Letale Komplikationen bei juvenilem Diabetes mellitus

Diabetes mellitus is one of the most common chronic diseases in childhood and adolescence, whereby a clear increase in the prevalence of type 2 diabetes mellitus can be observed in this age group. This disease can lead not only to long-term damage but also to sometimes fatal complications, especially in puberty. This article presents two autopsy cases with such fatal complications. In one case the underlying disease was type 1 diabetes mellitus and in the second case type 2 diabetes mellitus. Following the autopsy in both cases post-mortem biochemical and toxicological investigations could be carried out and by the use of the Traub formula the cause of death could be established as a diabetic coma (hyperosmolar and ketoacidotic) due to insufficient administration of insulin.