Acta Diabetologica https://doi.org/10.1007/s00592-018-1170-7 C ASE REPOR T Sudden onset of immune-mediated type 1 diabetes mellitus in a 93-year-old woman: a case report 1 2 2 3 P. Oriot · A. Louvet · G. Debugne · I. Weets Received: 30 March 2018 / Accepted: 28 May 2018 © Springer-Verlag Italia S.r.l., part of Springer Nature 2018 Keywords Type 1 diabetes in elderly · Sudden onset type 1 diabetes mellitus · Diabetic ketoacidosis · Anti GAD · Anti IA2 · HLA Introduction Subject and methods Type 1 diabetes mellitus (T1D) has long been considered a C-peptide was measured by chemiluminescence immunoas- disorder of children and adolescents and to a lesser extent say on an Architect I2000SR automate (Abbott Laboratories, of adults . Over the past decades more insight was gained Illinois, US). HbA1c was determined with cation exchange about the prevalence of T1D in older age groups although chromatography on a Tosoh G8 system (Tosoh Corporation, data remain scarce [1–3]. Diabetes is a heterogeneous dis- Japan). Continuous glucose monitoring was performed with ease and the clinical picture may be overlapping between the FreeStyle Libre (FSL) Flash Glucose Monitoring System type 1 and type 2 diabetes, especially in adults. Therefore, (Abbott Diabetes Care, Alameda, CA, USA). misclassification may be one of the most important issues in
Acta Diabetologica – Springer Journals
Published: Jun 6, 2018
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