Northerner
Admin (Retired)
- Relationship to Diabetes
- Type 1
As many as 15% of diabetics may be misdiagnosed with simple diabetes mellitus (DM) types 1 or 2. But DM presents as more than 50 unique types, and even among correctly diagnosed type 2 patients, 60 predisposing genetic variants exist.
A team of British researchers summarize alternative DM diagnoses in a review article published in the December 2014 issue of Clinical Medicine. They urge clinicians to consider pesentation nuances when patients present atypically.
Red flags include:
Some children develop type 1 DM for reasons other than auto-immune β-cell destruction. DM that develops before age 6 months is more likely to be caused by a non-immune genetic mutation.
Type 1 DM is unlikely if the patient continues to produce endogenous insulin from β-cells for more than 5 years after diagnosis.
Type 2 DM patients are rarely slim, rather they tend to be overweight or obese. Glycosuria with normal blood sugar levels is a sign of an alternative form of DM. Young patients (
5 years old) without metabolic syndrome or insulin resistance are also unlikely type 2 DM patients.
http://www.hcplive.com/articles/Diagnosing-and-Treating-Diabetes-The-Difficulties-of-Subtype
Hmm...that rather contradicts the finding that many T1s produce insulin decades after diagnosis...🙄
A team of British researchers summarize alternative DM diagnoses in a review article published in the December 2014 issue of Clinical Medicine. They urge clinicians to consider pesentation nuances when patients present atypically.
Red flags include:
Some children develop type 1 DM for reasons other than auto-immune β-cell destruction. DM that develops before age 6 months is more likely to be caused by a non-immune genetic mutation.
Type 1 DM is unlikely if the patient continues to produce endogenous insulin from β-cells for more than 5 years after diagnosis.
Type 2 DM patients are rarely slim, rather they tend to be overweight or obese. Glycosuria with normal blood sugar levels is a sign of an alternative form of DM. Young patients (
5 years old) without metabolic syndrome or insulin resistance are also unlikely type 2 DM patients.http://www.hcplive.com/articles/Diagnosing-and-Treating-Diabetes-The-Difficulties-of-Subtype
Hmm...that rather contradicts the finding that many T1s produce insulin decades after diagnosis...
🙄
