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暴发性1型糖尿病(FT1D)是1型糖尿病的一种特殊类型。该病以胰岛β细胞呈超急性、完全不可逆性破坏为特点,表现为血糖急骤升高、迅速进展至糖尿病酮症酸中毒阶段,可缺乏糖尿病的自身抗体。流行病学研究表明,在以酮症或糖尿病酮症酸中毒(DKA)起病的1型糖尿病患者中,FT1D患者约占10%~20%。由于本病容易被误诊、漏诊,又十分凶险,如果治疗不当或不及时,可导致死亡,故尤需早期诊断,尽早治疗。本文中的FT1D病例,经及时诊断、治疗后
Fulminant type 1 diabetes (FT1D) is a special type of type 1 diabetes. The disease is characterized by hyperacute, completely irreversible destruction of islet beta cells, manifested as a sharp increase in blood glucose, rapid progression to diabetic ketoacidosis stage, lack of autoantibodies to diabetes. Epidemiological studies have shown that in patients with type 1 diabetes who develop ketosis or diabetic ketoacidosis (DKA), FT1D accounts for about 10% to 20%. As the disease is easily misdiagnosed, missed diagnosis, but also very dangerous, if not treated properly or not, can lead to death, it is particularly necessary for early diagnosis, early treatment. FT1D cases in this article, after timely diagnosis and treatment