Ketosis-Onset Diabetes and Ketosis-Prone Diabetes: Same or Not?

Objective. To compare clinical characteristics, immunological markers, and β-cell functions of 4 subgroups (“Aβ” classification system) of ketosis-onset diabetes and ketosis prone diabetes patients without known diabetes, presenting with ketosis or diabetic ketoacidosis (DKA) and admitted to our dep...

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Main Authors: Beiyan Liu, Changhua Yu, Qiang Li, Lin Li
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/821403
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author Beiyan Liu
Changhua Yu
Qiang Li
Lin Li
author_facet Beiyan Liu
Changhua Yu
Qiang Li
Lin Li
author_sort Beiyan Liu
collection DOAJ
description Objective. To compare clinical characteristics, immunological markers, and β-cell functions of 4 subgroups (“Aβ” classification system) of ketosis-onset diabetes and ketosis prone diabetes patients without known diabetes, presenting with ketosis or diabetic ketoacidosis (DKA) and admitted to our department from March 2011 to December 2011 in China, with 50 healthy persons as control group. Results. β-cell functional reserve was preserved in 63.52% of patients. In almost each subgroup (except A−  β− subgroup of ketosis prone group), male patients were more than female ones. The age of the majority of patients in ketosis prone group was older than that of ketosis-onset group, except A−  β− subgroup of ketosis prone group. The durations from the patient first time ketosis or DKA onset to admitting to the hospital have significant difference, which were much longer for the ketosis prone group except the A+ β+ subgroup. BMI has no significant difference among subgroups. FPG of ketosis prone group was lower than that of A−  β+ subgroup and A+ β+ subgroup in ketosis-onset group. A−  β− subgroup and A+ β+ subgroup of ketosis prone group have lower HbA1c than ketosis-onset group. Conclusions. Ketosis-onset diabetes and ketosis prone diabetes do not absolutely have the same clinical characteristics. Each subgroup shows different specialty.
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spelling doaj-art-e7dbae62db0741bcaacb0cbdb78895b72025-08-20T03:21:01ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/821403821403Ketosis-Onset Diabetes and Ketosis-Prone Diabetes: Same or Not?Beiyan Liu0Changhua Yu1Qiang Li2Lin Li3Endocrinology and Metabolism Department of the Second Hospital Affiliated to Harbin Medical University, Harbin Medical University, Harbin, Heilongjiang Province 150086, ChinaEndocrinology and Metabolism Department of the Second Hospital Affiliated to Harbin Medical University, Harbin Medical University, Harbin, Heilongjiang Province 150086, ChinaEndocrinology and Metabolism Department of the Second Hospital Affiliated to Harbin Medical University, Harbin Medical University, Harbin, Heilongjiang Province 150086, ChinaEndocrinology and Metabolism Department of the Second Hospital Affiliated to Harbin Medical University, Harbin Medical University, Harbin, Heilongjiang Province 150086, ChinaObjective. To compare clinical characteristics, immunological markers, and β-cell functions of 4 subgroups (“Aβ” classification system) of ketosis-onset diabetes and ketosis prone diabetes patients without known diabetes, presenting with ketosis or diabetic ketoacidosis (DKA) and admitted to our department from March 2011 to December 2011 in China, with 50 healthy persons as control group. Results. β-cell functional reserve was preserved in 63.52% of patients. In almost each subgroup (except A−  β− subgroup of ketosis prone group), male patients were more than female ones. The age of the majority of patients in ketosis prone group was older than that of ketosis-onset group, except A−  β− subgroup of ketosis prone group. The durations from the patient first time ketosis or DKA onset to admitting to the hospital have significant difference, which were much longer for the ketosis prone group except the A+ β+ subgroup. BMI has no significant difference among subgroups. FPG of ketosis prone group was lower than that of A−  β+ subgroup and A+ β+ subgroup in ketosis-onset group. A−  β− subgroup and A+ β+ subgroup of ketosis prone group have lower HbA1c than ketosis-onset group. Conclusions. Ketosis-onset diabetes and ketosis prone diabetes do not absolutely have the same clinical characteristics. Each subgroup shows different specialty.http://dx.doi.org/10.1155/2013/821403
spellingShingle Beiyan Liu
Changhua Yu
Qiang Li
Lin Li
Ketosis-Onset Diabetes and Ketosis-Prone Diabetes: Same or Not?
International Journal of Endocrinology
title Ketosis-Onset Diabetes and Ketosis-Prone Diabetes: Same or Not?
title_full Ketosis-Onset Diabetes and Ketosis-Prone Diabetes: Same or Not?
title_fullStr Ketosis-Onset Diabetes and Ketosis-Prone Diabetes: Same or Not?
title_full_unstemmed Ketosis-Onset Diabetes and Ketosis-Prone Diabetes: Same or Not?
title_short Ketosis-Onset Diabetes and Ketosis-Prone Diabetes: Same or Not?
title_sort ketosis onset diabetes and ketosis prone diabetes same or not
url http://dx.doi.org/10.1155/2013/821403
work_keys_str_mv AT beiyanliu ketosisonsetdiabetesandketosispronediabetessameornot
AT changhuayu ketosisonsetdiabetesandketosispronediabetessameornot
AT qiangli ketosisonsetdiabetesandketosispronediabetessameornot
AT linli ketosisonsetdiabetesandketosispronediabetessameornot