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The diagnostic values of IA-2Ab,GAD-Ab AND IAA in distinguishing between type 1 and 2 diabetes mellitus

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF DIABETES
Issue:
9
DOI:
10.3321/j.issn:1006-6187.2007.09.004
Key Word:
酪氨酸磷酸酶抗体;谷氨酸脱羧酶抗体;胰岛素自身抗体;糖尿病

Abstract: 对46例1型糖尿病(T1DM)患者、48例2型糖尿病(T2DM)患者,50例T1DM患者非糖尿病一级亲属(N-DMFR)及46例健康志愿者(NC)的酪氨酸磷羧酶抗体(IA-2Ab)、谷氨酸脱羧酶抗体(GAD-Ab)和胰岛素自身抗体(IAA)以及FPG、2hPG、HbA1c、胰岛素、C肽.结果IA-2Ab阳性者T1DM组为47.8%、N-DMFR组为28%,明显高于NC组(P<0.05);GAD-Ab阳性者T1DM组71.7%、N-DMFR组24%,明显高于NC组(P<0.05);IAA阳性者为T1DM组65.2%、T2DM组8.3%、N-DMFR组4.0%、NC组无阳性者.两种或两种以上抗体阳性者T1DM组63.0%,N-DMFR组6%;T2DM及NC组无检出者.IA-2Ab、GAD-Ab、IAA的联合检出有利于糖尿病的预测、早期诊断及正确分型.

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