Diabetes treatment is a troubled problem, because there is no drug or method to cure diabetes, the patient can only be affected by the disease for life. Diabetes also has classification, common type 1, type 2 diabetes and gestational diabetes, because the classification is different, the pathogenesis is different, patients should distinguish their own disease type, in order to prescribe the right medicine, to develop appropriate quality program.
1, insulin antibody series
For the entire diabetes group, positive has a significant significance for the diagnosis of type 1 diabetes. However, due to differences in test equipment, patients with different levels of antibody titer, there are some type 1 diabetes antibody is negative. Some type 2 diabetes antibodies can also be positive. For a particular diabetes patient, such antibody negative can not be excluded from type 1 diabetes. Positive can not be sure of type 1 diabetes. And can not be judged as an absolute standard.
2, insulin C peptide functional test
Previously take this as a basis of classification, insulin C peptide dysfunction in patients with type 1 diabetes. Now with the extensive application of this experiment, we found a lot of fasting blood glucose in patients with type 2 diabetes, insulin C peptide function was significantly lower. At this point even there is ketone body. But after a period of intensive insulin therapy. Insulin C peptide function recovery, some can also stop all drugs. Initially designated as type 1 diabetes, and finally changed to type 2. Therefore, the method is not a gold standard.
3, the other is the clinical indicators, such as: age, weight, symptoms, ketone body, family history and so on.
There is a big cross between the two types, only to provide a classification of the possibility of size only. Is not that we can not do anything about classification? First of all, we can easily type those typical cases. Then have comprehensive analysis of clinical and examination results. Also, now there is a popular concept of diabetes circle: heavy treatment, light type. Because the classification of difficult cases is mainly insulin C peptide function is low, high blood sugar that part of the people. The treatment of insulin in principle will strengthen the treatment. With the control of blood glucose, islet function recovery, change medication can be well controlled is type 2, can not be disabled is type 1, or for the sustained impairment of insulin C peptide function. In fact, the purpose of classification is to predict and guide the treatment, in layman's terms that is not to use insulin, shortly or commonly use. If you can not stop the insulin, it should be used. Classification is not the most important.