We report a type 1 diabetes in an 88-year-old female patient discovered in
1938 at the age of 26. She was promptly put on insulin, which lasted 62 yea
rs so far. This patient was highly remarkable because she portrayed a histo
rical case of insulin-treated diabetes diagnosed in 1938. The absence of mi
croangiopathy and specially retinopathy was quite singular, all the more re
ason that her diabetes was ill-controlled. Environmental or genetic factors
may, one day, explain this unusual favourable outcome. (C) 2001 Elsevier S
cience Inc. All rights reserved.