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本文引用的文献

1
Erratum. 2. Classification and diagnosis of diabetes: Standards of Care in Diabetes-2023. Diabetes Care 2023;46(Suppl. 1):S19-S40.勘误。2. 糖尿病的分类与诊断：《2023年糖尿病防治标准》。《糖尿病护理》2023年；46（增刊1）：S19 - S40。
Diabetes Care. 2023 May 1;46(5):1106. doi: 10.2337/dc23-er05.
2
Type 1 : A Review on Advances and Challenges in Creating Insulin Producing Devices.类型1：关于制造胰岛素生产设备的进展与挑战的综述
Micromachines (Basel). 2023 Jan 6;14(1):151. doi: 10.3390/mi14010151.
3
The early detection of type 1 diabetes mellitus and latent autoimmune diabetes in adults (LADA) through rapid test reverse-flow immunochromatography for glutamic acid decarboxylase 65 kDa (GAD).通过针对65 kDa谷氨酸脱羧酶（GAD）的快速检测逆流免疫层析法早期检测1型糖尿病和成人隐匿性自身免疫性糖尿病（LADA）。
Heliyon. 2021 Dec 31;8(1):e08695. doi: 10.1016/j.heliyon.2021.e08695. eCollection 2022 Jan.
4
Why does obesity cause diabetes?肥胖为什么会导致糖尿病？
Cell Metab. 2022 Jan 4;34(1):11-20. doi: 10.1016/j.cmet.2021.12.012.
5
Adipose tissue and insulin resistance in obese.肥胖中的脂肪组织和胰岛素抵抗。
Biomed Pharmacother. 2021 May;137:111315. doi: 10.1016/j.biopha.2021.111315. Epub 2021 Feb 6.
6
Association of Zinc Transporter-8 Autoantibody (ZnT8A) with Type 1 Diabetes Mellitus.锌转运体8自身抗体（ZnT8A）与1型糖尿病的关联
Cureus. 2020 Mar 13;12(3):e7263. doi: 10.7759/cureus.7263.
7
Mistaken Identity: Missed Diagnosis of Type 1 Diabetes in an Older Adult.身份误认：老年1型糖尿病的漏诊
Med Res Arch. 2019 Aug;7(8). Epub 2019 Aug 15.
8
Latent autoimmune diabetes in adults (LADA): usefulness of anti-GAD antibody titers and benefit of early insulinization.成人隐匿性自身免疫性糖尿病（LADA）：抗谷氨酸脱羧酶抗体滴度的作用及早期胰岛素治疗的益处
Arq Bras Endocrinol Metabol. 2007 Feb;51(1):52-8. doi: 10.1590/s0004-27302007000100009.
9
Autoantibodies in diabetes.糖尿病中的自身抗体
Diabetes. 2005 Dec;54 Suppl 2:S52-61. doi: 10.2337/diabetes.54.suppl_2.s52.

肥胖作为1型糖尿病诊断中的一个误导因素：一例病例报告。

Obesity as a misleading factor in the diagnosis of type 1 diabetes mellitus: A case report.

作者信息

Dróżdż Olgierd, Bińczyk Wiktoria, Siudek Bartosz, Błaszczyszyn Katarzyna, Grajnert Filip Jan, Grzelka Michalina Zofia, Rabczyński Maciej

机构信息

Department and Clinic of Diabetology and Internal Medicine University Teaching Hospital Wrocław Poland.

T. Marciniak Specialist Hospital Wrocław Poland.

出版信息

Clin Case Rep. 2024 Aug 11;12(8):e9301. doi: 10.1002/ccr3.9301. eCollection 2024 Aug.

DOI:10.1002/ccr3.9301
PMID:39135771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11317497/
Abstract

A comprehensive evaluation, including symptoms, medical history, C-peptide levels, and anti-GAD antibodies, is essential for distinguishing between diabetes' types, particularly in cases of diagnostic uncertainty. While obesity is often associated with T2DM, BMI should be viewed as a factor rather than a criterion for the exclusion of diabetes type.

摘要

全面评估，包括症状、病史、C肽水平和抗谷氨酸脱羧酶（GAD）抗体，对于区分糖尿病类型至关重要，尤其是在诊断存在不确定性的情况下。虽然肥胖常与2型糖尿病相关，但体重指数（BMI）应被视为一个因素，而非排除糖尿病类型的标准。