Boike Sydney, Mir Mikael, Rauf Ibtisam, Jama Abbas B, Sunesara Shaleen, Mushtaq Hisham, Khedr Anwar, Nitesh Jain, Surani Salim, Khan Syed A
Medicine, University of Minnesota Medical School, Minneapolis, MN 55455, United States.
Medicine, St. George's School of Medicine, Grenada FZ818, West Indies.
World J Clin Cases. 2022 Oct 26;10(30):10867-10872. doi: 10.12998/wjcc.v10.i30.10867.
Diabetes has been classified mainly into types 1 and 2. Some type 2 diabetes patients, when developing ketosis, have been labeled as having atypical diabetes. Lately, syndromes of ketosis-prone diabetes, primarily in patients who we previously classified as type 2 diabetics, have emerged, and calls are being made to even reclassify diabetes. This mini-review will extensively deal with the historical, molecular, phenotypical, and clinical basis of why ketosis-prone diabetes is different than the traditional principles of type 1 and 2 diabetes and should be classified as such. Clinicians, especially those who are not diabetologists or endocrinologists, as well as hospitalists, intensivists, and primary care providers, will greatly benefit from this review.
糖尿病主要分为1型和2型。一些2型糖尿病患者在出现酮症时，被标记为患有非典型糖尿病。最近，酮症倾向糖尿病综合征出现了，主要发生在我们之前归类为2型糖尿病的患者中，甚至有人呼吁对糖尿病进行重新分类。这篇小型综述将广泛探讨酮症倾向糖尿病不同于1型和2型糖尿病传统定义的历史、分子、表型和临床依据，以及为何应如此分类。临床医生，尤其是那些非糖尿病专家或内分泌专家的医生，以及住院医生、重症监护医生和初级保健提供者，将从这篇综述中受益匪浅。
