小结
定义
病史和体格检查
关键诊断因素
- hiperglicemia
- poliúria
- polidipsia
其他诊断因素
- pouca idade
- perda de peso
- visão turva
- náuseas e vômitos
- dor abdominal
- desidratação clínica
- dor abdominal
- taquipneia
- letargia
- coma ou estado mental alterado
危险因素
- predisposição genética
- região geográfica
- agentes infecciosos
- fatores alimentares
诊断性检查
首要检查
- glicemia plasmática aleatória (crianças)
- glicemia de jejum (crianças)
- glicose plasmática em 2 horas (crianças)
- HbA1c (crianças)
- diagnóstico clínico (adultos)
需考虑的检查
- dosagem de corpos cetônicos séricos ou urinários
- peptídeo C
- marcadores autoimunes
治疗流程
crianças e adultas não gestantes
gestante
撰稿人
作者
Eveleigh Nicholson, MBBS, FRCP
Consultant Endocrinologist
Portsmouth Hospitals University NHS Trust
UK
利益声明
EN has received honoraria for educational activities/advisory boards from NovoNordisk, Eli Lilly and Boehringer Ingelheim.
Sze May Ng, MBBS (Hons), FHEA, FRCPCH, SFFMLM, MSc, LLM, MBA, PhD
Honorary Associate Professor
University of Liverpool
Consultant Paediatrician and Paediatric Endocrinologist
Southport and Ormskirk NHS Trust
UK
利益声明
SMN declares that she has no competing interests.
Partha Kar, OBE, MBBS MD, FRCP
Consultant Endocrinologist
Portsmouth Hospitals University NHS Trust
National Specialty Advisor, Diabetes, NHS England
UK
利益声明
PK has sat on advisory boards and attended events reimbursed by Novo Nordisk, Eli Lilly and Sanofi.
鸣谢
Dr Eveleigh Nicholson, Dr Sze May Ng, and Professor Partha Kar would like to gratefully acknowledge Dr Rajesh K. Garg and Dr Varsha Vimalananda, the previous contributors to this topic.
利益声明
RKG is an author of a number of references cited in this topic. VV declares that she has no competing interests.
同行评议者
Omar Mustafa, MBChB, FRCP
Consultant Physician in Diabetes
Senior Lecturer in Medical Education
King's College Hospital NHS Foundation Trust
King’s College London
London
UK
利益声明
OM has received honoraria for educational activities/lectures from NovoNordisk, Eli Lilly, Sanofi, and Boehringer Ingelheim.
Hood Thabit, MB, BCh, MD, PhD
Consultant Diabetologist & Honorary Senior Lecturer
Manchester University Hospitals NHS Foundation Trust
University of Manchester
Manchester
UK
利益声明
HT has received research support from Dexcom, Inc., and speaker fees from Eli Lilly.
参考文献
关键文献
National Institute for Health and Care Excellence. Diabetes (type 1 and type 2) in children and young people: diagnosis and management. Dec 2020 [internet publication].全文
National Institute for Health and Care Excellence. Type 1 diabetes in adults: diagnosis and management. Jul 2021 [internet publication].全文
National Institute for Health and Care Excellence. Diabetes in pregnancy: management from preconception to the postnatal period. Dec 2020 [internet publication].全文
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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