Fulminant Type 1 Diabetes Mellitus Presenting 15 Days after Delivery Diagnosed in Cooperation with Obstetricians

Internal Medicine
Junji SagawaMitsunobu Kubota

Abstract

The patient was a 32-year-old Japanese woman who was given a 75-g oral glucose tolerance test at the 35th week of pregnancy and was normoglycemic. She had excessive thirst and polyuria from 15 days after delivery. When she visited for the 1-month postpartum checkup, her plasma glucose level was 479 mg/dL, HbA1c was 7.4%, and urinary C-peptide was 1.1 μg/mL; she was therefore diagnosed with fulminant type 1 diabetes mellitus associated with pregnancy. All physicians should be aware of this disease so as to provide a prompt diagnosis and emergency treatment and consequently improve the maternal prognosis.

References

Aug 31, 2002·Endocrine Journal·Takeshi InagakiKiyoshi Hashizume
Nov 28, 2002·Diabetes Care·Shoichiro TanakaHidetoshi Inoko
Jul 29, 2003·Diabetes Care·Akihisa ImagawaHideichi Makino
Oct 29, 2003·Diabetes Research and Clinical Practice·I ShimizuY Fujii
Nov 10, 2005·The Journal of Clinical Endocrinology and Metabolism·I ShimizuT Hanafusa
Feb 20, 2012·Journal of Diabetes Investigation·Chiharu TsutsumiUNKNOWN Japan Diabetes Society Committee on Type 1 Diabetes Mellitus Research

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BETA
ELISA

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