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Uncommon Types Of Diabetes

Diabetes has several clinical forms, each of which has a distinct origin, clinical presentation, and course . From our previous discussion it is obvious that Type I (IDDM) and Type II (NIDDM) are the most prevalent and probably the most devastating as to the long term ravages on the neurologic and cardiovascular systems. As a rule, one can state that most of the uncommon forms of diabetes are non‑insulin dependent.

 

Most of these less common forms of diabetes have been mentioned previously. The following, therefore, is meant only to refresh your memory and to act as a summary of situations, signs, some symptoms, and uniqueness of each type;

 

Gestational Diabetes

Carbohydrate intolerance during pregnancy which usually disappears after delivery. Usually develops during the last trimester of pregnancy. Thirty to fifty percent of these patients will eventually develop a Type II diabetes mellitus within 10 years of the initial diagnosis. In rare situations they will develop Type I diabetes mellitus.

 

Alloxan Diabetes

This a form of diabetes mellitus that can be induced in animals by the administration of the chemical alloxan which is known to damage the insulin‑producing islet cells of the pancreas.

 

Bronze Diabetes

This is diabetes mellitus associated with hemochromatosis, with iron deposit in the skin, liver, pancreas, and other organs, often with severe liver damage and glucosuria. (Hemochromatosis: A disorder of iron metabolism characterized by excessive absorption and accumulation of body stores of iron).

 

Diabetes Intermittens

This is a rare and poorly understood form of diabetes mellitus which is characterized by periods of relatively normal carbohydrate metabolism followed by relapse in to full blown disease.

 

Latent Diabetes

A mild form of diabetes mellitus in which the patient displays no overt symptoms, but display certain abnormal responses to diagnostic procedures, such as an elevated fasting blood glucose concentration or reduced glucose tolerance. Note: Sometimes referred to as: Chemical Diabetes.

 

Mosier's Diabetes

Not truly diabetes mellitus. It is characterized by inosituria (inositol in the urine) excretion of large quantities of water. Pancreatic Diabetes: Diabetes mellitus (usually referred to as secondary diabetes mellitus) resulting from a pancreatic lesion such as an insulinoma or pancreatic destruction from pesticides such as rodenticide (Vancor). Diabetes mellitus following the surgical removal of the pancreas is often referred to as pancreatic diabetes.

 

Starvation Diabetes

After prolonged fasting, glucosuria following the ingestion of carbohydrate or glucose because of reduced output of insulin and/or reduced rate of glucose metabolism with a reduce ability   to form glucose. Most feel that this form of diabetes is temporary.

 

Steroid Diabetes

Diabetes mellitus produced by pharmacological doses of steroid hormones, particularly glucocorticoids or estrogens; characterized by one or more of the typical manifestations of diabetes mellitus.

 

Thiazide Diabetes

Impaired carbohydrate metabolism associated with the use of thiazide diuretic drugs; severe manifestations are seen in persons having diabetes mellitus, but impairment is mild or absent in non‑diabetic individuals.

 

 

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