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特殊类型糖尿病的临床识别
引用本文:虞睿琪,付俊玲,肖新华. 特殊类型糖尿病的临床识别[J]. 中国实用内科杂志, 2020, 40(1): 19-24. DOI: 10.19538/j.nk2020010104
作者姓名:虞睿琪  付俊玲  肖新华
作者单位:中国医学科学院北京协和医学院 北京协和医院内分泌科 卫生部内分泌重点实验室,北京100730
摘    要:特殊类型糖尿病是指除1型糖尿病、2型糖尿病及妊娠期糖尿病以外的所有病因引起的糖尿病。特殊类型糖尿病可能同时具有1型和2型糖尿病的特征,常被误诊、漏诊。特殊类型糖尿病病因明确,诊断后可能导致治疗方案的改变。了解特殊类型糖尿病的特征对在临床工作中早期识别特殊类型糖尿病,合理选择治疗方法并改善患者预后有重要意义。

关 键 词:特殊糖尿病  胰岛B细胞  基因突变  青少年发病的成年糖尿病  

Clinical identification of special types of diabetes mellitus
YU Rui-qi,FU Jun-ling,XIAO Xin-hua. Clinical identification of special types of diabetes mellitus[J]. Chinese Journal of Practical Internal Medicine, 2020, 40(1): 19-24. DOI: 10.19538/j.nk2020010104
Authors:YU Rui-qi  FU Jun-ling  XIAO Xin-hua
Affiliation:(Department of Endocrinology,NHC Key Laboratory of Endocrinology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)
Abstract:Special types of diabetes mellitus refer to diabetes other than T1DM,T2DM and GDM. Special types of diabetes mellitus are easily misdiagnosed or underdiagnosed because of the sharing characteristics with T1DM and T2DM. The causes of special types of diabetes are relatively definite and the diagnosis might influence therapeutic considerations.Understand the clinical features of special types of diabetes mellitus is of great significance to early identification of it,selecting reasonable therapy and determining his or her prognosis.
Keywords:special types of diabetes mellitus  islet B cell  gene mutation  maturity-onset dia-betes of the young(MODY)
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