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目的探讨研究有关2型糖尿病和成人缓慢进展型1型糖尿病(LADA)病因分型。方法收集、分析26例诊断为糖尿病且免疫标记物为阳性患者的临床资料。结果有2例曾被诊断2型糖尿病患者修正诊断为LADA;1例2型糖尿病患者检测3种抗体均为阳性为个案。结论被诊断为2型糖尿病患者中可能存在1型糖尿病患者,且一个患者可能同时符合1型和2型的诊断标准。
Objective To investigate the etiological classification of type 2 diabetes mellitus and adults with slowly developing type 1 diabetes mellitus (LADA). Methods The clinical data of 26 patients diagnosed with diabetes mellitus and positive for immunological markers were collected and analyzed. Results Two patients with type 2 diabetes mellitus who had been diagnosed with type 2 diabetes were diagnosed as LADA. One patient with type 2 diabetes detected positive for all three antibodies. Conclusions Patients diagnosed with type 2 diabetes may have type 1 diabetes and one patient may meet both type 1 and type 2 diagnostic criteria.