[New diagnostic methods and classification of diabetes. Not many changes--but why?].

Nordisk medicin Pub Date : 1998-12-01
L Groop
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引用次数: 0

Abstract

Of the approximately 300,000 diabetics in Sweden, about 15 per cent have type I or juvenile diabetes, and the remainder type II or diabetes of maturity. Naturally, this is a gross oversimplification of the situation, and reflects our predilection for classification rather than our knowledge of the etiology and heterogeneity of the disease. Not only is there a broad indeterminate zone between the two main types, but during recent years a number of genetically determined forms have also been described. Accordingly, the World Health Organisation has recently proposed changes in the classification of diabetes and in the diagnostic criteria. The new proposals are reviewed in the article.

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糖尿病的新诊断方法与分类。变化不大——但为什么呢?
在瑞典大约30万糖尿病患者中,约15%患有I型或青少年糖尿病,其余为II型或成人糖尿病。当然,这是对情况的过度简化,反映了我们对分类的偏好,而不是我们对疾病的病因和异质性的了解。不仅在两种主要类型之间有一个广泛的不确定区域,而且近年来也描述了一些遗传决定的形式。因此,世界卫生组织最近提议改变糖尿病的分类和诊断标准。本文对新的建议进行了评述。
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