Report of the Committee of the Japan Diabetes Society on the Research of Fulminant and Acute-onset Type 1 Diabetes Mellitus: New diagnostic criteria of fulminant type 1 diabetes mellitus (2012)

被引：228

作者：

Imagawa, Akihisa ^{[1
]}

Hanafusa, Toshiaki ^{[2
]}

Awata, Takuya ^{[3
]}

Ikegami, Hiroshi ^{[5
]}

Uchigata, Yasuko ^{[6
]}

Osawa, Haruhiko ^{[8
]}

Kawasaki, Eiji ^{[9
]}

Kawabata, Yumiko ^{[5
]}

Kobayashi, Tetsuro ^{[10
]}

Shimada, Akira ^{[7
]}

Shimizu, Ikki ^{[11
]}

Takahashi, Kazuma ^{[12
]}

Nagata, Masao ^{[13
]}

Makino, Hideichi

Maruyama, Taro ^{[4
]}

机构：

[1] Osaka Univ, Grad Sch Med, Dept Metab Med, Suita, Osaka, Japan

[2] Osaka Med Coll, Dept Internal Med 1, Takatsuki, Osaka 569, Japan

[3] Saitama Med Univ, Dept Endocrinol & Diabet, Saitama, Japan

[4] Saitama Social Insurance Hosp, Dept Internal Med, Saitama, Japan

[5] Kinki Univ, Sch Med, Dept Endocrinol Metab & Diabet, Osaka 589, Japan

[6] Tokyo Womens Med Univ, Sch Med, Ctr Diabet, Tokyo, Japan

[7] Saiseikai Cent Hosp, Dept Internal Med, Tokyo, Japan

[8] Ehime Univ, Sch Med, Dept Lab Med, Matsuyama, Ehime 790, Japan

[9] Nagasaki Univ Hosp, Dept Metab Diabet & Clin Nutr, Nagasaki, Japan

[10] Univ Yamanashi, Sch Med, Dept Internal Med 3, Yamanashi, Japan

[11] Sakakibara Heart Inst Okayama, Dept Internal Med, Okayama, Japan

[12] Iwate Med Univ, Dept Diabet & Metab, Morioka, Iwate 020, Japan

[13] Kakogawa Municipal Hosp, Dept Internal Med, Kakogawa, Hyogo, Japan

来源：

JOURNAL OF DIABETES INVESTIGATION | 2012年 / 3卷 / 06期

关键词：

Criteria; Diagnosis; Fulminant; NATIONWIDE SURVEY; IMMUNOGENETIC CHARACTERISTICS;

D O I：

10.1111/jdi.12024

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We have revised a part of the diagnostic criteria for fulminant type 1 diabetes. The new criteria were set both to express the essence of this disease of rapid increase of patients' blood glucose and to be highly sensitive to reduce the misdiagnosis. After analyzing the data of 382 patients with newly-diagnosed fulminant type 1 diabetes, we adopted the glycated hemoglobin (HbA(1c)) level of 8.7% (National Glycohemoglobin Standardization Program [NGSP] value). The new criterion indicates 100% of sensitivity and the best value by receiver operating characteristic curve analysis. In addition, we added a comment that 'This value (HbA(1c) <8.7% in NGSP) is not applicable for patients with previously diagnosed glucose intolerance' in the new criteria and also a comment that 'Association with human leukocyte antigen DRB1*04:05-DQB1*04:01 is reported' as a related finding. We did not revise the screening criteria and the other part of the diagnostic criteria, because they are still reliable. (J Diabetes Invest doi: 10.1111/jdi.12024, 2012)

引用

页码：536 / 539

页数：4

共 20 条

[1]

Hanafusa Toshiaki, 2008, Journal of the Japan Diabetes Society, V51, P531

[2]

Hanafusa Toshiaki, 2007, Journal of the Japan Diabetes Society, V50, P825

[3]

Hanafusa Toshiaki, 2005, Journal of the Japan Diabetes Society, V48, pA1

[4]

Hirata Takumi, 2012, Journal of the Japan Diabetes Society, V55, P505

[5] Different contribution of class II HLA in fulminant and typical autoimmune type 1 diabetes mellitus (vol 48, pg 294, 2005) [J].

Imagawa, A. ;

Hanafusa, T. ;

Uchigata, Y. ;

Kanatsuka, A. ;

Kawasaki, E. ;

Kobayashi, T. ;

Shimada, A. ;

Shimizu, I. ;

Maruyama, T. ;

Makino, H. .

DIABETOLOGIA, 2008, 51 (03) :524-526

[6] Fulminant type 1 diabetes - A nationwide survey in Japan [J].

Imagawa, A ;

Hanafusa, T ;

Uchigata, Y ;

Kanatsuka, A ;

Kawasaki, E ;

Kobayashi, T ;

Shimada, A ;

Shimizu, I ;

Toyoda, T ;

Maruyama, T ;

Makino, H .

DIABETES CARE, 2003, 26 (08) :2345-2352

[7] A novel subtype of type 1 diabetes mellitus characterized by a rapid onset and an absence of diabetes-related antibodies. [J].

Imagawa, A ;

Hanafusa, T ;

Miyagawa, J ;

Matsuzawa, Y .

NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (05) :301-307

[8]

Imagawa Akihisa, 2012, Journal of the Japan Diabetes Society, V55, P815

[9] Uniformity in clinical and HLA-DR status regardless of age and gender within fulminant type 1 diabetes [J].

Imagawa, Akihisa ;

Hanafusa, Toshiaki ;

Iwahashi, Hiromi ;

Uchigata, Yasuko ;

Kanatsuka, Azuma ;

Kawasaki, Eiji ;

Kobayashi, Tetsuro ;

Shimada, Akira ;

Shimizu, Ikki ;

Maruyama, Taro ;

Makino, Hideichi .

DIABETES RESEARCH AND CLINICAL PRACTICE, 2008, 82 (02) :233-237

[10]

Kashiwagi A, 2012, DIABETOL INT, V3, P8, DOI 10.1007/s13340-012-0069-8

← 1 2 →