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如何在更常见的糖尿病亚型中识别青年起病的成年型糖尿病?

How can maturity-onset diabetes of the young be identified among more common diabetes subtypes?

机构信息

Diabetologic centre II. , Department of Medicine, Third Faculty of Medicine and Faculty Hospital Kralovske Vinohrady, Charles University, Šrobarova 50, 10034, Prague, Czech Republic.

Department of Medicine, Second Faculty of Medicine and Faculty Hospital Motol, Charles Univeristy, V Úvalu 84, 15006, Prague, Czech Republic.

出版信息

Wien Klin Wochenschr. 2019 Sep;131(17-18):435-441. doi: 10.1007/s00508-019-01543-6. Epub 2019 Sep 6.

Abstract

Maturity onset diabetes of the young (MODY) represents a diabetes type which has an enormous clinical impact. It significantly alters treatment, refines a patient's prognosis and enables early detection of diabetes in relatives. Nevertheless, when diabetes is manifested the vast majority of MODY patients are not correctly diagnosed, but mostly falsely included among patients with type 1 or type 2 diabetes, in many cases permanently. The aim of this article is to offer a simple and comprehensible guide for recognizing individuals with MODY hidden among adult patients with another type of long-term diabetes and in women with gestational diabetes.

摘要

青少年发病的成年型糖尿病(MODY)是一种具有巨大临床影响的糖尿病类型。它显著改变了治疗方法,改善了患者的预后,并使亲属中的糖尿病能够得到早期发现。然而,当糖尿病表现出来时,绝大多数 MODY 患者并未得到正确诊断,而是大多数情况下被错误地归入 1 型或 2 型糖尿病患者中,这种情况在许多情况下是永久性的。本文的目的是提供一个简单易懂的指南,帮助识别隐藏在成年患者中其他类型长期糖尿病和妊娠期糖尿病女性中的 MODY 患者。

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