Report of the Committee of the Japan Diabetes Society on the Research of Fulminant and Acute-onset Type 1 Diabetes Mellitus: New Diagnostic Criteria for Fulminant Type 1 Diabetes Mellitus (2012)
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- Imagawa Akihisa
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University Secretariat
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- Hanafusa Toshiaki
- Department of Internal Medicine (I), Osaka Medical College Chairman
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- Awata Takuya
- Department of Endocrinology and Diabetes, Saitama Medical University
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- Ikegami Hiroshi
- Department of Endocrinology, Metabolism and Diabetes, Kinki University School of Medicine
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- Uchigata Yasuko
- Diabetes Center, Tokyo Women's Medical University School of Medicine
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- Osawa Haruhiko
- Department of Laboratory Medicine, Ehime University School of Medicine
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- Kawasaki Eiji
- Department of Metabolism/Diabetes and Clinical Nutrition, Nagasaki University Hospital
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- Kawabata Yumiko
- Department of Endocrinology, Metabolism and Diabetes, Kinki University School of Medicine
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- Kobayashi Tetsuro
- Third Department of Internal Medicine, University of Yamanashi School of Medicine
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- Shimada Akira
- Department of Internal Medicine, Saiseikai Central Hospital
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- Shimizu Ikki
- Department of Internal Medicine, The Sakakibara Heart Institute of Okayama
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- Takahashi Kazuma
- Department of Diabetes and Metabolism, Iwate Medical University
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- Nagata Masao
- Department of Internal Medicine, Kakogawa Municipal Hospital
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- Makino Hideichi
- Diabetes Center, Shiraishi Hospital
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- Maruyama Taro
- Department of Internal Medicine, Saitama Social Insurance Hospital
Bibliographic Information
- Other Title
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- 1型糖尿病調査研究委員会報告―劇症1型糖尿病の新しい診断基準(2012)
- イインカイ ホウコク 1ガタ トウニョウビョウ チョウサ ケンキュウ イインカイ ホウコク : ゲキショウ 1ガタ トウニョウビョウ ノ アタラシイ シンダン キジュン(2012)
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Abstract
We have revised a part of the diagnostic criteria for fulminant type 1 diabetes as "Criteria for definite diagnosis of fulminant type 1 diabetes mellitus (2012)". The new criteria were set both to express the essence of this disease associated with a rapid increase of the patients' blood glucose and to be highly sensitive to reduce the misdiagnosis. After analyzing the data of 382 patients with newly-diagnosed fulminant type 1 diabetes, we adopted a HbA1c level of 8.7 % (NGSP value) as the cut-off value. The new criterion had 100 % sensitivity and the best value by the ROC (receiver operation curve) analysis.<br> In addition, we added a comment that "This value (HbA1c <8.7 % in NGSP) is not applicable for patients with previously diagnosed glucose intolerance" to the new criteria, and also a comment that "An association with HLA DRB1*04: 05-DQB1*04: 01 has been reported" as a related finding.<br> We did not revise the screening criteria or the other parts of the diagnostic criteria, because they are still reliable.<br>
Journal
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- Journal of the Japan Diabetes Society
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Journal of the Japan Diabetes Society 55 (10), 815-820, 2012
THE JAPAN DIABETES SOCIETY
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Details
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- CRID
- 1390001204908840576
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- NII Article ID
- 130004511275
- 10031136864
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- NII Book ID
- AN00166576
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- ISSN
- 1881588X
- 0021437X
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- NDL BIB ID
- 024074978
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
- Crossref
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- Abstract License Flag
- Disallowed