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KMID : 1140420170260020147
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Journal of Obesity & Metabolic Syndrome
2017 Volume.26 No. 2 p.147 ~ p.150
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A Case of Fulminant Type 1 Diabetes in a Patient with Type 2 Diabetes Mellitus
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Kim Ji-Min
Han Ji-Hye
Joung Kyong-Hye
Lee Ju-Hee
Kim Hyun-Jin
Ku Bon-Jeong
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Abstract
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Fulminant type 1 diabetes mellitus is a recently identified subtype of type 1 diabetes characterized by abrupt disease onset, a very short (<1 week) duration of diabetic symptoms, acidosis at diagnosis, negative status of islet-related autoantibodies, and virtually no C-peptide secretion. Cases of fulminant type 1 diabetes are prominently observed in East Asia, with several case reports and studies having originated from Japan. Indeed, a recent study from Japan reported that fulminant type 1 diabetes accounts for 15-20% of type 1 diabetes cases associated with onset of ketosis or ketoacidosis. Since 2005, several fulminant type 1 diabetes cases have also been reported in South Korea; however, there have been no reports of cases in patients previously diagnosed with type 2 diabetes mellitus. Here, we report a rare case of fulminant type 1 diabetes in a patient previously diagnosed with type 2 diabetes.
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KEYWORD
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Diabetes mellitus type 1, Diabetic ketoacidosis, Diabetes mellitus type 2
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