Evaluation of Insulin Secretion and Sensitivity in a Patient with Slowly Progressive Type 1 Diabetes Mellitus

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概要

• 論文の詳細を見る

• We herein report the case of a patient with slowly progressive type 1 diabetes and insulin independence lasting for >10 years despite the detection of continuously elevated glutamic acid decarboxylase autoantibody titers. We monitored the patient's clinical course and analyzed his endogenous insulin secretion and sensitivity using an intravenous glucose tolerance test (IVGTT) and oral glucose tolerance test (OGTT). His body mass index remained at approximately 22, while his serum C-peptide immunoreactivity level gradually decreased. The level of insulin secretion was significantly higher on the OGTT than the IVGTT. The patient's insulin sensitivity was within the normal limits. These results suggest that maintaining a lifestyle sufficient to preserve insulin secretion and/or normal insulin sensitivity is important and that β-cell responsiveness to incretins may, in part, contribute to insulin independence.

• 社団法人 日本内科学会の論文

著者

• KANATSUKA Azuma

  Diabetes Center, Chiba Central Medical Center

• Kanatsuka Azuma

  Diabetes Center, Chiba Central Medical Center, Japan

• Ishizuka Toshiharu

  Credo Sato Clinic, Japan

• Tokuyama Yoshiharu

  Kashiwado Hospital, Japan

関連論文

• The initiation of insulin therapy in type 2 diabetic patients treated with oral anti-diabetic drugs : an observational study in multiple institutes across Japan(JDDM27)
• Evaluation of Insulin Secretion and Sensitivity in a Patient with Slowly Progressive Type 1 Diabetes Mellitus

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