Harreiter Jürgen, Roden Michael
Abteilung für Endokrinologie und Stoffwechsel, Universitätsklinik für Innere Medizin III, Medizinische Universität Wien, Wien, Österreich.
Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum (DDZ), Leibniz-Zentrum für Diabetesforschung, Düsseldorf, Deutschland.
Wien Klin Wochenschr. 2023 Jan;135(Suppl 1):7-17. doi: 10.1007/s00508-022-02122-y. Epub 2023 Apr 20.
Diabetes mellitus comprises of a group of heterogeneous disorders, which have an increase in blood glucose concentrations in common. The current classification for diabetes mellitus is presented and the main features of type 1 and type 2 diabetes are compared. Furthermore, the criteria for the correct biochemical diagnosis during fasting and oral glucose tolerance tests as well as the use of hemoglobin A1c (HbA1c) are summarized. The increasing prevalence of diabetes requires targeted screening for detecting diabetes and prediabetes in risk groups. This forms the basis for the early initiation of measures to prevent the onset of diabetes in these risk groups and to delay the progression of diabetes.
糖尿病由一组异质性疾病组成,这些疾病的共同特征是血糖浓度升高。本文介绍了当前糖尿病的分类,并比较了1型和2型糖尿病的主要特征。此外,还总结了空腹和口服葡萄糖耐量试验中正确生化诊断的标准以及糖化血红蛋白(HbA1c)的使用。糖尿病患病率的不断上升需要对风险人群进行有针对性的筛查,以检测糖尿病和糖尿病前期。这为在这些风险人群中尽早采取措施预防糖尿病的发生和延缓糖尿病的进展奠定了基础。