Banday Mujeeb Z, Sameer Aga S, Nissar Saniya
Department of Biochemistry, Government Medical College and Associated Shri Maharaja Hari Singh Hospital, Srinagar, Kashmir, India.
Department of Basic Medical Sciences, College of Medicine, King Saud Bin Abdul Aziz University for Health Sciences, King Abdullah International Medical Research Centre, National Guard Health Affairs, Jeddah, Saudi Arabia.
Avicenna J Med. 2020 Oct 13;10(4):174-188. doi: 10.4103/ajm.ajm_53_20. eCollection 2020 Oct-Dec.
Diabetes mellitus is a chronic heterogeneous metabolic disorder with complex pathogenesis. It is characterized by elevated blood glucose levels or hyperglycemia, which results from abnormalities in either insulin secretion or insulin action or both. Hyperglycemia manifests in various forms with a varied presentation and results in carbohydrate, fat, and protein metabolic dysfunctions. Long-term hyperglycemia often leads to various microvascular and macrovascular diabetic complications, which are mainly responsible for diabetes-associated morbidity and mortality. Hyperglycemia serves as the primary biomarker for the diagnosis of diabetes as well. In this review, we would be focusing on the classification of diabetes and its pathophysiology including that of its various types.
糖尿病是一种具有复杂发病机制的慢性异质性代谢紊乱疾病。其特征为血糖水平升高或高血糖,这是由胰岛素分泌异常、胰岛素作用异常或两者皆有异常所致。高血糖以多种形式表现,呈现各异,会导致碳水化合物、脂肪和蛋白质代谢功能障碍。长期高血糖常引发各种微血管和大血管糖尿病并发症,这些并发症是糖尿病相关发病和死亡的主要原因。高血糖也是糖尿病诊断的主要生物标志物。在本综述中,我们将重点关注糖尿病的分类及其病理生理学,包括其各种类型的病理生理学。