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Double diabetes-when type 1 diabetes meets type 2 diabetes: definition, pathogenesis and recognition.
Bielka, Weronika; Przezak, Agnieszka; Moleda, Piotr; Pius-Sadowska, Ewa; Machalinski, Boguslaw.
Afiliación
  • Bielka W; Department of Diabetology and Internal Diseases, Pomeranian Medical University, 72-009, Police, Poland. weronika.bielka@wp.pl.
  • Przezak A; Department of Diabetology and Internal Diseases, Pomeranian Medical University, 72-009, Police, Poland.
  • Moleda P; Department of Diabetology and Internal Diseases, Pomeranian Medical University, 72-009, Police, Poland.
  • Pius-Sadowska E; Department of General Pathology, Pomeranian Medical University, 70-111, Szczecin, Poland.
  • Machalinski B; Department of General Pathology, Pomeranian Medical University, 70-111, Szczecin, Poland.
Cardiovasc Diabetol ; 23(1): 62, 2024 02 10.
Article en En | MEDLINE | ID: mdl-38341550
ABSTRACT
Currently, the differentiation between type 1 diabetes (T1D) and type 2 diabetes (T2D) is not straightforward, and the features of both types of diabetes coexist in one subject. This situation triggered the need to discriminate so-called double diabetes (DD), hybrid diabetes or type 1.5 diabetes, which is generally described as the presence of the insulin resistance characteristic of metabolic syndrome in individuals diagnosed with T1D. DD not only raises the question of proper classification of diabetes but is also associated with a significantly greater risk of developing micro- and macroangiopathic complications, which was independent of glycaemic control. When considering the global obesity pandemic and increasing incidence of T1D, the prevalence of DD may also presumably increase. Therefore, it is of the highest priority to discover the mechanisms underlying the development of DD and to identify appropriate methods to prevent or treat DD. In this article, we describe how the definition of double diabetes has changed over the years and how it is currently defined. We discuss the accuracy of including metabolic syndrome in the DD definition. We also present possible hypotheses connecting insulin resistance with T1D and propose possible methods to identify individuals with double diabetes based on indirect insulin resistance markers, which are easily assessed in everyday clinical practice. Moreover, we discuss adjuvant therapy which may be considered in double diabetic patients.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Resistencia a la Insulina / Síndrome Metabólico / Diabetes Mellitus Tipo 1 / Diabetes Mellitus Tipo 2 Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Cardiovasc Diabetol Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / ENDOCRINOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Polonia

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Resistencia a la Insulina / Síndrome Metabólico / Diabetes Mellitus Tipo 1 / Diabetes Mellitus Tipo 2 Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Cardiovasc Diabetol Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / ENDOCRINOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Polonia