摘要
目的 提高临床医师对暴发性1型糖尿病(FT1DM)的认识. 方法 回顾性分析2003年10月至2012年10月我院收治的FT1DM患者的临床资料. 结果 患者年龄21~46岁,起病时随机血糖>24.0 mmol/L,HbA1c 5.1 %~7.6%.1~5 d迅速发展至DKA. 结论 FF1DM发病急骤,代谢异常严重,胰岛β细胞功能受损严重,易合并并肾、心脏、肌肉等多脏器的功能损害,须引起临床医师的高度重视.
Objective To better understand fulminant type 1 diabetes mellitus(FT1DM).Methods Clinical and laboratory data of patients diagnosed as FDM in our hospital from October 2003 to October 2012 were retrospectively analyzed.Results (1) The patients aged 21-46 years old.(2)All patients developed diabetic ketoacidosis (DKA) rapidly within 1~5 days.(3)At the stage of onset,the plasma glucose level was above 24 mmol/L,glycosylated hemoglobin ranged from 5.1%to 7.6%.Conclusion FDM patients have clinical feathers of abrupt onset,severe metabolic disorder,impaired islet β-cell function,multiple organ impairment,which ask all medical practitioners to pay more attention.
出处
《中国糖尿病杂志》
CAS
CSCD
北大核心
2014年第6期545-547,共3页
Chinese Journal of Diabetes
基金
北海市科学技术局基金资助项目(北科合201303008)
关键词
糖化血红蛋白
糖尿病
1型
暴发性
Hemoglobin A1c
Diabetes mellitus, type 1, fulminant