Features of diagnosis of diabetes in adolescents and young people
The problem of differentiation of disease types
At the initial stages of the disease, the diagnosis of diabetes mellitus (DM) of the first or second type in young people under the age of thirty is quite complex. To study these variants of diabetes, a clinical study was conducted, including two groups of patients aged 15 to 30 years, who compared and analyzed the history, clinical symptoms and metabolic indicators of the disease.
DM of the second variant in young patients is characterized by such diagnostic criteria as the presence of a family history of diabetes, obesity (body mass ratio exceeds the 50th percentile) and the fact that there are no specific autoimmune antibodies in the blood plasma. However, an unequivocal statement that a patient has this disease is possible only after a dynamic observation and constant monitoring.
Diagnosis of diabetes mellitus 2 types, as a rule, is the lot of patients over forty. However, recently, in connection with the fact that the methods of initial diagnosis of carbohydrate metabolism disorders have become more sophisticated, the number of newly diagnosed young patients with non-immune form of diabetes mellitus has significantly increased. The increase in the number of adolescents who are sick with the second type of diabetes is associated with the presence of excessive body weight and hypodynamia. There was also an increase in the number of sick children in those populations characterized by a high percentage of sick adults.