A CASE OF ADULT ONSET AUTOIMMUNE TYPE 1 DIABETES WITH AGE OF ONSET AT 56 YEARS.

Dr. R. Anil Kumar*

ABSTRACT

JUN aged 58 years presented with history of frequent hypoglycemic episodes. She had history of diabetes since 2 years since February 2021. There is no family history of diabetes. At diagnosis her random blood glucose was 400 mg/dl. She was started on premix insulin 10-0-10 and continued for 1.5 years. She went to a local doctor one month back and he had stopped insulin, started oral drugs. The patient developed diabetic ketoacidosis and she was admitted for treatment. The patient was referred to Karnataka institute of endocrinology and research on 16-2-2023. She came with history of frequent episodes of hypoglycemia. She had the following features – BMI 20.06 Waist circumference -78 cms Duration of diabetes – 2 years No family history of diabetes BP – 129/84 mm CVS – NAD RS – NAD Per abdomen – NAD. Investigations – FPG-180 MG/DL PPPG- 263 MG/DL HBA1c-11.4% Total cholesterol-161mg/dl LDL-128 mg/dl HDL-69.2 mg/dl

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