Types of Diabetes According to National Diabetes Data Group Classification: Limited Applicability and Need to Revisit

Abourizk, Nicolas N.; Dunn, Jonathan

doi:10.2337/diacare.13.11.1120

Cited by 18 publications

(4 citation statements)

References 22 publications

(41 reference statements)

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“…Thus, in some non-obese patients with initial mild hyperglycaemia progressing to insulin-dependency after some months or years, it is uncertain whether they should be classified as Type 1 with slow onset or as Type 2 subjects [17,18]. When the NDDG criteria [10] were applied to some hundreds of diabetic patients, more than one third could not be classified as either Type 1 or Type 2 diabetic subjects [19]. In the present study, in which the classification was based on the clinical experience of the reporting physician, a certain degree of misclassification may be expected.…”

Section: Discussionmentioning

confidence: 99%

Male predominance of Type 1 (insulin-dependent) diabetes mellitus in young adults: results from a 5-year prospective nationwide study of the 15?34-year age group in Sweden

et al. 1992

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The incidence of diabetes mellitus in Sweden in the 15-34 year age group was prospectively studied on a nationwide basis, beginning 1 January 1983. A total of 1,214 male and 720 female cases of newly-diagnosed (excluding gestational) diabetes were reported over a 5-year period. This corresponds to an incidence of 20.5 per 100,000/year in male subjects and 12.7 per 100,000/year in female subjects. Most cases were classified as Type 1 (insulin-dependent) diabetes, with an incidence of 15.9 in males and 8.6 in females. The incidence of Type 1 diabetes decreased gradually with age, while the incidence of Type 2 (non-insulin-dependent) diabetes increased. A male predominance was found in all age groups, with a male-to-female ratio of 1.8:1 for Type 1 diabetes and 1.3:1 for Type 2 diabetes. Maximum blood glucose concentration at diagnosis was significantly higher in males than in females in both Type 1 and Type 2 diabetic subjects. In contrast, the percent desirable weight was significantly higher in females, both in Type 1 and Type 2 diabetic subjects. The difference in diabetes incidence therefore cannot be attributed to any methodological error. The present finding of a marked male predominance after puberty in Type 1 diabetes in an ethnically quite homogeneous population supports the hypothesis that environmental risk factors and life-style are important for the development of the disease.

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Section: Discussionmentioning

confidence: 99%

Male predominance of Type 1 (insulin-dependent) diabetes mellitus in young adults: results from a 5-year prospective nationwide study of the 15?34-year age group in Sweden

et al. 1992

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“…Different studies have, however, shown that these criteria have difficulties to distinguish between Type 1 diabetes and Type 2 diabetes [7,8,9]. Consequently, a classification based on aetiology was considered necessary [10,11]. In 1997, the Expert Committee on the diagnosis and classification of diabetes mellitus, sponsored by the American Diabetes Association (ADA), published new criteria based on disease aetiology [12], later also included in the new WHO guidelines in 1998 [13].…”

mentioning

confidence: 99%

Evaluation of the new ADA and WHO criteria for classification of diabetes mellitus in young adult people (15?34 yrs) in the Diabetes Incidence Study in Sweden (DISS)

et al. 2003

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Most young adults with clinical Type 1 diabetes (199/218, 91%) had objective Type 1 (ab+ at diagnosis/follow-up and/or low fasting plasma C-peptide concentrations at follow-up), as did one third (18/58, 31%) with clinical Type 2 diabetes and more than half (22/37, 59%) with unclassifiable diabetes. About 10% of those who were antibody negative converted to antibody positive. Our study underlines that a classification considering aetiology is superior to clinical judgement.

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“…Lack of precision in diabetes classification provokes confusing terms such as “insulin requiring” to explain treatment with insulin in persons thought to have resistant type 2 diabetes. In fact, present criteria are unable to classify as many as one-half of diabetic persons as specifically type 1 or type 2 diabetes 7,8. Consequently, literature reports of the outcome of ESRD therapy by diabetes type are few and imprecise.…”

Section: Natural History Of Diabetic Nephropathymentioning

confidence: 93%

Evolving Pandemic Diabetic Nephropathy

Friedman¹

2010

RMMJ

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The expanding impact of chronic kidney disease (CKD) due to pandemic diabetes mellitus is recounted emphasizing its epidemiology that has induced global socioeconomic stress on health care systems in industrialized nations now attempting to proffer optimal therapy for end stage renal disease (ESRD). Strategies to delay and perhaps prevent progression of diabetic nephropathy from minimal proteinuria through nephrotic range proteinuria and azotemia to ESRD appear to have decreased the rate of persons with diabetes who develop ESRD. For those with ESRD attributed to diabetes, kidney transplantation affords better survival and rehabilitation than either hemodialysis or peritoneal dialysis. It is likely that advances in genetics and molecular biology will suggest early interventions that will preempt diabetic complications including renal failure.

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Types of Diabetes According to National Diabetes Data Group Classification: Limited Applicability and Need to Revisit

Cited by 18 publications

References 22 publications

Male predominance of Type 1 (insulin-dependent) diabetes mellitus in young adults: results from a 5-year prospective nationwide study of the 15?34-year age group in Sweden

Male predominance of Type 1 (insulin-dependent) diabetes mellitus in young adults: results from a 5-year prospective nationwide study of the 15?34-year age group in Sweden

Evaluation of the new ADA and WHO criteria for classification of diabetes mellitus in young adult people (15?34 yrs) in the Diabetes Incidence Study in Sweden (DISS)

Evolving Pandemic Diabetic Nephropathy

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