PMID- 36780623 OWN - NLM STAT- MEDLINE DCOM- 20230216 LR - 20230216 IS - 1512-0112 (Print) IS - 1512-0112 (Linking) IP - 333 DP - 2022 Dec TI - CLINICAL AND IMMUNOLOGICAL PROFILE OF NEWLY DIAGNOSED DIABETIC PATIENTS IN A COHORT OF YOUNG ADULTS OF NATIONAL HEPATITIS C VIRUS SURVEY IN EGYPT. PG - 51-56 AB - T2DM (Type 2 diabetes mellitus) is considered a disease that affects old age group. Recently, it has become common in children, adolescents and adults. Aim of the work - to highlight the challenges in differentiating T1DM (type1 diabetes mellitus) from T2DM (type2 diabetes mellitus) in early onset diabetes in youth depending on clinical and laboratory characteristics. Our cross-sectional study was performed on 200 newly diagnosed diabetic patients aged (18-30) years. All patients were subjected to detailed medical history and full clinical examination. Laboratory investigations included FBS, 2hPP, HbA1C, fasting C peptide and GADA. About 59% (118) of our patients were T2DM while (82) 41% were T1DM. T1DM was more dominant than T2DM in age group less than 25 years (T1DM 79% versus T2DM 21%, P<0.001), while T2DM was more than T1DM in age group more than 25 years (T2DM 93% versus T1DM 17%, P<0.001). GADA was detected in 73.2% of T1DM patient and it was high titer while GADA was detected in only 8% of T2DM with low titer, in addition GADA positive patients were significantly younger than negative patients, age (20.9+/-2.5 years vs. 26.4+/-3.5 years respectively) (P <0.001). About 8% of phenotypically type 2 diabetic youth had GADA positive antibodies which did not confer impact on c peptide level or glycemic control yet type 1 diabetics who were GADA negative had a better glycemic control. FAU - Halawa, M AU - Halawa M AD - 1Department of Internal Medicine and Endocrinology, Ain shams university, Egypt. FAU - Elhefnawy, M AU - Elhefnawy M AD - 2National Institute of Diabetes and Endocrinology, Egypt. FAU - Eid, Y AU - Eid Y AD - 1Department of Internal Medicine and Endocrinology, Ain shams university, Egypt. FAU - Elhalawany, S AU - Elhalawany S AD - 1Department of Internal Medicine and Endocrinology, Ain shams university, Egypt. FAU - Hegab, A AU - Hegab A AD - 2National Institute of Diabetes and Endocrinology, Egypt. FAU - Hendawy, L AU - Hendawy L AD - 1Department of Internal Medicine and Endocrinology, Ain shams university, Egypt. LA - eng PT - Journal Article PL - Georgia (Republic) TA - Georgian Med News JT - Georgian medical news JID - 101218222 RN - 0 (Autoantibodies) RN - 0 (C-Peptide) SB - IM MH - Adolescent MH - Humans MH - Young Adult MH - Autoantibodies MH - C-Peptide MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 1/complications/diagnosis MH - *Diabetes Mellitus, Type 2/complications/diagnosis MH - Egypt/epidemiology MH - Hepacivirus EDAT- 2023/02/14 06:00 MHDA- 2023/02/16 06:00 CRDT- 2023/02/13 16:32 PHST- 2023/02/13 16:32 [entrez] PHST- 2023/02/14 06:00 [pubmed] PHST- 2023/02/16 06:00 [medline] PST - ppublish SO - Georgian Med News. 2022 Dec;(333):51-56.