摘要
Abstract
Objective To investigate clinical characteristics of latent autoimmune diabetes in adults ( LADA) so as to avoid misdiagnosis and mistreatment. Methods Clinical data of one LADA patient with mistaking metabolic surgery was ret-rospectively analyzed. Results The patient was admitted for polydipsia and polyuria for 3. 5 years, nausea, anorexia and e-maciation after gastric bypass for more than 2 years, and blurred vision and toes numbness for 3 months. Hypoglycemic thera-py was given when diagnosis was not definited at beginning, and the patient had nausea, anorexia and emaciation after follow-ing gastric bypass. LADA, gastrointestinal dysfunction, jejunal ulcer, microcytic hypochromic anemia and malnutrition after gastric bypass were finally diagnosed after performing examinations such as insular cellular antibody ( ICA) , steamed bun test, glycosylated hemoglobin, hemoglobin and gastroscope, and then the patient was discharged after symptoms improvement by symptomatic treatment. Further improvement was obtained by telephone interview. Conclusion There is a growing trend to-wards applications of metabolic surgery for diabetes patients in recent years. It is important to correctly diagnose before opera-tion. It is important to confirm preoperative diagnosis, master operation indications strictly and pay attention to postoperative nutritional metabolic complications.关键词
糖尿病/自身免疫/手术后并发症/误诊/营养不良Key words
Diabetes mellitus/Autoimmunity/Postoperative complications/Diagnostic errors/Malnutrition分类
医药卫生
