TY - JOUR
T1 - Late-onset type 1 diabetes mellitus in an elderly Japanese woman with single positive insulinoma-associated tyrosine phosphatase-like protein-2 (IA-2) antibody
AU - Tomita, Masuomi
AU - Kabeya, Yusuke
AU - Yashiro, Yasuaki
AU - Sigihara, Toshikatsu
AU - Meguro, Shu
AU - Atsumi, Yoshihito
PY - 2008/6/2
Y1 - 2008/6/2
N2 - A 79-year-old Japanese old woman hospitalized to assess elevated plasma glucose of 499 mg/dl, HbA1c 6.0%, and positive urine ketone bodies on January 13,2006, had a urinary C peptide concentration of 11.3 μg/day, indicating decreasing insulin secretion. Although antiglutamic acid dehydrogenase (GAD) antibody was negative, she was suspected to have "fulminant type 1 diabetes" due to the rapid onset. She was also diagnosed with autoimmune-related type 1 diabetes mellitus due to high IA-2 antibody (27U/ml). She was treated with insulin during hospitalization. We consider this worth reporting, because very few cases of senile onset type 1 diabetes mellitus are positive for IA-2 antibody.
AB - A 79-year-old Japanese old woman hospitalized to assess elevated plasma glucose of 499 mg/dl, HbA1c 6.0%, and positive urine ketone bodies on January 13,2006, had a urinary C peptide concentration of 11.3 μg/day, indicating decreasing insulin secretion. Although antiglutamic acid dehydrogenase (GAD) antibody was negative, she was suspected to have "fulminant type 1 diabetes" due to the rapid onset. She was also diagnosed with autoimmune-related type 1 diabetes mellitus due to high IA-2 antibody (27U/ml). She was treated with insulin during hospitalization. We consider this worth reporting, because very few cases of senile onset type 1 diabetes mellitus are positive for IA-2 antibody.
UR - http://www.scopus.com/inward/record.url?scp=44349116752&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=44349116752&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:44349116752
SN - 0021-437X
VL - 51
SP - 245
EP - 249
JO - Journal of the Japan Diabetes Society
JF - Journal of the Japan Diabetes Society
IS - 3
ER -