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.
引用
收藏
页码:71 / 74
页数:4
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