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糖尿病历史上的里程碑:主要贡献者。

Milestones in the history of diabetes mellitus: The main contributors.

作者信息

Karamanou Marianna, Protogerou Athanase, Tsoucalas Gregory, Androutsos George, Poulakou-Rebelakou Effie

机构信息

Marianna Karamanou, Gregory Tsoucalas, George Androutsos, Effie Poulakou-Rebelakou, Department of History of Medicine, Medical School, University of Athens, 11527 Athens, Greece.

出版信息

World J Diabetes. 2016 Jan 10;7(1):1-7. doi: 10.4239/wjd.v7.i1.1.

Abstract

Diabetes mellitus is a group of metabolic diseases involving carbohydrate, lipid, and protein metabolism. It is characterized by persistent hyperglycemia which results from defects in insulin secretion, or action or both. Diabetes mellitus has been known since antiquity. Descriptions have been found in the Egyptian papyri, in ancient Indian and Chinese medical literature, as well as, in the work of ancient Greek and Arab physicians. In the 2(nd) century AD Aretaeus of Cappadocia provided the first accurate description of diabetes, coining the term diabetes, while in 17(th) century Thomas Willis added the term mellitus to the disease, in an attempt to describe the extremely sweet taste of the urine. The important work of the 19(th) century French physiologist Claude Bernard, on the glycogenic action of the liver, paved the way for further progress in the study of the disease. In 1889, Oskar Minkowski and Joseph von Mering performed their famous experiment of removing the pancreas from a dog and producing severe and fatal diabetes. In 1921, Frederick Banting and Charles Best extended Minkowski's and Mering's experiment. They isolated insulin from pancreatic islets and administrated to patients suffering from type 1 diabetes, saving thus the lives of millions and inaugurating a new era in diabetes treatment.

摘要

糖尿病是一组涉及碳水化合物、脂质和蛋白质代谢的代谢性疾病。其特征是持续高血糖,这是由胰岛素分泌缺陷、作用缺陷或两者兼而有之所致。糖尿病自古以来就为人所知。在埃及纸莎草文献、古印度和中国医学文献以及古希腊和阿拉伯医生的著作中都有相关描述。公元2世纪,卡帕多西亚的阿雷泰奥斯首次对糖尿病进行了准确描述,创造了“diabetes”一词,而在17世纪,托马斯·威利斯在该疾病名称中加入了“mellitus”一词,以描述尿液极甜的味道。19世纪法国生理学家克劳德·贝尔纳关于肝脏糖原生成作用的重要研究为该疾病的进一步研究铺平了道路。1889年,奥斯卡·明科夫斯基和约瑟夫·冯·梅林进行了著名的实验,将狗的胰腺切除,导致严重的致命性糖尿病。1921年,弗雷德里克·班廷和查尔斯·贝斯特扩展了明科夫斯基和梅林的实验。他们从胰岛中分离出胰岛素并给予1型糖尿病患者,从而挽救了数百万人的生命,开创了糖尿病治疗的新纪元。

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