Cayce W R, Osswald S S, Thomas R A, Drew W E, Williams C S
USAF School of Aerospace Medicine, Brooks AFB, TX.
Aviat Space Environ Med. 1994 Dec;65(12):1140-4.
The authors describe a case of Type 1 diabetes mellitus (insulin dependent) in a 34-year-old fighter pilot, which included a 15-month remission ("honeymoon period"). The pathogenesis, characteristics, diagnosis, evaluation, and the aeromedical implications of Type 1 diabetes are discussed. The use of C-peptide values in accessing beta cell function is also discussed. The risk of poorly controlled diabetes, diabetic ketoacidosis, and visual acuity fluctuations were major reasons to disqualify this individual when in remission. The importance of determining the type of diabetes for prognosis and aeromedical disposition is stressed.
作者描述了一名34岁战斗机飞行员患1型糖尿病（胰岛素依赖型）的病例，其中包括15个月的缓解期（“蜜月期”）。讨论了1型糖尿病的发病机制、特征、诊断、评估及航空医学意义。还讨论了使用C肽值评估β细胞功能的情况。糖尿病控制不佳、糖尿病酮症酸中毒和视力波动的风险是该患者缓解期被取消资格的主要原因。强调了确定糖尿病类型对预后和航空医学处置的重要性。
