¿Por qué debemos preocuparnos de diagnosticar una diabetes monogénica?

Antonio Jesús Blanco Carrasco
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引用次数: 1

Abstract

Monogenic forms represent a rare form (about 1%) of diabetes. Most cases are clinically mislabeled as type 1 or type 2 diabetes mellitus. Although they constitute a very heterogeneous group, their most common forms, such as neonatal diabetes or those called MODY (Maturity Onset Diabetes of the Young) share common characteristics as the absence of signs of autoimmunity or insulin resistance and the persistence of insulin secretion in over time. Reasons for the low rate of diagnosis may be a low awareness about the importance of diagnosis by health professionals and the need to perform tests in specific genetic units. In recent years there has been significant progress in the description of new forms and validation of clinical serum markers that facilitate their diagnosis.

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为什么我们要担心诊断单基因糖尿病?
单基因型糖尿病是一种罕见的形式(约1%)。大多数病例在临床上被误诊为1型或2型糖尿病。尽管它们构成了一个非常不同的群体,但它们最常见的形式,如新生儿糖尿病或所谓的MODY(青年成熟期糖尿病),具有共同的特征,即缺乏自身免疫或胰岛素抵抗的迹象,并且胰岛素分泌持续一段时间。诊出率低的原因可能是卫生专业人员对诊断的重要性认识不高,以及需要对特定的基因单位进行检测。近年来,在描述新形式和验证促进其诊断的临床血清标志物方面取得了重大进展。
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