美国糖尿病情况的变化

The changing face of diabetes in America.

作者信息

Adebayo Omoyemi, Willis George C

机构信息

Department of Emergency Medicine, University of Maryland Medical Center, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.

Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.

出版信息

Emerg Med Clin North Am. 2014 May;32(2):319-27. doi: 10.1016/j.emc.2013.12.004.

DOI:10.1016/j.emc.2013.12.004

PMID:24766935

Abstract

So much has changed in the field of diabetes diagnosis and management in the United States. Unhealthy lifestyle choices have hastened an epidemic of childhood obesity, causing a paradigm shift in how childhood diabetes is conceptualized. Once thought a consequence of obesity, sedentary lifestyle, and genetics, diabetes with onset in adults has been found to have a variant with autoimmunity. As the lines among adult-onset, child-onset, and type 1 and type 2 diabetes mellitus become more blurred, best practices in management and prevention become more complicated. This article highlights key points regarding 2 variants, juvenile-onset type 2 diabetes mellitus and latent autoimmune diabetes of adults.

摘要

美国糖尿病诊断与管理领域发生了诸多变化。不健康的生活方式选择加速了儿童肥胖的流行，导致儿童糖尿病的概念发生了范式转变。曾经被认为是肥胖、久坐不动的生活方式和遗传因素导致的糖尿病，现在发现成人发病的糖尿病有一种自身免疫性变体。随着成人发病、儿童发病以及1型和2型糖尿病之间的界限变得更加模糊，管理和预防的最佳实践变得更加复杂。本文重点介绍了两种变体，即青少年发病的2型糖尿病和成人隐匿性自身免疫性糖尿病的关键点。