И ещё прекрасный случай:
Long-Term Discontinuation of Insulin Treatment in a Type 1 Diabetic Patient - A case for late autoimmune diabetes of the adult? - Diabetes Care April 2003 vol. 26 no. 4 1314-1315 ([
Ссылки доступны только зарегистрированным пользователям ]): длительная отмена инсулина не сопровождалась развитием кетоацидоза, что позволило предположить LADA.
И прекрасные же в своей честности выводы:
Цитата:
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In our opinion, two conclusions can be drawn from the case. First, despite years of intensive research, pathophysiology of diabetes is still far from being clear, as even type 1 diabetes seems to be a heterogenous disease. Our patient was developing diabetic symptoms relatively slowly, and had it not been for her age and slim build, she could well have been regarded as a type 2 diabetic subject. Second, the presence of autoantibodies typical of autoimmune diabetes may not definitely lead to the diagnosis of type 1 diabetes because many patients with type 2 diabetes may also present with some features of autoimmunity. Therefore, finding clear, unequivocal criteria for differentiation between type 1 and type 2 diabetes seems to be the urgent issue of utmost importance.
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