最近审阅: 1 十一月 2020
最近更新: 13 九月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 黑棘皮症
  • 多尿
  • 多饮
  • 夜尿

其他诊断因素

  • 高血压
  • 真菌感染
  • 皮肤感染
  • 泌尿道感染
  • 疲劳
  • 视力模糊
  • 体重减轻

危险因素

  • 肥胖
  • 遗传倾向/家族史
  • 高风险的种族背景
  • 青春期
  • 女性
  • 早产儿
  • 婴儿期快速增长
  • 糖尿病患者子宫内环境
  • 人工喂养
  • 婴儿的高蛋白摄取
  • 多囊卵巢
  • 肌细胞内脂质含量
  • 脂肪沉积于肝脏

诊断性检查

首要检查

  • 尿试纸试验
  • 随机血糖
  • 空腹血糖
  • HbA1c
  • 胰岛素自身抗体、抗胰岛细胞自身抗体、谷氨酸脱羧酶自身抗体、锌转运体 8 自身抗体
更多 首要检查

需考虑的检查

  • 口服葡萄糖耐量检查
  • C 肽
更多 需考虑的检查

治疗流程

撰稿人

Pediatric Endocrinology Fellow

Department of Pediatrics

University of Florida

Gainesville

FL

利益声明

PH declares that he has no competing interests.

Jennifer Miller

Assistant Professor

Department of Pediatrics

University of Florida

Gainesville

FL

利益声明

JM is an author of a reference cited in this topic.

Dr Paul Hiers and Dr Jennifer Miller wish to gratefully acknowledge Dr Arlan Rosenbloom, a previous contributor to this topic.

利益声明

AR is an author of a number of references cited in this topic.

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Professor

Diabetes and Metabolic Endocrinology

School of Clinical Sciences

University of Bristol

UK

利益声明

In the past, JPHS received speaking honoraria from Sanofi-Aventis, Roche, Abbott, Novo-Nordisk, and Nutricia. None of these talks were directly pertinent to the treatment of type 2 diabetes.

Professor of Pediatrics

University of California

Sacramento

CA

利益声明

KN declares that she has no competing interests.

Professor of Pediatrics

Rumsey Chair of Pediatric Endocrinology

University of California

Sacramento

CA

利益声明

DS declares that he has no competing interests.

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