Progressive decline of β-cell function in noninsulin dependent diabetes

Autor: Ahmed, Sahid, Clark, Anne, Matthews, David R., DPhil
Zdroj: Current Opinion in Endocrinology & Diabetes; August 1997, Vol. 4 Issue: 4 p300-307, 8p
Abstrakt: The deterioration in non-insulin dependent diabetes is associated with progressive failure of β cells. Decline in β-cell function is likely to be exacerbated by increased insulin resistance. Progressive deterioration of (3-cell function cannot be influenced by either insulin or sulfonylurea therapy. The pathophysiology of failure is still unknown, though possibilities include islet amyloid formation, so-called “glucose toxicity,” and lateonset autoimmunity (latent autoimmune diabetes of adults). Raised proinsulin levels may be one marker of β-cell failure. Maturity-onset diabetes of the young results from mutations in genes coding for islet proteins causing persistent β-cell dysfunction. Identification of a single causative factor is unlikely in such a heterogeneous disease.
Databáze: Supplemental Index