| Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc |
| Journal website http://www.jofem.org |
Case Report
Volume 6, Number 2, April 2016, pages 71-74
An Ultra-Elderly Case of Acute-Onset Autoimmune Type 1 Diabetes Mellitus
Table
| AcAc: acetoacetic acid; 3-OHBA: 3-hydroxybutyrate; CPR; C-peptide immunoreactivity. Blood gas analysis (RA: room air). Serum CPR was drawn from a vein during morning fasting. | |
| Urinalysis | |
| Protein | - |
| Glucose | 3+ |
| Ketone bodies | - |
| Blood cell count | |
| WBC | 6,100/μL |
| Hb | 10.1 g/dL |
| Plt | 20.9 × 104/μL |
| Blood chemistry | |
| T-bil | 0.3 mg/dL |
| AST | 15 U/L |
| ALT | 15 U/L |
| ALP | 421 U/L |
| AMY | 20 U/L |
| BUN | 34.8 mg/dL |
| Cr | 0.96 mg/dL |
| Na | 137.7 mEq/L |
| K | 4.28 mEq/L |
| Cl | 101.1 mEq/L |
| Alb | 3.3 g/dL |
| LDL-C | 148 mg/dL |
| HDL-C | 29.7 mg/dL |
| TG | 145 mg/dL |
| Posm | 323 mOsm/kg |
| Diabetes-related data | |
| PG | 630 mg/dL |
| HbA1c | 11.20% |
| GA | 48.30% |
| GAD Ab | 797 U/mL |
| IA-2 Ab | 0.4 U/mL |
| S-CPR | 0.4 ng/mL |
| AcAc | 206 μM/L |
| 3-OHBA | 276 μM/L |
| Serological test | |
| CRP | 4.5 mg/dL |
| ANA | - |
| Endocrine examination | |
| Free T3 | 1.4 pg/mL |
| Free T4 | 1.2 ng/dL |
| TSH | 0.706 μIU/mL |
| TgAb | < 10 IU/mL |
| TPOAb | < 5 IU/mL |
| Blood gas analysis (RA) | |
| pH | 7.443 |
| pO2 | 68.8 mm Hg |
| pCO2 | 44.4 mm Hg |
| HCO3- | 29.7 mEq/L |
| BE | 5.0 mEq/L |
| Anion gap | 11.5 mEq/L |
| HLA genotypes | |
| A*33, D*44 | |
| DRB1*13 | |