On 5 0 local time, the International Diabetes Federation (IDF) identified diabetes associated with malnutrition as an independent type of diabetes, called type 0 diabetes.
This recognition is largely due to the research and advocacy of Dr. Meredith Hawkins of the Albert Einstein College of Medicine, who emphasized that "this form of diabetes has long been underestimated and underrecognized, and patients often survive no more than a year after diagnosis." ”
Fang Hongjuan, director of the Department of Endocrinology of the Aviation General Hospital. Photo courtesy of the interviewee
“過去，與營養不良相關的糖尿病常被稱為‘營養不良性糖尿病’或‘熱帶糖尿病’。在我國，目前這類糖尿病並不常見。然而，由於長期未被單獨分類，臨床診斷率可能較低，隨著新分類的推廣，預計這一疾病會得到更多的關注。”4月9日，航空總醫院內分泌科主任方紅娟在接受人民日報健康客戶端記者採訪時表示，這類患者通常存在營養狀況差、年輕化、併發症多、診斷延誤、治療難度大等特點，因此一旦確診，往往存留期較短。
Gao Shan, chief physician of the Department of Endocrinology of Xuanwu Hospital of Capital Medical University, also told the People's Daily health client reporter, "According to the latest identification of the International Diabetes Federation, type 2 diabetes is different from the traditional type 0, type 0 and other special types, manifested as long-term malnutrition leading to metabolic failure, abnormal blood sugar and multi-organ damage coexist, more likely to occur in adolescents, and is also quite different from other types of diabetes in characteristics and treatment. Cases of excessive insulin therapy. ”
Fang Hongjuan further introduced that the manifestations of type 2 diabetes include extreme weight loss and emaciation, which is in stark contrast to the obesity characteristics of most type 0 diabetes; Blood glucose fluctuates greatly, islet function is impaired due to malnutrition, blood glucose control is difficult, and hyperglycemia or hypoglycemia is prone to occur; In addition, patients are often accompanied by digestive and absorption disorders, and some patients are accompanied by gastrointestinal symptoms such as chronic diarrhea, gastroparesis, and loss of appetite; Complications progress rapidly.
"At present, there are not many patients with such classification in China, and doctors will also distinguish between them in clinical identification, but the identification of this new classification can further promote the standardization of clinical diagnosis and treatment of this type of diabetes, avoid misdiagnosis of type 2 diabetes or other metabolic diseases, and promote the pathological mechanism research and targeted therapy development for malnutrition-related diabetes." Gao Shan reminded that the designation also reminds the public that once this type of diabetes is identified, it is necessary to avoid extreme sugar control, not to overly restrict diet, to ensure balanced nutrition, and to pay attention to the health of the whole body.
Source: Health Times