Table 1.
Case 1 | Case 2 | |
Anti-PD-L1 Therapy | Durvalumab | Atezolizumab |
Time from initiation of therapy to onset of diabetes (weeks) | 18 | 9 |
Clinical presentation | Vaginal candidiasis, recurrent bacterial cystitis, fatigue, polyuria, DKA | Fatigue, polyuria |
Blood glucose at diagnosis | 326 mg/dL | 379 mg/dL |
HbA1C at diagnosis | 9.1% (76 mmol/mol) | 8.2% (66 mmol/mol) |
C-peptide (blood glucose) | 0.4 ng/mL (142 mg/dL)* | 1.1 ng/mL (386 mg/dL)* 0.6 ng/mL (336 mg/dL)† |
GAD antibody | 13 U/mL§ | 28.4 U/mL‡ |
Islet cell antibodies | Not available | Negative |
*At diagnosis.
2 months after diagnosis.
‡Normal <1 U/mL.
§Normal <0.5 U/mL.
DKA, diabetic ketoacidosis; GAD, glutamic acid decarboxylase; HbA1C, glycated haemoglobin.; PD-L1, programmed cell death ligand-1.