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Discovery of diabetes in the elderly: what diagnosis?
Pacifique Lévy1, Laurence Pacot1, Jean-Philippe Bastard2
1Service de biochimie et hormonologie, UF Biomarqueurs inflammatoires et métaboliques, Hôpital Tenon, AP-HP, Paris, France.
Abstract:
Type 1 diabetes accounts for 5 to 10% of all diabetes cases. It appears most often during childhood or adolescence. We report the case of a hypertensive overweight patient of 79 years who consulted for asthenia in context of polyuria-polydipsia syndrome in which blood glucose assay revealed a diabetes mellitus associated with ketosis. Despite the age, the body mass index and the history of the patient, type 1 diabetes diagnosis should be considered in this clinical presentation with brutal and symptomatic early. The imagery excluding a pancreatic tumor and positive research of circulating autoantibodies will confirm the diagnosis.
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