Pánczél Pál
Semmelweis Egyetem, Altalános OrvostudományiKar, III. Belgyógyászati Klinika, Budapest.
Orv Hetil. 2006 Jul 2;147(26):1223-8.
Beside the clinical diagnosis of diabetes mellitus based on the measurement of blood glucose level, these days, the etiologic classification of the disease comes to the forefront. Genetic analysis (HLA typing, searching for glucokinase gene and mitochondrial gene mutations), immunologic examination (determination of islet specific autoantibodies) and measurement of the insulin secretory capacity help the etiologic classification. The most important result of classification is the discovery of the slowly progressive form of type 1 diabetes mellitus (formerly latent autoimmune diabetes in adults). Another direction of diagnostic procedures is the prediction of the disease in nondiabetic population. The prediction of type 1 diabetes is not specific enough at present, but that of type 2 diabetes can be done easily.
除了基于血糖水平测量进行糖尿病的临床诊断外,如今,该疾病的病因分类变得至关重要。基因分析(HLA分型、寻找葡萄糖激酶基因和线粒体基因突变)、免疫检查(测定胰岛特异性自身抗体)以及胰岛素分泌能力的测量有助于病因分类。分类的最重要结果是发现了1型糖尿病的缓慢进展形式(以前称为成人隐匿性自身免疫性糖尿病)。诊断程序的另一个方向是在非糖尿病人群中预测疾病。目前1型糖尿病的预测不够特异,但2型糖尿病的预测很容易做到。