Department of Family Medicine, Brody School of Medicine, East Carolina University, 101 Heart Drive, Mail Stop 654, Greenville, NC 278347, USA.
Prim Care. 2022 Jun;49(2):225-237. doi: 10.1016/j.pop.2021.11.003. Epub 2022 Apr 22.
Type of diabetes is not always straightforward at presentation. Misdiagnosis is common in all age groups and diagnosis becomes evident over time. Patients with latent autoimmune diabetes in adults constitute up to 12% of all patients with diabetes, and they share immunogenetic and phenotypic features of type 1 and type 2 diabetes mellitus. They are commonly misdiagnosed as having type 2 diabetes mellitus, resulting in a delay in initiating insulin. Patients with ketosis-prone diabetes mellitus are often misdiagnosed as having type 1 diabetes mellitus. Correct diagnosis helps wean patients off of insulin and use noninsulin agents if needed.
糖尿病的类型在发病时并不总是一目了然。误诊在所有年龄段都很常见，且随着时间的推移诊断变得更加明确。成人隐匿性自身免疫性糖尿病患者占所有糖尿病患者的 12% 左右，他们具有 1 型和 2 型糖尿病的遗传和表型特征。这些患者通常被误诊为 2 型糖尿病，导致胰岛素的使用延迟。酮症倾向的糖尿病患者常被误诊为 1 型糖尿病。正确的诊断有助于患者停用胰岛素，如果需要，还可以使用非胰岛素药物。
