Diabetes mellitus
is a common metabolic endocrinopathy resulting from absolute or relative deficiency of
insulin that leads to the metabolic disturbance of carbohydrate, fat and protein.
The typical case of diabetes mellitus is
usually featured by polyphagia , polydipsia, polyuria, and decrease of body weight. Early
or asymptomatic patients have only the manifestations caused by abnormal release of
cortical hormone and insulin in the body i.e. the elevated level of fasting blood sugar
and the abnormal glucose tolerance test. The symptomatic patients are usually complicated
with other symptoms of dermal, neural and endocrinic disorders in addition to the
polyphagia, polydipsia, polyuria and decrease of body weight above mentioned.
The main complications and concomitant
diseases of diabetes mellitus are diabetic ketoacidosis, cardiovascular diseases, diabetic
renopathy and peripheral neuropathy. Cardiovascualr complications are considered as one of
the chief causes of death.
Diabetes mellitus is classified into juvenile and adult
types according to the clinical features. The former is characterized by young age of
onset and a tendency to inheritance. The blood sugar fluctuates widely and is quite
sensitive to insulin. It is difficult to be treated and is easily complicated by
ketoacidosis and hypoglycemia, so is often named as insulin-dependent diabetes or unstable
diabetes. The adult type is characterized by real adult age and could be controlled by
dietary restriction or oral antidiabetics, thus is also called non-insulin-dependent
diabetes or stable diabetes.
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