A 60-year old patient with mild complications who developed type 1 diabetes with coma at 1 year and 7 months

Autor: Hiroshi Maruyama, Yasuko Uchigata, Tadasu Kasahara, Yasuhiko Iwamoto, Toshika Otani
Rok vydání: 2011
Předmět:
Zdroj: Diabetology International. 2:154-158
ISSN: 2190-1686
2190-1678
DOI: 10.1007/s13340-011-0034-y
Popis: We report the case of a female patient with type 1 diabetes mellitus who developed diabetes at 1 year and 7 months and is now over 60 years old (duration of type 1 diabetes, 59 years) and has experienced only mild diabetic complications. The patient developed diabetic coma in May 1952, at 1 year and 7 months. In April 1994, at 43 years old, she achieved favorable glycemic control after being switched to intensive insulin therapy. Mean HbA1c level over the past 14 years was 6.4% (JDS). Retinopathy was noted in 1968, at 18 years old. From 1973 to 1985, at 23–35 years old, she underwent a total of six photocoagulation procedures. Her retinopathy is currently stable. Urine albumin level was 5.6 mg/g Cr, indicating no nephropathy. In January 2007, at 56 years old, the right and left ankle brachial indices were 0.95 and 0.86, respectively. Magnetic resonance angiography of the lower extremities revealed vascular insufficiency in both lower legs, but examination of the intima-media complex thickness, head computed tomography, and nuclear cardiology revealed no abnormalities. Treatment with eicosapentaenoic acid and regular ambulation improved vascular insufficiency in both lower legs.
Databáze: OpenAIRE
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