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J Korean Diabetes Assoc. 2007 Mar;31(2):175-179. Korean. Case Report. https://doi.org/10.4093/jkda.2007.31.2.175
Lee JH , Koh GP , Yang JK , Kim KH , Im DM , Park KY .
Department of Internal Medicine, College of Medicine, Konyang University, Korea.
Department of Internal Medicine, Cheju National University College of Medicine, Korea.
Abstract

Recently type 1 diabetes with acute onset and no evidence of islet autoantibodies have been showed as "fulminant type 1 diabetes" and as novel subtype of type 1B diabetes. The study was made progress in Japan. We report a typical case of fulminant type 1 diabetes. A 24 years old male to be in good condition visited our hospital because of flu-like symptom, diarrhea, and abdominal discomfort. He has no medical history and family history of diabetes. The level of plasma glucose is 962 mg/dL, serum ketone body 5.8 mmol/L, arterial blood pH 7.111 and he was diagnosed as diabetic ketoacidosis. Anti-GAD antibody and islet cell antibody were negative and HbA1c is 5.5%. All of them were compatible with the diagnostic criteria of fulminant type 1 diabetes. After the patient has been treated with insulin, his symptoms were improved and abnormal laboratory data were normalized. We report this case with a review of the literature.

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