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Einfache Einteilung der Subtypen des Diabetes in der Praxis.Ein Kommentar.
Simple diabetes subtype classification in clinical practice: A commentary.
Diabetologie 19, 112-116 (2023)
Background: Diabetes mellitus is a complex disease with different pathophysiological causes. Research in recent years has described various pheno- and genotypically defined subgroups for both prediabetes and diabetes. Question: For everyday clinical practice, it is essential to recognize the different phenotypes. It is proposed to do this using a simple measurement of endogenous insulin secretion. Materials and methods: The fasting C‑peptide/glucose ratio (CGR) can be used to estimate endogenous insulin secretion. A prerequisite for this is preserved kidney function (GFR > 50 ml/min/1.73 m2). Results: Autoimmune diabetes and its subtypes can be recognized by a low C‑peptide/glucose ratio, representing a lack of endogenous insulin secretion. A low CGR also describes severe insulin-deficient diabetes (SIDD). In contrast, severe insulin-resistant diabetes (SIRD) is characterized by a high CGR, which is equivalent to insulin hypersecretion. Conclusion: The C‑peptide/glucose ratio allows a simple assessment of different pathophysiological forms of diabetes. Importantly, it can also provide additional information on the need for insulin therapy.
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Anmerkungen
Besondere Publikation
Auf Hompepage verbergern
Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Review
Schlagwörter
C‑peptide ; Diabetes Classification ; Glucose Metabolism Disorders ; Insulin Secretion ; Insulin, Therapy
Sprache
deutsch
Veröffentlichungsjahr
2023
HGF-Berichtsjahr
2023
ISSN (print) / ISBN
2731-7447
e-ISSN
2731-7455
Zeitschrift
Diabetologie, Die
Quellenangaben
Band: 19,
Heft: 2,
Seiten: 112-116
Verlag
Springer
Verlagsort
Tiergartenstrasse 17, D-69121 Heidelberg, Germany
Begutachtungsstatus
Peer reviewed
POF Topic(s)
90000 - German Center for Diabetes Research
Forschungsfeld(er)
Helmholtz Diabetes Center
PSP-Element(e)
G-502400-001
WOS ID
000924165300001
Scopus ID
85164948313
Erfassungsdatum
2023-12-06