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酮症或酮症酸中毒一直被认为是1型糖尿病的特征,但近年国内外相继报道了合并酮症倾向的2型糖尿病。我科收集2009年7月至2012年6月45例合并酮症倾向的初发2型糖尿病患者进行临床分析,现将结果报告如下:1对象和方法新诊断的2型糖尿病患者45例(其中男27例,女18例),年龄分布23～67岁,平均(43.07±16.74)岁,满足以下条件:①初发糖尿病符合1999年世界卫生组织(WHO)糖尿病的诊断标准,病程<6个月;②查酮体弱阳性±或以上;③血清抗胰岛素抗体(ICA),血清抗谷氨酸脱羧酶抗体(GADA)均阴性。排除标准:①严重感染及应
Ketosis or ketoacidosis has long been considered a type 1 diabetes mellitus, but in recent years both at home and abroad have been reported with ketosis-prone type 2 diabetes. Our department collected from July 2009 to June 2012 45 cases of newly diagnosed type 2 diabetes patients with ketosis tendency for clinical analysis, the results are reported as follows: 1 objects and methods newly diagnosed type 2 diabetes in 45 patients (of which 27 males and 18 females). The age distribution ranged from 23 to 67 years (mean age: 43.07 ± 16.74 years), and met the following criteria: (1) The incidence of primary diabetes mellitus met the diagnostic criteria of World Health Organization (WHO) Month; ② weak positive testosterone positive ± or more; ③ serum anti-insulin antibody (ICA), serum anti-glutamic acid decarboxylase antibody (GADA) were negative. Exclusion criteria: ① serious infection and should