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An Ultra-Elderly Case of Acute-Onset Autoimmune Type 1 Diabetes Mellitus
被引:6
|作者:
Yamaguchi, Hiroshi
[1
]
Kanadani, Takafumi
[2
]
Ohno, Masumi
[3
]
Shirakami, Atsuhisa
[1
]
机构:
[1] Tokushima Prefectural Cent Hosp, Dept Diabetol & Metab Med, Kuramoto 1-10-3, Tokushima 7708539, Japan
[2] Tokushima Prefectural Cent Hosp, Ctr Clin Educ, Kuramoto 1-10-3, Tokushima 7708539, Japan
[3] Ohno Hosp, Dept Internal Med, Awa City, Tokushima 7711506, Japan
关键词:
Acute onset;
Autoimmune;
Type 1 diabetes mellitus;
Elderly;
Frailty;
Honeymoon period;
D O I:
10.14740/jem346w
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
We herein described a 96-year-old woman who was referred to our hospital for a drowsy state. Since her blood glucose level was 600 mg/dL, HbA1c was 11.2%, and serum beta-ketone bodies were low, she was diagnosed with diabetic ketosis and hyperglycemic hyperosmolar state. Acute-onset type 1 diabetes mellitus was diagnosed based on the diagnostic criteria for acute-onset type 1 diabetes mellitus (2012) by the Committee of the Japan Diabetes Society. There are currently no epidemiological data available for the elderly with acute-onset type 1 diabetes in the Japanese population. This case revealed that acute type 1 diabetes may develop not only in the young-old or old-old, but also in the ultra-elderly. To the best of our knowledge, our case is the oldest among ultra-elderly cases of acute-onset type 1 diabetes mellitus.
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页码:71 / 74
页数:4
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