Diabetes insipidus The most useful laboratory test to distinguish Type 1 from Type 2 diabetes is the C-peptide assay, which is a measure of endogenous insulin production since external insulin to date has included no C-peptide. Diabetes insipidus
Many patients with type 2 diabetes will progress to insulin therapy to control of blood glucose levels, but these patients are still type 2 diabetics. The first goal can be achieved through close glycemic control (ie, blood glucose levels); the reduction effect in diabetic plications has been well demonstrated in several extensive clinical trials and is thus well established. Type 1 diabetes (formerly known as "childhood" or "juvenile" diabetes or "insulin dependent" diabetes) is most monly diagnosed in children and adolescents. The current remended goal for HbA1c in patients with diabetes is <7.0%, as defined as "good glycemic control", although some guidelines are stricter (<6.5%). The majority of patients with type 2 diabetes mellitus have been obese - chronic obesity leads to increased insulin resistance that can develop into diabetes, most likely because adipose tissue is a (recently identified) source of chemical signals (hormones and cytokines). The classification, or type, of diabetes is determined by the underlying cause of the diabetes, not the type of therapy that is used to treat the diabetes. In 1675 Thomas Willis added mellitus from the Latin word meaning a sweet taste. In addition, a small proportion of Type 1 cases have the hereditary condition maturity onset diabetes of the young (MODY) which can also be confused with Type 2. Diabetes mellitus type 2 is often associated with obesity and hypertension and elevated cholesterol (bined hyperlipidemia), and with the condition Metabolic syndrome (also known as Syndrome X, Reavan's syndrome, or CHAOS). Many adults diagnosed with Type 1 have been misdiagnosed as Type 2, which has partly accounted for the misconception of Type 1 as a disease of children. This is a more plex problem than type 1, but is sometimes easier to treat, especially in the initial years when insulin is often still being produced internally. Diabetes mellitus type 2 is often associated with obesity and hypertension and elevated cholesterol (bined hyperlipidemia), and with the condition Metabolic syndrome (also known as Syndrome X, Reavan's syndrome, or CHAOS). Insulin resistance means that body cells do not respond appropriately when insulin is present. Diabetes insipidus. Diabetes diet
Total body irradiation (TBI) is also associated with a higher risk of developing diabetes. Diabetes insipidus. |