Medical studies have proven that diabetes is a disease of islet function, a single check to determine whether diabetes, fasting blood glucose, some will inevitably lead to missed diagnosis of diabetes, because diabetes early first postprandial hyperglycemia, this time can be high or normal fasting glucose; the other hand, Some non-diabetic patients, such as hyperthyroidism, acromegaly, liver disease and long-term use of hormones, there may be blood sugar, fasting blood glucose alone it can also lead to misdiagnosis. Urine by the renal glucose threshold effects, and blood sugar is not proportional. Therefore, the urine can not serve as a basis for diagnosis of diabetes, diagnosed diabetes to determine the type and severity of oral glucose tolerance test must be done, insulin release test and c-peptide stimulation test, insulin receptor binding of a conditional test to do even better , according to the fasting plasma glucose ≥ 7.0mmol / 1 or postprandial blood glucose ≥ 11.1mol / 1 (except for pancreatic tumors, hyperthyroidism, Cushing's syndrome, acromegaly, liver disease and long-term application of steroids and other factors) can be diagnosed as diabetes.
On the basis of the diagnosis of diabetes such as insulin release is normal or not normal, c-peptide release in the normal range or less, can be diagnosed as ⅱ diabetes, the classics, and severe diagnostic criteria are as follows:
Mild: fasting plasma glucose and postprandial blood glucose values three hours difference in the 3-5mmol / 1 (if more than 5mol / 1 should be excluded from colds, infections, mood swings, fatigue and other factors), or inadequate insulin secretion to normal, c-peptide release in the normal range.
Moderate: fasting plasma glucose and postprandial blood glucose values three hours difference in 5-10mmol / 1, postprandial insulin release in 1 hour, 2 hours less than the normal 1 / 3, c-peptide release in the normal range or slightly lower.
Severe: fasting plasma glucose and postprandial blood glucose values three hours difference in 10mmol / 1 below the postprandial insulin release in 1 hour, 2 hours less than the normal 2 / 3 or four points are low. c-peptide release is low.
Strictly speaking, diabetes should be divided into four types.
We're usually more concerned about is the first and second. The first is the i-type diabetes. i diabetes is insulin secretion completely disappeared, can not survive without insulin can not play live. This relatively large number of patients classified as children. But it also has this type of adult diabetes. It does need to take insulin therapy, insulin therapy if not, it will endanger the life, there will be complications. It is very important. But China is another very important issue is type ii diabetes. I just said that a particularly high rate of increase is mainly ii diabetes. Growth was particularly fast. So ii diabetes is not necessarily to use insulin to treat the. But not without insulin. It does not need insulin to sustain life, but many do not have diabetes if insulin therapy, poor blood sugar control, there are complications to occur. Then the people need to use insulin to treat. And any country, with its medical progress, scientific progress, the gradual development of economic strength, type ii diabetes with insulin, the proportion is growing. This is a reality. This is the type ii diabetes.
Now it is not only the children with type i diabetes. And many children have type ii diabetes, which is a new trend. I think that children have the original model, adults have type ii. Now is not like that. China is estimated as about children under the age of fifteen, half of i-type, half of ii-type. That is a lot of type ii diabetes children there. Japan has a investigating. ii diabetes has been accounted for 5 / 6, and children inside. Do not ignore the children of type ii diabetes. III and IV, III also known as other types of diabetes. Fourth type is called gestational diabetes. Is diagnosed during pregnancy and during pregnancy is called gestational diabetes have diabetes. This is, without exception, to use insulin therapy, blood glucose using insulin Gaoyao.
So after three types of us said why? I type because it is not, nor is ii-type, not gestational diabetes, call the rest of the third type, which is known as other types of diabetes. It is for a reason. For example, there are endocrine diseases. With pancreatic diseases. Pancreas were removed, of course, have diabetes. This has a lot of complications, and many with diabetes some syndrome. Are of this type. This type of species is very much, but it is not a particularly large number of cases. Therefore, we are most concerned about i-and ii diabetes. This is the classification of the situation.
This is a world unified taxonomic status, divided into four types. But we are more concerned about the i-type and are called primary type ii diabetes. It is not by other causes, and that is diabetes. i type ii diabetes diabetes and some are very difficult division. But most of it there are so few rules. The first is called insulin-dependent diabetes mellitus type i diabetes. Is no longer so called, called i-type diabetes. It's genetic and ii is not the same type. This will put more deep. It does some genetic factors with i diabetes are related. Like a human leukocyte antigen, these things are more complicated, and I no longer spoke carefully.
ii diabetes is also hereditary, and hereditary more than i type. But i type with the genetic mechanism is completely different. So two is not a disease, can not change each other, this is the first characteristic, that is, from a genetic point of view is not sick. The second it was a little boy i have diabetes than more. ii diabetes or adults are more. Of course, adults can also have i-type, children can get ii type. But still very different. The third type of diabetes do i particularly severe insulin deficiency. It should not have insulin, it can not live. The original call it insulin-dependent diabetes, why is it called dependency? Insulin-dependent doing? Insulin-dependent alive. You do not fight insulin can not.
ii diabetes for a long period of time not to fight insulin does not affect his life. However, poor glycemic control may be, may be a complication. Late may of course be a shortage of insulin. But he did not play the death of insulin will not happen soon. Then the last one is easier i diabetic ketoacidosis. Lack of insulin, too, will be life-threatening, and this started it i get sick diabetes, weight loss is often particularly evident. Particularly thin. ii diabetes in general, it does not play is the ability of insulin to maintain its life. It's weight loss is not particularly obvious. And after a lot of people down, or fat people, not the Thin Man. So he did not fight and not insulin ketoacidosis. Just poor blood sugar control, which is i-and ii-type of a comparison.
On the basis of the diagnosis of diabetes such as insulin release is normal or not normal, c-peptide release in the normal range or less, can be diagnosed as ⅱ diabetes, the classics, and severe diagnostic criteria are as follows:
Mild: fasting plasma glucose and postprandial blood glucose values three hours difference in the 3-5mmol / 1 (if more than 5mol / 1 should be excluded from colds, infections, mood swings, fatigue and other factors), or inadequate insulin secretion to normal, c-peptide release in the normal range.
Moderate: fasting plasma glucose and postprandial blood glucose values three hours difference in 5-10mmol / 1, postprandial insulin release in 1 hour, 2 hours less than the normal 1 / 3, c-peptide release in the normal range or slightly lower.
Severe: fasting plasma glucose and postprandial blood glucose values three hours difference in 10mmol / 1 below the postprandial insulin release in 1 hour, 2 hours less than the normal 2 / 3 or four points are low. c-peptide release is low.
Strictly speaking, diabetes should be divided into four types.
We're usually more concerned about is the first and second. The first is the i-type diabetes. i diabetes is insulin secretion completely disappeared, can not survive without insulin can not play live. This relatively large number of patients classified as children. But it also has this type of adult diabetes. It does need to take insulin therapy, insulin therapy if not, it will endanger the life, there will be complications. It is very important. But China is another very important issue is type ii diabetes. I just said that a particularly high rate of increase is mainly ii diabetes. Growth was particularly fast. So ii diabetes is not necessarily to use insulin to treat the. But not without insulin. It does not need insulin to sustain life, but many do not have diabetes if insulin therapy, poor blood sugar control, there are complications to occur. Then the people need to use insulin to treat. And any country, with its medical progress, scientific progress, the gradual development of economic strength, type ii diabetes with insulin, the proportion is growing. This is a reality. This is the type ii diabetes.
Now it is not only the children with type i diabetes. And many children have type ii diabetes, which is a new trend. I think that children have the original model, adults have type ii. Now is not like that. China is estimated as about children under the age of fifteen, half of i-type, half of ii-type. That is a lot of type ii diabetes children there. Japan has a investigating. ii diabetes has been accounted for 5 / 6, and children inside. Do not ignore the children of type ii diabetes. III and IV, III also known as other types of diabetes. Fourth type is called gestational diabetes. Is diagnosed during pregnancy and during pregnancy is called gestational diabetes have diabetes. This is, without exception, to use insulin therapy, blood glucose using insulin Gaoyao.
So after three types of us said why? I type because it is not, nor is ii-type, not gestational diabetes, call the rest of the third type, which is known as other types of diabetes. It is for a reason. For example, there are endocrine diseases. With pancreatic diseases. Pancreas were removed, of course, have diabetes. This has a lot of complications, and many with diabetes some syndrome. Are of this type. This type of species is very much, but it is not a particularly large number of cases. Therefore, we are most concerned about i-and ii diabetes. This is the classification of the situation.
This is a world unified taxonomic status, divided into four types. But we are more concerned about the i-type and are called primary type ii diabetes. It is not by other causes, and that is diabetes. i type ii diabetes diabetes and some are very difficult division. But most of it there are so few rules. The first is called insulin-dependent diabetes mellitus type i diabetes. Is no longer so called, called i-type diabetes. It's genetic and ii is not the same type. This will put more deep. It does some genetic factors with i diabetes are related. Like a human leukocyte antigen, these things are more complicated, and I no longer spoke carefully.
ii diabetes is also hereditary, and hereditary more than i type. But i type with the genetic mechanism is completely different. So two is not a disease, can not change each other, this is the first characteristic, that is, from a genetic point of view is not sick. The second it was a little boy i have diabetes than more. ii diabetes or adults are more. Of course, adults can also have i-type, children can get ii type. But still very different. The third type of diabetes do i particularly severe insulin deficiency. It should not have insulin, it can not live. The original call it insulin-dependent diabetes, why is it called dependency? Insulin-dependent doing? Insulin-dependent alive. You do not fight insulin can not.
ii diabetes for a long period of time not to fight insulin does not affect his life. However, poor glycemic control may be, may be a complication. Late may of course be a shortage of insulin. But he did not play the death of insulin will not happen soon. Then the last one is easier i diabetic ketoacidosis. Lack of insulin, too, will be life-threatening, and this started it i get sick diabetes, weight loss is often particularly evident. Particularly thin. ii diabetes in general, it does not play is the ability of insulin to maintain its life. It's weight loss is not particularly obvious. And after a lot of people down, or fat people, not the Thin Man. So he did not fight and not insulin ketoacidosis. Just poor blood sugar control, which is i-and ii-type of a comparison.
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