating disorders.

## Abstract

Steroid use for body enhancement was historically associated with bodybuilding and skin bleaching, but now may be gaining traction as a means of non-surgical cosmetic enhancement for young women unsatisfied with parts of their body, such as the buttocks and hips. Here, the side effects of steroids, such as fluid retention and weight gain, are marketed as positive outcomes.

This case report describes a young African woman who presents with persistent hyperglycaemia, frequency, dysuria, and malaise after four months of taking dexamethasone tablets to gain a curvier frame. This case offers an opportunity to reassess our approach to history taking in young people presenting with hyperglycaemia and otherwise no family history of diabetes, especially in low- and middle-income countries (LMICs). Early identification of steroid abuse will enable further screening for comorbid mental health conditions, such as eating disorders and substance abuse, which are often associated with body dissatisfaction.