From Diagnosis to Lifestyle The Impact of Sports on MODY Diabetes Management

Kamil Gała, Konrad Pilarski, Adam Kucharski, Rafał Makuch, Alicja Chrościcka, Andrzej Czajka, Paweł Lenard, Sara Michalska, Martyna Dewicka, Alicja Maria Wawrzyniak
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Abstract

Introduction and objectives: Diabetes is a group of diseases that is currently estimated to affect approximately 537 million adults worldwide. Diabetes can develop due to many factors, including autoimmunity, genetics and insulin resistance. The presented article will discuss the type of monogenic diabetes - maturity onset diabetes in young. This is a relatively rare form of diabetes, affecting no more than 5% of patients with the disease, but it is important to correctly differentiate it and implement appropriate therapy to prevent the development of complications. In addition, the article discusses a group of antidiabetic drugs - sulfonylurea derivatives, which are widely used in diabetic patients.Review and methods: Review and summary of studies and scientific articles avaliable in open-source format on Google Scholar and PubMed.Abbreviated description of the state of knowledge: The diagnosis of MODY diabetes is more extensive than that of the most common types in the population - type 1 and type 2 diabetes.Individual forms of MODY diabetes differ in the location of the mutation in the genome. As a result, the MODY group is heterogeneous, with individuals differing in the severity of symptoms, the treatment used and the presence of developmental abnormalities affecting various organ systems.Sulfonylurea derivatives are a group of drugs that have been used to treat diabetes since the mid-20th century. Their mechanism of action is to stimulate insulin secretion, so it is necessary to preserve at least some of the function of the beta cells in the pancreatic islets when using them. Summary: A collection of information on MODY diabetes is presented based on a review of research and scientific articles. In addition, the section on sulfonylureas provides an overview of first- and second-generation drugs and compares them. The article also highlights the important role of physical activity in managing diabetes and preventing complications.
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从诊断到生活方式 运动对 MODY 型糖尿病管理的影响
导言和目标:糖尿病是一组疾病,据估计,目前全球约有 5.37 亿成年人患有糖尿病。糖尿病的发病原因很多,包括自身免疫、遗传和胰岛素抵抗。本文将讨论单基因糖尿病的类型--青年期成熟型糖尿病。这是一种相对罕见的糖尿病,发病率不超过该病患者的 5%,但正确区分这种类型并实施适当的治疗以预防并发症的发生非常重要。此外,文章还讨论了一组广泛用于糖尿病患者的抗糖尿病药物--磺脲类衍生物:综述和方法:对谷歌学术和PubMed上以开源格式提供的研究和科学文章进行综述和总结:与人群中最常见的类型--1 型和 2 型糖尿病相比,MODY 型糖尿病的诊断更为广泛。因此,MODY 群体具有异质性,个体差异表现在症状的严重程度、采用的治疗方法以及是否存在影响各器官系统的发育异常等方面。磺脲类衍生物的作用机制是刺激胰岛素分泌,因此在使用时必须至少保留胰岛β细胞的部分功能。小结:根据对研究和科学文章的回顾,介绍了有关 MODY 型糖尿病的信息集。此外,关于磺脲类药物的部分概述了第一代和第二代药物,并对它们进行了比较。文章还强调了体育锻炼在控制糖尿病和预防并发症方面的重要作用。
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