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Acta Diabetologica

, Volume 55, Issue 12, pp 1313–1315 | Cite as

Sudden onset of immune-mediated type 1 diabetes mellitus in a 93-year-old woman: a case report

  • P. OriotEmail author
  • A. Louvet
  • G. Debugne
  • I. Weets
Case Report

Introduction

Type 1 diabetes mellitus (T1D) has long been considered a disorder of children and adolescents and to a lesser extent of adults [1]. Over the past decades more insight was gained about the prevalence of T1D in older age groups although data remain scarce [1, 2, 3]. Diabetes is a heterogeneous disease and the clinical picture may be overlapping between type 1 and type 2 diabetes, especially in adults. Therefore, misclassification may be one of the most important issues in epidemiological studies on the prevalence of T1D in older age groups [1]. A clinical picture with polydipsia, polyuria and ketoacidosis along with overt hyperglycemia are the diagnostic hallmarks of type 1 diabetes in children and young adults [1] but the clinical presentation is often less pronounced at advanced age. Worldwide, most studies have addressed T1D in children under age 15 years. Many countries have reported their incidence and trends in incidence of childhood-onset T1D. Few studies included...

Keywords

Type 1 diabetes in elderly Sudden onset type 1 diabetes mellitus Diabetic ketoacidosis Anti GAD Anti IA2 HLA 

Notes

Acknowledgements

The authors thank Bart Van der Auwera, Brussels Free University-VUB, Brussels, Belgium for his advice regarding the HLA-DQ genotype of the patient. IW is recipient of a senior clinical research fellowship from FWO–Vlaanderen. PO and IW. are the guarantors of this work and, as such, had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Author contributions

PO is the treating diabetologist of the patient. PO and IW designed the study, wrote and revised the text, collected the data and performed the literature search. AL and GD provided assistance with the literature search and revised the paper.

Compliance with ethical standards

Conflict of interest

No potential conflicts of interest relevant to this article were reported.

Human and animal rights disclosure

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the patient.

References

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    Weets I, De Leeuw IH, Du Caju MVL et al the Belgian Diabetes Registry (2002) The incidence of type 1 diabetes in the age group 0–39 years has not increased in Antwerp (Belgium) between 1989 and 2000: evidence for earlier disease manifestation. Diabetes Care, 25, 840–846CrossRefGoogle Scholar
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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of DiabetologyMouscron Hospital CentreMouscronBelgium
  2. 2.Department of General GeriatricMouscron Hospital CentreMouscronBelgium
  3. 3.Diabetes Research Center/Clinical BiologyVrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel)BrusselsBelgium

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