제1형 당뇨의 진단과 치료

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제1형 당뇨의 진단과 치료, 해리슨이 출처입니다~

목차

1. classification and diagnosis
2. Testing for diabetes in asymptomatic patients
3. Pathophysiology / Etiology of typeⅠ DM
4. Dibetes care

본문내용

1. classification and diagnosis

(1)classification
- type ⅠDM
: result from β cell destruction ,usually reading to absolute insulin deficiency
- type ⅡDM
: result from a progressive insulin secretory defect on the background of insulin resistance
- other specific types of diabetes other causes
: genetic defects in β cell function or insulin action
disease of exocrine pancreas ( such as cystic fibrosis)
drug or chemical induced diabetes
- gestational diabetes mellitus (GDM)

(2) diagnosis
① HbA1C ≥ 6.5%
② FPG ≥ 126 mg/dl (fasting: no caloric intake for at least 8h)
③ Two-hour plasma glucose ≥ 200 mg/dl during an OGTT (75g glucose)
④ classic symptoms of hyperglycemia or hyperglycemic crisis
+ random plasma glucose ≥ 200 mg/dl
(* criteria ①-③ 은 repeat testing 요함.)

(3) categories of increased risk for diabetes
① FPG 100-125 mg/dl (IFG)
② 2-h PG on the 75g OGTT 140-199 mg/dl
③ A1C 5.7-6.4%

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