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Updated: Sep 25, 2025

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Published on: June 11, 2012
A Pediatric Case of Ketosis-Prone Type 2 Diabetes Requiring Insulin Therapy
Misa Matsuura1, Daisuke Sugawara1, Ko Ichihashi1
1Pediatrics, Saitama Medical Center, Jichi Medical University, Saitama, JPN.
Abstract:
In recent years, cases of diabetic ketoacidosis (DKA) or ketosis as the initial manifestation of diabetes with a similar clinical course to that of type 2 diabetes have been reported. This phenotype has been recognized as ketosis-prone type 2 diabetes (KPD). Most cases of KPD occur in adults, and the typical clinical course is that patients are often able to wean off insulin therapy after initial treatment. We report a pediatric case of ketosis-prone type 2 diabetes requiring insulin therapy with four years of follow-up. Our case suggests that patients with KPD may require strict management, including weight control, compared with patients with typical type 2 diabetes.
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