%PDF-1.4
%
1 0 obj
<<
/CreationDate (D:20140511211631-07'00')
/CreatorTool (PDF-XChange Printer Lite 2012 \(5.0 build 269\) [Windows 7 Home Premium x64 \(Build 7600\)])
/ModDate (D:20140511211631-07'00')
>>
endobj
2 0 obj
<<
/Metadata 3 0 R
/Pages 4 0 R
/Type /Catalog
>>
endobj
3 0 obj
<<
/Length 3135
/Subtype /XML
/Type /Metadata
>>
stream
application/pdf
uuid:f080f380-2299-4587-b44c-39d7af782a6e
uuid:aaacb6d4-5755-478b-8287-671a501aefff
PDF-XChange Printer Lite 2012 (5.0 build 269) [Windows 7 Home Premium x64 (Build 7600)]
2014-05-11T21:16:31-07:00
2014-05-11T21:16:31-07:00
endstream
endobj
4 0 obj
<<
/Count 3
/Kids [5 0 R 6 0 R 7 0 R]
/Type /Pages
>>
endobj
5 0 obj
<<
/Annots [8 0 R 9 0 R]
/Contents 10 0 R
/MediaBox [0 0 595.2 841.92]
/Parent 4 0 R
/Resources <<
/ColorSpace <<
/CS0 11 0 R
>>
/ExtGState <<
/GS0 12 0 R
>>
/Font <<
/F0 13 0 R
/F1 14 0 R
/F2 15 0 R
/F3 16 0 R
/F4 17 0 R
/F5 18 0 R
>>
/XObject <<
/Fm0 19 0 R
/Im0 20 0 R
>>
>>
/Type /Page
>>
endobj
6 0 obj
<<
/Annots [21 0 R 22 0 R]
/Contents 23 0 R
/MediaBox [0 0 595.2 841.92]
/Parent 4 0 R
/Resources <<
/ColorSpace <<
/CS0 11 0 R
>>
/ExtGState <<
/GS0 24 0 R
>>
/Font <<
/F0 25 0 R
/F1 26 0 R
/F2 27 0 R
>>
/XObject <<
/Fm0 19 0 R
>>
>>
/Type /Page
>>
endobj
7 0 obj
<<
/Annots [28 0 R 29 0 R]
/Contents 30 0 R
/MediaBox [0 0 595.2 841.92]
/Parent 4 0 R
/Resources <<
/ColorSpace <<
/CS0 11 0 R
>>
/ExtGState <<
/GS0 31 0 R
>>
/Font <<
/F0 32 0 R
/F1 33 0 R
/F2 34 0 R
>>
/XObject <<
/Fm0 19 0 R
>>
>>
/Type /Page
>>
endobj
8 0 obj
<<
/A <<
/S /URI
/URI (http://www.tracker-software.com/buy-now)
>>
/Border [0 0 0]
/C [0 0 0]
/F 4
/P 5 0 R
/Rect [0 768.047974 73.872002 841.919983]
/Subtype /Link
/Type /Annot
>>
endobj
9 0 obj
<<
/A <<
/S /URI
/URI (http://www.tracker-software.com/buy-now)
>>
/Border [0 0 0]
/C [0 0 0]
/F 4
/P 5 0 R
/Rect [521.328003 768.047974 595.200013 841.919983]
/Subtype /Link
/Type /Annot
>>
endobj
10 0 obj
<<
/Length 17500
>>
stream
/GS0 gs BT
/RelativeColorimetric ri/CS0 cs 0 0 0 scn
0 Tc 0 Tw/F0 1 Tf 7.707525 0 0 7.707525 419.76001 752.880005 Tm
[(Pro)-29(ce)24(e)-16(d)30(i)-32(ng)-18(s)19( o)17(f U)29(CLA H)-31(ea)21(lth)-27(ca)-16(r)19(e)]TJ
4.7642 -1.1521 Td
[(-VO)31(LU)30(M)-37(E 18)21( )-30(\()23(2)-30(01)21(4\))35(-)]TJ
/F1 1 Tf 11.6781 0 0 11.6781 236.160004 720.47998 Tm
[(C)17(LI)-34(N)32(ICA)18(L VIGN)19(ETTE)]TJ
ET
q
175.92 710.16 243.84 -1.44 re
W* n
243.84 0 0 1.44 175.92 708.72 cm
/Im0 Do
Q
BT
/F2 1 Tf 15.648675 0 0 15.648675 156.960007 691.679993 Tm
[(LAD)15(A: )19(La)22(tent A)27(uto)17(im)17(mu)20(ne)22( Dia)19(b)-19(et)33(es in)24( A)28(d)-20(ults)]TJ
ET
q
112.32 681.12 371.04 -1.44 re
W* n
371.04 0 0 1.44 112.32 679.68 cm
/Im0 Do
Q
BT
9.809625 0 0 9.809625 257.279999 668.640015 Tm
[(La)22(u)-19(r)19(e)16(n)-29( )28(G)-22(.)28( F)-21(i)48(ck)27(s)-34(, )36(M)-27(.)28(D)-18(.)]TJ
-0.9052 -1.1499 Td
[(Di)22(vi)19(si)24(o)-19(n )19(of Endo)25(c)-34(ri)66(no)-28(l)38(ogy)]TJ
/F3 1 Tf -18.1781 -3.3029 Td
[(Key)57(words: )-258(L)31(at)18(ent )-202(Autoim)17(m)18(une)24( )-240(Dia)24(b)-40(e)34(t)-22(e)34(s )-231(in )-222(Adult)28(s)]TJ
0 -1.1499 Td
[(\(L)35(A)22(D)-19(A\), )-129(T)-49(y)90(p)-40(e)24( )-160(1)-20( )-140(di)18(a)34(b)-40(e)24(te)19(s )-141(m)18(e)24(llitus)21(,)-20( )-110(T)-49(y)80(p)-60(e)24( )-140(2 )-160(di)28(a)24(b)-40(e)34(t)-22(e)34(s)]TJ
0 -1.1499 Td
[(m)18(el)29(l)-22(it)46(u)-20(s)]TJ
/F4 1 Tf 0 -2.2998 Td
[(In)23(tr)25(oduct)15(i)38(o)-40(n)]TJ
/F3 1 Tf 0 -2.2509 Td
[(T)15(he )-106(diff)54(eren)24(ce)44( )-120(betwe)24(en)31( )-140(t)-22(y)90(p)-40(e )-100(1)-20( )-110(di)18(a)24(b)-40(e)34(te)32(s )-111(m)19(e)24(llitu)22(s )-111(a)34(n)-20(d)]TJ
0 -1.1254 Td
[(ty)69(p)-61(e)25( )-261(2)-20( )-240(dia)32(b)-40(e)25(te)41(s )-260(m)18(e)-16(ll)16(it)16(us )-241(is)27( )-290(we)22(l)18(l )-262(es)20(ta)18(bli)26(shed)19( )-260(in)18( )-270(t)18(h)-20(e)]TJ
0 -1.1499 Td
[(m)18(ed)31(i)-22(c)34(a)-26(l )-322(l)-22(it)16(e)34(r)-17(a)-16(t)38(u)-20(re. )-327( )-340(T)-49(y)80(pe )-330(1)-40( )-340(di)18(abet)49(es)39( )-360(r)-17(es)40(ul)-32(t)38(s )-361(f)23(rom)]TJ
0 -1.1499 Td
[(au)21(t)18(oimm)34(u)-20(ne)20( )-400(\337)-20(-c)17(el)29(l )-382(destruc)28(tion )-394(us)19(ua)-16(l)38(l)-42(y)30( )-410(lea)22(din)18(g)-20( )-380(to)]TJ
0 -1.1499 Td
[(abso)20(lu)18(te)32( )-140(in)18(suli)45(n)-20( )-120(d)-30(ef)24(icie)24(nc)-36(y)40(. )-105( )-140(T)-29(y)60(p)-40(e)34( )-150(2 )-150(di)18(abet)49(es)40( )-150(resu)22(lt)26(s)]TJ
0 -1.1254 Td
[(fr)26(om )-281(a )-250(p)-40(r)23(o)-20(gre)37(ss)18(ive )-262(in)-22(s)19(ul)18(in )-292(s)19(e)-16(c)24(re)-33(t)38(or)-27(y)40( )-290(defe)24(c)-16(t)38( )-320(in)28( )-290(the)]TJ
0 -1.1499 Td
[(se)34(tti)24(ng )-560(o)-30(f)63( )-590(i)18(nsulin)15( )-550(r)-17(es)19(is)27(tance)]TJ
6.306172 0 0 6.306172 192.479996 494.880005 Tm
(1)Tj
9.809625 0 0 9.809625 195.839996 490.559998 Tm
[(.)30( )-559( )-580(Al)49(though )-551(m)18(a)24(n)-60(y)]TJ
-12.8201 -1.1499 Td
[(pati)47(en)20(ts )-103(p)-40(r)23(es)30(en)30(t)-22( )-110(wi)20(th )-102(s)-51(y)60(m)18(p)-40(t)38(oms)-23( )-90(an)21(d )-100(s)-31(i)38(g)-20(ns)19( )-120(co)30(n)-20(s)29(is)-23(t)38(ent)]TJ
0 -1.1254 Td
[(wi)20(th)19( )-41(a)25( )-21(cl)29(as)39(s)-31(ic dia)44(b)-40(e)24(tes)28( )-20(dia)22(g)-20(nos)19(is,)17( )-20(c)-26(l)38(inic)-20(a)34(l p)-26(re)27(se)23(n)-40(t)38(a)-26(t)38(ion)]TJ
0 -1.1499 Td
[(an)21(d )-270(di)18(se)19(as)40(e )-250(p)-20(ro)-17(gre)27(ss)28(io)18(n )-280(var)-43(y)60( )-290(c)34(o)-20(nsi)17(dera)41(b)-40(l)-42(y)80( )-290(i)18(n)-20( )-260(b)-20(oth)]TJ
0 -1.1254 Td
[(ty)69(p)-61(e)25(s )-211(o)-30(f)33( )-240(dia)22(b)-30(e)24(te)18(s )-231(m)18(a)24(ki)18(ng )-240(dia)22(gnose)20(s)29( )-270(m)18(ore)37( )-240(d)-20(iff)44(i)-22(cult)26(,)]TJ
0 -1.1499 Td
[(es)40(p)-40(e)24(ci)28(al)19(l)-42(y)40( )-730(i)38(n)-20( )-700(ol)18(d)-20(er)33( )-700(p)-40(a)24(tie)20(nts.)37( )-730( )-730(L)21(ADA)16(, )-720(L)21(a)-16(t)28(ent)]TJ
0 -1.1254 Td
[(Aut)30(oim)17(m)18(une)24( )-20(D)-18(ia)42(b)-40(e)24(tes)21( )-40(i)28(n )-30(Ad)22(ults)-25(,)30( )-40(is)27( )-40(a)34( )-20(c)-26(la)18(s)29(s)-31(if)31(ic)-18(at)29(i)28(on )-20(of)]TJ
0 -1.1499 Td
[(Dia)25(b)-41(e)35(te)18(s)19( )-360(Mell)15(itus)15( )-360(w)-18(ith )-354(p)-40(he)21(n)20(o)-20(ty)68(pi)-22(c)24( )-410(a)24(nd )-360(g)-20(e)34(n)-20(o)20(t)-42(y)80(p)-40(ic)]TJ
0 -1.1499 Td
[(si)38(m)18(ila)20(ri)-29(t)38(ie)-18(s)29( )-50(t)18(o b)-30(ot)18(h t)-42(y)60(p)-20(e)34( )-20(1)-40( a)20(nd t)-36(y)60(pe 2)-29( di)28(abete)22(s.)15( )-20( Ab)-18(out)]TJ
0 -1.1499 Td
[(10%)20( )-290(of)53( )-340(a)24(dult )-294(pati)16(en)31(ts)17( )-290(w)-18(ith )-284(di)18(abete)33(s )-311(fa)23(ll )-284(into)16( )-320(t)38(h)-40(i)38(s)]TJ
0 -1.1254 Td
[(ca)21(t)18(e)24(gor)-37(y)]TJ
6.306172 0 0 6.306172 103.199997 383.040009 Tm
(2)Tj
9.809625 0 0 9.809625 106.559998 378.720001 Tm
(.)Tj
/F4 1 Tf -3.7188 -2.3242 Td
[(Ca)-33(s)20(e )20(Pr)43(es)23(en)24(tation)]TJ
/F3 1 Tf 0 -2.2509 Td
[(A )-28(62-)-17(y)40(e)25(ar-)16(ol)28(d)-20( )-20(wom)20(an )-36(wh)22(o )-60(h)20(ad )-36(no )-20(fa)47(m)-32(ily)56( )-50(or )-37(p)-20(er)34(so)19(n)-20(a)34(l)]TJ
0 -1.1254 Td
[(hi)18(st)38(or)-47(y)40( )-170(o)-40(f)23( )-190( )-190(t)-22(y)60(pe)-36( )-160(1)-40( )-170(, )-160(t)-42(y)60(pe )-190(2 )-200( )-170(or )-187(ge)20(st)18(a)-16(t)28(i)18(o)-20(na)20(l)18( )-190(d)-20(ia)42(b)-40(e)24(tes)]TJ
0 -1.1499 Td
[(pr)-27(es)40(en)20(t)18(e)24(d )-300(f)33(or )-257(a )-249(g)-20(e)34(n)-40(e)24(ral)21( )-270(p)-40(hy)50(si)17(ca)21(l)18( )-270(with)18( )-290(he)20(r)23( )-290(pr)-27(i)38(m)18(ar)-46(y)]TJ
0 -1.1254 Td
[(ca)45(re)17( )-120(doct)18(or )-117(F)26(e)24(b)-40(rua)27(r)-27(y)30(,)30( )-110(2)-20(013)-40(.)30( )-120(F)16(or )-107(th)18(e )-79(fi)21(rst)20( )-110(t)-22(i)38(me)22( )-140(i)28(n )-100(h)-20(e)34(r)]TJ
0 -1.1499 Td
[(li)16(fe,)28( )-220(s)29(h)-21(e)35( )-221(was)22( )-210(t)38(o)-40(l)28(d )-200(th)18(a)-26(t)18( )-190(h)-20(e)34(r)-17( )-210(fa)23(sti)25(ng )-210(b)-20(lo)18(od )-210(s)19(u)-20(g)20(ar)17( )-220(wa)46(s)]TJ
0 -1.1499 Td
[(el)19(ev)30(at)19(ed)30( )-490(t)38(o)-20( )-450(108)-20( )-460(m)18(g/)30(dl)18( )-460(an)20(d )-470(he)21(r )-437(chole)36(s)-31(t)38(er)23(ol )-462(wa)16(s)]TJ
0 -1.1254 Td
[(el)19(ev)30(at)19(ed)30(. )-84(She)17( )-90(wa)46(s )-101(s)29(ta)32(r)-37(te)42(d)-20( )-60(o)-20(n )-80(a)24(t)18(orv)-17(a)24(s)-21(t)28(a)-16(t)28(in )-72(ni)18(ghtl)-54(y)60(, )-54(b)-40(ut)]TJ
0 -1.1499 Td
[(de)21(cr)33(e)-26(a)34(se)33(d )-130(the )-111(dose)33( )-140(to)18( )-140(e)34(v)-20(e)34(r)-67(y)90( )-140(o)-20(th)18(er)18( )-120(ni)18(ght )-112(b)-30(e)24(ca)45(u)-20(se)19( )-140(s)29(h)-20(e)]TJ
0 -1.1499 Td
[(ha)21(d )-760(r)-17(e)34(ad)20( )-770(info)21(r)-17(m)19(at)18(ion )-772(re)23(g)20(arding )-758(an)20( )-770(in)18(cr)-16(e)24(a)-26(s)29(ed)]TJ
0 -1.1499 Td
[(in)18(ci)49(d)-40(e)34(n)-20(ce)24( of )39(d)-40(i)38(abet)19(es)20( )30(w)-38(i)38(th st)20(ati)27(ns)]TJ
6.306172 0 0 6.306172 199.199997 237.600006 Tm
(3)Tj
9.809625 0 0 9.809625 202.320007 233.039993 Tm
(.)Tj
-13.4806 -2.2753 Td
[(In)24( )-70(A)21(p)-20(ril)29(, )-60(20)-30(1)20(3)-39( )-50(sh)19(e )-30(wa)16(s )-31(s)-31(ta)42(r)-17(te)19(d)20( )-70(on )-70(m)18(e)24(t)-22(f)23(ormi)39(n )-50(5)-40(00)-30( )-40(mg)]TJ
0 -1.1499 Td
[(tw)20(ice)23( )-360(daily)20(,)30( )-380(b)-20(ut)18( )-380(s)19(to)18(pp)-30(ed)30( )-390(a)34(ft)21(er )-356(th)18(re)17(e )-350(da)-26(y)50(s )-351(due )-349(to)]TJ
0 -1.1254 Td
[(na)21(us)19(ea)24( )-50(a)34(n)-20(d )-30(vomiti)22(ng. )-50(I)23(n)-20( )-40(J)19(une, )-29(2)-30(013)-20( )-20(he)20(r)23( )-70(fa)37(st)17(in)18(g )-50(b)-20(lo)28(o)-20(d)]TJ
0 -1.1254 Td
[(su)20(ga)20(r )-297(wa)22(s )-300(142)-20( )-280(m)18(g)-20(/d)28(l )-312(an)30(d)-20( )-280(Hgb)-18(A1)-28(c)24( )-310(wa)46(s )-281(6)-40(.)30(9)-20(%)20(. )-280(In)]TJ
0 -1.1499 Td
[(Augus)22(t, )-147(2)-20(013)-40( )-160(she )-157(w)-18(a)34(s )-161(ref)17(e)34(rr)-24(e)34(d)-40( )-170(to)18( )-190(UC)-31(L)31(A-)25(T)-29(hous)19(a)24(nd)]TJ
0 -1.1499 Td
[(Oaks)22( )30(E)-29(ndoc)20(ri)31(nology)38( )-20(f)33(or )-17(fu)23(rt)31(h)-40(e)24(r e)27(v)-40(a)34(luati)25(o)-20(n)20(.)]TJ
0 -2.2753 Td
[(Du)-27(e)34( )-340(t)28(o )-320(an)20(xi)18(e)-16(ty)18( )-310(re)17(garding )-315(a )-300(diag)19(nosi)37(s)-31( )-310(o)-40(f)63( )-330(d)-20(ia)42(b)-40(e)24(tes)]TJ
0 -1.1499 Td
[(m)18(el)29(l)-22(it)46(u)-20(s,)19( s)35(h)-40(e)24( b)-30(e)24(gan)24( t)18(o chec)41(k )20(h)-40(e)24(r blood s)41(u)-20(ga)21(r)23( le)22(v)-20(el)28(s)]TJ
25.004 52.4791 Td
[(re)17(gula)33(r)-28(l)-22(y)61(.)-21( )-599(S)-15(el)29(f-m)24(onit)16(o)-20(r)23(in)18(g)-20( )-600(b)-20(l)18(ood )-600(g)-20(l)38(u)-20(c)34(o)-20(s)29(e )-600(val)19(u)-20(e)34(s)]TJ
0 -1.1254 Td
[(ra)17(nged)21( )-90(f)63(rom)21( )-50(100)-20(-)23(1)-20(40)20( )-60(m)18(g)-20(/)38(d)-20(l)18( )-50(fa)47(s)-31(ti)46(n)-20(g)20( )-70(to)18( )-70(100)-20(-)23(20)20(0)-20( )-60(m)18(g/)18(dl)]TJ
0 -1.1499 Td
[(po)-29(s)28(t-)22(p)-20(ra)27(n)-21(di)19(al)48(. Her )15(r)-17(evi)18(e)24(w o)-48(f)63( )-40(sy)39(stem)26(s)29( )-20(w)-18(as)39( )-20(re)17(m)18(ar)24(kab)-26(le)]TJ
0 -1.1499 Td
[(fo)24(r )-47(m)18(ild )-34(f)32(a)-16(ti)47(g)-21(ue a)21(nd )-50(a)34( )-20(1)-20(0)-30( )30(p)-40(oun)30(d wei)31(ght gai)16(n )-30(ove)24(r )-27(the)]TJ
0 -1.1254 Td
[(pr)-27(ev)31(io)18(us )-81(y)60(ea)34(r )-77(\(mos)20(tl)-54(y)60( )-70(in)18( )-70(h)20(er)17( )-100(a)34(b)-40(dom)18(e)24(n\). )-57( )-50(S)-24(he)21( )-40(h)-20(a)34(d)-20( )-40( )-70(no)]TJ
0 -1.1499 Td
[(po)-29(ly)68(uria,)24( )-460(p)-39(oly)57(d)-19(i)37(p)-40(s)19(ia,)23( )-491(blurry)55( )-460(v)-20(is)17(io)18(n )-470(or )-457(hi)18(st)37(or)-47(y)60( )-460(of)]TJ
0 -1.1254 Td
[(au)21(t)18(oimm)34(u)-20(ne)20( )-1600(d)-20(is)17(ea)45(s)-31(e)34(s )-1631(s)19(uch )-1626(a)24(s )-1601(vitili)30(go,)]TJ
0 -1.1499 Td
[(hy)51(p)-21(oth)-42(y)80(ro)-17(idi)27(s)-21(m)17(,)-19( )-90(h)-41(y)81(p)-61(e)25(rt)30(h)-70(y)61(roidis)18(m)18(,)-20( )-90(p)-40(e)24(rnic)21(i)38(ous)-31( )-90(an)20(e)-16(m)18(ia)]TJ
0 -1.1254 Td
[(or c)43(e)-26(li)16(ac)25( d)16(isea)21(se)20(.)]TJ
0 -2.2998 Td
[(Ph)-26(y)80(s)-31(ic)18(al)22( )-440(ex)30(a)-26(m)18( )-430(r)-37(e)34(v)-20(e)34(a)-26(le)42(d)-40( )-440(a )-439(t)28(h)-40(i)38(n )-470(fe)23(m)18(a)-16(l)28(e )-439(with)18( )-460(the)]TJ
0 -1.1499 Td
[(fo)24(llow)17(in)19(g )-200(v)-21(i)19(ta)-18(l)37( )-219(s)29(ig)17(n)-19(s:)17( )-210( )-190(Bl)15(o)-20(od)20( )-190(pr)-17(es)29(su)19(re)17( )-190(98)-20(/)28(60)-30(, )-160(P)-24(ul)18(se)]TJ
0 -1.1254 Td
[(66)-29(, )15(T)-19(e)24(m)48(p)-40(e)24(ra)17(t)18(u)-20(re)24( 9)-40(8)-20(.)30(1 )-30(F)16( )-20(, )16(We)24(i)18(gh)20(t 1)-22(1)-20(2 pounds)15(,)30( )-20(He)22(i)38(g)-20(ht)]TJ
0 -1.1499 Td
[(61)-29(\224)33( )-140(a)25(nd )-150(BM)15(I)24( )-120(2)-20(1. )-151(Be)42(ca)44(u)-20(s)19(e )-120(o)-20(f)43( )-120(her )-133(th)18(in )-122(b)-40(ody)60( )-140(ha)21(bit)26(us,)]TJ
0 -1.1499 Td
[(ag)21(e )-30(a)-16(t)28( )-60(ons)19(e)-26(t )-32(o)-40(f)63( )-70(pr)-17(o)-20(gre)37(ss)18(ive )-61(hy)50(p)-40(e)24(rgl)-39(y)40(ce)21(m)18(i)28(a )-70(i)28(n )-60(spit)15(e)24( )-70(of)]TJ
0 -1.1254 Td
[(a )-129(veg)24(e)-16(t)-22(a)34(ria)25(n/lo)16(w )-178(c)-16(a)24(rb)-27(oh)-20(y)80(dr)-27(at)28(e )-149(di)18(et)18( )-190(a)24(nd )-160(no)20( )-170(evid)19(en)30(c)-26(e)]TJ
0 -1.1499 Td
[(of)24( )-190(ke)20(t)38(on)-30(es)39( )-190(i)38(n)-20( )-160(h)-20(e)34(r)-17( )-190(uri)41(n)-20(e)34( )-190(or )-167(b)-40(lo)18(od, )-154(in)18(su)19(li)16(n )-180(a)24(n)-30(t)28(ibodie)30(s)]TJ
0 -1.1254 Td
[(we)23(r)23(e )-350(ch)21(e)-16(c)24(ked )-356(a)24(nd )-390(we)46(r)-37(e)24( )-410(f)63(ound )-360(to )-372(be )-340(p)-40(o)20(si)27(ti)16(ve)21( )-380(a)24(s)]TJ
0 -1.1499 Td
[(fo)24(llow)17(s)-20(:)28( )-240( )-210(g)-41(l)29(ut)-22(a)24(m)18(ic)18( )-240(ac)21(i)18(d )-230(deca)22(rb)-27(ox)-20(y)50(la)22(s)-31(e)24( )-240(65)-20( )-240(a)24(nti)26(b)-30(od)-30(y)]TJ
0 -1.1254 Td
[(\(GA)17(D)-17(A\) )-596(3)-20(0 )-640(\(<)18(1)-20(.)29(0)-39( )-631(u/)28(m)19(l\))21(,)-20( )-630(in)17(suli)36(nom)18(a-assoc)23(iate)17(d)]TJ
0 -1.1499 Td
[(an)21(t)18(i)28(g)-40(e)34(n)-20( )-160(anti)16(b)-20(od)-20(y)60( )-190(\()-37(I)43(A-2)-15(A\) )-165(36)-30(.)60(2)-40( )-170(\(<)17(0)-30(.)20(8 )-150(U)-38(/)38(m)18(l\), )-183(in)18(su)19(lin)]TJ
0 -1.1499 Td
[(au)21(t)18(o-a)27(n)-20(ti)26(b)-40(ody)50( )-60(\()-17(IA)35(A\) )-65(0)-20(.5 )-70(\(<0.)27(4 )-60(U/m)18(l\))21(, )-60(C-p)-20(e)34(p)-20(t)18(i)28(de )-56(1.36)]TJ
0 -1.1499 Td
[(\(0)-27(.)30(8-3.)23(1)-19( )-281(n)30(g/m)17(l)27(\). )-266( )-280(Six )-257(m)19(ont)28(h)-20(s)29( )-320(af)33(te)19(r )-267(p)-20(res)32(en)20(ta)19(tion )-264(o)-20(f)]TJ
0 -1.1254 Td
[(hy)51(p)-21(ergl)-18(y)60(c)-26(e)24(m)18(ia,)22( )-20(th)18(e )21(p)-40(a)24(tie)20(nt)28( )-20(w)-18(as)39( )-20(di)18(ag)30(nos)19(ed)21( )-20(with)18( )-40(L)41(a)-16(t)28(ent)]TJ
0 -1.1499 Td
[(Aut)30(oim)17(m)18(une)24( )-70(D)-18(i)18(a)24(b)-40(e)34(te)32(s )-81(i)28(n )-60(Adul)20(ts)37( )-70(\()-37(L)51(ADA\) )-71(a)34(n)-20(d)20( )-70(st)37(arte)22(d)]TJ
0 -1.1499 Td
[(on )-270(lo)18(ng-a)18(cti)36(n)-20(g)20( )-290(i)28(nsul)-23(i)38(n )-280(inje)16(cti)37(ons )-271(b)-40(ef)53(ore)27( )-280(b)-20(ed)31(. )-255( )-290(He)36(r)]TJ
0 -1.1254 Td
[(Hgb)-17(A)42(1)-41(c)25( )-61(de)21(c)24(rea)37(s)-31(e)34(d)-20( )-40( )-90(to)18( )-70(6.3%)26( )-60(a)24(nd )-70(th)18(e )-30(p)-40(a)34(t)-22(ie)42(n)-40(t)38( )-70(b)-20(eg)31(an)20( )-70(to)]TJ
0 -1.1499 Td
[(fe)24(el)22( )-70(b)-20(et)28(te)19(r )-77(em)38(o)-20(ti)26(on)20(a)-26(lly)26( )-40(b)-40(ec)25(a)24(us)-21(e )-50(s)19(h)-40(e)34( )-90(c)24(ould)18( )-70(unde)20(rsta)24(nd)]TJ
0 -1.1254 Td
[(th)18(e )21(t)-42(y)60(pe )30(o)-40(f)43( diabet)27(es)30( )-20(sh)19(e )20(wa)16(s)-21( )30(l)-22(iv)18(in)18(g )20(w)-38(i)38(th.)]TJ
/F4 1 Tf 0 -2.2998 Td
[(Dis)20(cu)23(ssi)36(o)-40(n)]TJ
/F3 1 Tf 0 -2.2753 Td
[(T)15(he )-56(e)34(v)-20(ol)18(ut)18(i)18(on )-50(o)-40(f)43( )-50(the )-32(dia)22(gnos)-21(is)37( )-70(a)24(nd )-70(cl)29(in)18(i)-22(ca)24(l )-32(s)-31(tu)18(di)18(es)39( )-70(of)]TJ
0 -1.1254 Td
[(L)21(a)-15(te)32(nt )-43(Aut)31(o)-41(i)39(m)18(mune )-42(Dia)24(b)-40(e)34(te)18(s in)-43( )-20(Adul)20(ts )-33(b)-20(eg)31(an)20( )-40(al)19(m)28(o)-20(st)]TJ
0 -1.1499 Td
[(40)-29( )-210(y)60(e)23(ar)-16(s)19( )-210(a)24(go. )-184( )-240(I)43(n )-210(1)-30(974 )-190(it)26( )-190(w)-18(a)34(s )-201(noted )-188(that)16( )-220(is)17(le)19(t)18( )-220(ce)24(ll)]TJ
0 -1.1499 Td
[(an)21(t)18(i)28(b)-40(odi)28(es)39( )-90(w)-18(er)34(e )-100(c)24(om)-22(m)28(on )-80(i)18(n )-110(th)18(e )-49(s)-31(e)24(ra )-57(o)-40(f)43( )-100(pati)16(en)31(t)-22(s)29( )-90(with)]TJ
0 -1.1499 Td
[(ty)69(p)-61(e)25( )-190(1 )-200(di)17(a)54(b)-39(e)23(te)43(s )-181(a)24(nd )-170(that)16( )-160(th)18(e )-180(\337-)-27(c)34(el)19(l )-152(le)-18(s)29(io)18(n)-20( )-160(o)-40(f)63( )-190(t)-42(y)90(p)-40(e)24( )-190(1)]TJ
0 -1.1254 Td
[(di)18(abet)49(es)40( )-730(w)-18(a)34(s )-721(a)24(ut)18(oim)16(m)18(une)24( )-730(in)18( )-700(na)-16(tu)18(re)]TJ
6.306172 0 0 6.306172 480 226.320007 Tm
(4)Tj
9.809625 0 0 9.809625 483.359985 222 Tm
[(. )-700(It)21( )-699(wa)16(s)]TJ
-17.126 -1.1744 Td
[(se)34(re)17(ndipito)24(us)-21(l)-32(y)80( )-90(note)18(d )-80(in)18( )-90(th)18(e)24( )-90(s)-31(a)34(m)18(e )-100(y)30(ea)21(r )-62(th)18(a)-16(t)]TJ
/F5 1 Tf 17.7377 0 Td
<05FD> Tj
/F3 1 Tf .7095 0 Td
[(11)-29(%)32( )-99(of)]TJ
-18.4472 -1.1254 Td
[(pati)47(en)20(ts )-153(with)18( )-190(ty)48(p)-20(e )-119(2)-40( )-140(d)-20(i)38(abete)23(s )-131(w)-18(ere )-146(al)28(s)19(o )-160(p)-30(os)19(i)28(tive)17( )-160(fo)23(r)]TJ
0 -1.1254 Td
[(is)27(let )-183(ce)24(ll )-204(a)34(n)-20(t)18(ibo)-22(di)18(e)24(s )-201(a)24(nd )-170(th)-22(a)24(t )-182(this)16( )-190(sub)-31(s)19(et)48( )-190(o)-20(f)23( )-190(p)-20(a)34(t)-22(ie)42(n)-40(t)28(s)]TJ
0 -1.1499 Td
[(wi)20(th)19( )-411(t)-42(y)61(pe )-396(2 )-401(dia)23(bet)18(e)24(s )-401(te)32(nd)-30(ed)30( )-390(to )-412(f)43(a)-26(il)16( )-410(s)19(ulfo)21(n)-60(y)60(lu)18(re)-23(a)]TJ
0 -1.1499 Td
[(th)18(er)34(ap)-30(y)40( a)17(n)20(d)-20( )-20(ne)20(ed)24(ed)20( )-20(in)28(su)-21(li)16(n )-30(t)28(reat)32(m)18(e)24(nt )-22(ea)35(r)-27(li)16(er)23( tha)19(n )-30(t)-42(y)80(p)-30(e)]TJ
0 -1.1499 Td
[(2 )-179(di)18(abet)48(es)40( )-190(p)-20(at)28(ie)19(nt)18(s)29( )-190(who )-188(we)46(r)-17(e)34( )-190(ne)20(gat)-18(i)28(ve )-196(f)63(o)-20(r )-177(i)18(sl)-23(e)24(t)18( )-200(ce)24(ll)]TJ
0 -1.1254 Td
[(an)21(t)18(i)28(b)-40(odi)28(es)]TJ
6.306172 0 0 6.306172 355.200012 147.839996 Tm
(5)Tj
9.809625 0 0 9.809625 358.320007 143.520004 Tm
[(. )-580(I)23(n )-549(1)-21(9)20(86)-30(,)30( )-559(i)37(slet)19( )-559(c)23(e)-16(ll)37( )-580(an)30(ti)16(b)-20(od)-20(y)60( )-560(\(ICA)25(\))]TJ
-4.3794 -1.1499 Td
[(po)-29(s)28(it)17(iv)18(ity)26( )-140(ide)21(nti)-23(f)22(ie)19(d )-130(a)24( )-140(group)-17( )-140(of)53( )-120( )-140(pati)16(en)31(ts)17( )-150(ag)30(ed)21( )-140(35-75)]TJ
0 -1.1499 Td
[(wi)20(th)19( )-140(a)33( )-119(la)-18(t)17(e)24(nt )-141(f)33(or)-18(m)18( )-99(o)-30(f)32( )-109(t)-42(y)79(p)-39(e)34( )-120(1 )-131(di)19(a)34(b)-40(e)24(tes)]TJ
6.306172 0 0 6.306172 463.679993 125.519997 Tm
(6)Tj
9.809625 0 0 9.809625 467.040009 120.959999 Tm
[(.)30( )-120( )-140(I)43(n)-20( )-89(1)-40(993, )-95(the)]TJ
-15.4624 -1.1499 Td
[(en)21(t)18(it)-34(y)30( )-330(known )-358(as)39( )-390(L)21(at)29(ent )-332(Au)-28(t)38(o)-20(i)38(m)-32(m)18(une)24( )-330(D)-38(i)28(abete)33(s )-361(in)]TJ
ET
/GS0 gs 1 0 0 1 0 768.048 cm
/Fm0 Do
1 0 0 1 521.328 0 cm
/Fm0 Do
endstream
endobj
11 0 obj
[/ICCBased 35 0 R]
endobj
12 0 obj
<<
/ca 1
/Type /ExtGState
>>
endobj
13 0 obj
<<
/BaseFont /TimesNewRomanPS-ItalicMT
/Encoding /WinAnsiEncoding
/FirstChar 32
/FontDescriptor 36 0 R
/LastChar 116
/Subtype /TrueType
/Type /Font
/Widths [250 0 0 0 0 0 0 0 333 333 0 0 0 333 0 0
500 500 500 0 500 0 0 0 500 0 0 0 0 0 0 0
0 611 0 667 0 611 0 0 722 0 0 0 556 833 0 722
611 0 0 0 0 722 611 0 0 0 0 0 0 0 0 0
0 500 0 444 500 444 278 500 500 278 0 0 278 0 500 500
0 0 389 389 278]
>>
endobj
14 0 obj
<<
/BaseFont /TimesNewRomanPS-BoldMT
/Encoding /WinAnsiEncoding
/FirstChar 32
/FontDescriptor 37 0 R
/LastChar 86
/Subtype /TrueType
/Type /Font
/Widths [250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 722 0 722 0 667 0 778 0 389 0 0 667 0 722 0
0 0 0 0 667 0 722]
>>
endobj
15 0 obj
<<
/BaseFont /ArialNarrow-Bold
/Encoding /WinAnsiEncoding
/FirstChar 32
/FontDescriptor 38 0 R
/LastChar 121
/Subtype /TrueType
/Type /Font
/Widths [228 0 0 0 0 0 0 0 0 0 0 0 228 0 228 0
0 0 0 0 0 0 0 0 0 0 273 0 0 0 0 0
0 592 0 0 592 547 501 638 0 0 0 0 501 683 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 456 501 456 501 456 273 501 0 228 0 456 228 729 501 501
0 0 319 456 273 501 456 0 0 456]
>>
endobj
16 0 obj
<<
/BaseFont /TimesNewRomanPSMT
/Encoding /WinAnsiEncoding
/FirstChar 32
/FontDescriptor 39 0 R
/LastChar 223
/Subtype /TrueType
/Type /Font
/Widths [250 0 0 0 0 833 0 0 333 333 0 0 250 333 250 278
500 500 500 500 500 500 500 500 500 500 278 0 564 0 0 0
0 722 667 667 722 611 556 722 722 333 389 722 611 889 0 722
556 0 0 556 611 722 0 944 0 0 0 0 0 0 0 0
0 444 500 444 500 444 333 500 500 278 278 500 278 778 500 500
500 0 333 389 278 500 500 722 500 500 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 444 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500]
>>
endobj
17 0 obj
<<
/BaseFont /TimesNewRomanPS-BoldItalicMT
/Encoding /WinAnsiEncoding
/FirstChar 32
/FontDescriptor 40 0 R
/LastChar 117
/Subtype /TrueType
/Type /Font
/Widths [250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 667 722 0 0 0 0 389 0 0 0 0 0 0
611 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 500 0 444 500 444 0 0 0 278 0 0 0 0 556 500
0 0 389 389 278 556]
>>
endobj
18 0 obj
<<
/BaseFont /YOXYGA+Cambria
/DescendantFonts [<<
/BaseFont /YOXYGA+Cambria
/CIDSystemInfo <<
/Ordering (Identity)
/Registry (PXCViewer)
/Supplement 0
>>
/DW 712
/FontDescriptor 41 0 R
/Subtype /CIDFontType2
/Type /Font
>>]
/Encoding /Identity-H
/Subtype /Type0
/ToUnicode 42 0 R
/Type /Font
>>
endobj
19 0 obj
<<
/BBox [0 0 73.872002 73.872002]
/Filter [/FlateDecode]
/Group <<
/I false
/K false
/S /Transparency
>>
/LastModified (D:20140511211631-07'00')
/Length 1816
/PieceInfo <<
/ADBE_CompoundType <<
/LastModified (D:20140511211631-07'00')
/Private /Watermark
>>
>>
/Resources <<
/ExtGState <<
/GS0 43 0 R
>>
/Font <<
/F0 44 0 R
>>
>>
/Subtype /Form
>>
stream
xWɮ5W x% )O-\ #Rsjow olwخT'_}!!w6j֔c=GXIWMd{X:Qm+8xHcboh6K9ΙaSaY{cS5p5 2jr(RnSV$[>g"6«gh9V Sp;gq~n'ҟ|;
纚ffQ#]pnP7/sv(N"= |%-"seWdEc)S8&y)ZJnp<)esh!S$>+q,o~>m 㚹dBcZ1s]qwEA|טiN;9;; K+1#M zoRL0;\0鞿z]cs).7r=~#mjvsyĽ};Y+ʽ l)n=㪆;).',3Ѭ&3RwrŦYP8CƏ\uy .@5<f3cSHdxe9$^sFE+(g"$u3ӖEq̩2NA';;
!+[ήT|\^7xd~CVyaNtq~}˯t,+[#G-RHᖆ#|/#|nf?z'~xqpC(%ǃ FpmC𨎋P,L))m
mrx|pn=|AaO["E +dpd*>[" 5 ;OeVԑgْu*UqZTglCd}ȸFU[DyL~cؙTKW}$1yeM8|
kj=d;%cHx]DfNɭT:.AMϒ?ޘͥ±Gx1m(1uwٯ-=Mv(/{t Ti{m{R)GrZ94_