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- W2003154934 abstract "Nas últimas décadas temos observado um aumento da prevalência mundial da diabetes mellitus (DM) e com ela o surgimento de formas da doença que não se enquadram nas categorias de DM tradicionalmente reconhecidas. Dados existentes desde o século XX sugerem a existência de uma forma atípica de diabetes juvenil insulinodependente e resistente à cetose, que surge em zonas socialmente mais desfavorecidas do globo e difere dos vários tipos de diabetes incluídos na classificação atual da Organização Mundial de Saúde (OMS). Estes casos ocorrem principalmente em jovens com história de desnutrição pré‐natal ou infantil. Caracterizam‐se por não desenvolverem cetoacidose na ausência de insulinoterapia, apresentarem níveis doseáveis mas baixos de peptídeo C, marcadores de autoimunidade presentes apenas num subgrupo e ausência de calcificações pancreáticas. De seguida descrevemos 2 casos clínicos cujas características clínicas sugerem tratar‐se deste tipo de diabetes e tentamos realçar a necessidade de uma definição mais clara dos diferentes fenótipos de diabetes existentes a nível mundial e dos novos mecanismos de disfunção da célula beta (β), com o objetivo de sensibilizar para o diagnóstico cuidadoso da doença, nomeadamente no que diz respeito a tipos de DM menos frequentes. The global incidence of diabetes mellitus (DM) has been increasing in the last decades and new forms of the disease have appeared, not falling into the traditional categories of DM. Data from the twentieth century suggest that there's an atypical form of diabetes arising in developing countries which requires insulin but is ketosis‐resistant, different from the categories of diabetes included in the current classification of the World Health Organization (WHO). This form of DM occurs mostly in young people with prenatal or childhood malnutrition. Usually, they don’t develop ketoacidosis in the absence of insulin, have low levels of C‐peptide, autoimmunity is only present on some patients and pancreatic calcifications are absent. In this article we describe two cases with clinical features that resemble malnutrition‐related DM. We emphasize the need for a more precise definition of the different existing phenotypes of diabetes and new mechanisms of beta‐cell dysfunction (β). Our purpose is to raise awareness for the accurate diagnosis of the disease, particularly for less frequent forms of diabetes." @default.
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- W2003154934 date "2014-01-01" @default.
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- W2003154934 title "Diabetes mellitus associada à desnutrição proteica: realidade ou ficção?" @default.
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