Types of Diabetes

 



A.   Diabetes insipidus

Diabetes insipidus is a condition wherein kidneys are unable to conserve water. It is either due to deficient production of antidiuretic hormone (ADH) {neurogenic or central diabetes insipidus} or inadequate responsiveness to ADH {nephrogenic diabetes insipidus}(6)(8)

       B.    Diabetes mellitus

Diabetes mellitus is characterized by a chronically elevated blood glucose concentrations (hyperglycaemia) often accompanied by other clinical and biochemical abnormalities.

Diabetes mellitus is further classified into -

I.      Primary diabetes mellitus

     1. Type 1 diabetes mellitus

    It is also known as insulin dependent diabetes mellitus (IDDM). It is characterized by selective B-cell destruction and severe or absolute insulin deficiency.

It is further subdivided into immune form and idiopathic form. (5)(6)(7)

     2. Type 2 diabetes mellitus

It is also known as non-insulin dependent diabetes mellitus (NIDDM). It is characterized by tissue resistance to the action of insulin combined with a relative deficiency in insulin secretion. (5) (6)(7)

II.      Secondary diabetes mellitus

It refers to multiple other specific causes of elevated blood glucose such as-drug therapy, endocrine disorders, inherited disorders, etc. (6)(7) 

              III.      Gestational diabetes mellitus

It is defined as any abnormality in glucose levels noted for the first time during pregnancy. (5)(6)


 

IV.      Malnutrition related diabetes mellitus

The World Health Organization has recognized malnutrition related diabetes with two subtypes:

-Fibrocalcaneous pancreatic diabetes

-Protein-deficient pancreatic diabetes (7)


© Apurva Atak 

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