Successful treatment of latent autoimmune diabetes in adults with Traditional Chinese Medicine: a case report  

作　　者：Jiaxing Tian Wenke Liu Zhong Zhen Xiaolin Tong 

机构地区：[1]Department of Endocrinology, Guang' anmen Hospital, China Academy of Chinese Medical Sciences

出　　处：《Journal of Traditional Chinese Medicine》2013年第6期766-769,共4页中医杂志（英文版）

基　　金：Supported by the National Basic Research Program of China(973 Program,No.2010CB530600)

摘　　要：INTRODUCTION： Latent autoimmune diabetes in adults （LADA） is regarded as one of the Insulin-de- pendent diabetes mellitus that progress slowly. It gradually became understood since 1970s. The on- set usually appears in adulthood, the islet autoanti- bodies are positive and the function of 13 cell is de- clined rapidly. The treatment is insulin injection. CASE PRESENTATION： The case reported followed is a 37-year-old male patient who was newly diag- nosed with type 2 diabetes. He abandoned oral hy- poglycemic agents since they caused stomach in- disposed. Before visiting, his islet autoantibodies were detected positive and he had never injected insulin before. We treated him with traditional Chi- nese herbals under the guidance of Traditional Chi- nese Medicine and differentiation, and achieved fine efficacy. CONCLUSION： Because the initial presentation of LADA is similar to Type 2 Diabetes Mellitus and ex- amination is not in common use, misdiagnosis isnot rare. Once LADA is diagnosed, the therapy must be adjusted. This case report indicated that Traditional Chinese Medicine might be an alterna- tive treatment for LADA.INTRODUCTION: Latent autoimmune diabetes in adults(LADA) is regarded as one of the Insulin-dependent diabetes mellitus that progress slowly. It gradually became understood since 1970s. The onset usually appears in adulthood, the islet autoantibodies are positive and the function of β cell is declined rapidly.The treatment is insulin injection. CASE PRESENTATION: The case reported followed is a 37-year-old male patient who was newly diagnosed with type 2 diabetes. He abandoned oral hypoglycemic agents since they caused stomach indisposed. Before visiting, his islet autoantibodies were detected positive and he had never injected insulin before. We treated him with traditional Chinese herbals under the guidance of Traditional Chinese Medicine and differentiation, and achieved fine efficacy. CONCLUSION: Because the initial presentation of LADA is similar to Type 2 Diabetes Mellitus and examination is not in common use, misdiagnosis is not rare. Once LADA is diagnosed, the therapy must be adjusted. This case report indicated that Traditional Chinese Medicine might be an alternative treatment for LADA.

关 键 词：Diabetes Mellitus  Type 2 Tripterygiumwilfordii Mianyi decoction 

分 类 号：R587.1[医药卫生—内分泌]