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Type 2 diabetes

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Type 2 diabetes
Other namesDiabetes mellitus type 2;
adult-onset diabetes;[1]
noninsulin-dependent diabetes mellitus (NIDDM)
A blue circle is the universal symbol of diabetes.[2]
Pronunciation
SpecialtyEndocrinology
SymptomsIncreased thirst, frequent urination, unexplained weight loss, increased hunger[3]
ComplicationsHyperosmolar hyperglycemic state, diabetic ketoacidosis, heart disease, stroke, diabetic retinopathy, kidney failure, lower-limb amputations[1][4][5]
Usual onsetMiddle or older age[6]
DurationLong term[6]
CausesObesity, lack of exercise, genetics[1][6]
Diagnostic methodBlood test[3]
PreventionMaintaining normal weight, exercising, healthy diet[1]
TreatmentDietary changes, metformin, insulin, bariatric surgery[1][7][8][9]
Prognosis10 year shorter life expectancy[10]
Frequency392 million (2015)[11]

Type 2 diabetes (T2D), formerly known as adult-onset diabetes, is a form of diabetes mellitus that is characterized by high blood sugar, insulin resistance, and relative lack of insulin.[6] Common symptoms include increased thirst, frequent urination, fatigue and unexplained weight loss.[3] Other symptoms include increased hunger, having a sensation of pins and needles, and sores (wounds) that heal slowly.[3] Symptoms often develop slowly.[6] Long-term complications from high blood sugar include heart disease, stroke, diabetic retinopathy, which can result in blindness, kidney failure, and poor blood flow in the lower-limbs, which may lead to amputations.[1] The sudden onset of hyperosmolar hyperglycemic state may occur; however, ketoacidosis is uncommon.[4][5]

Type 2 diabetes primarily occurs as a result of obesity and lack of exercise.[1] Some people are genetically more at risk than others.[6]

Type 2 diabetes makes up about 90% of cases of diabetes, with the other 10% due primarily to type 1 diabetes and gestational diabetes.[1] In type 1 diabetes, there is a lower total level of insulin to control blood glucose, due to an autoimmune-induced loss of insulin-producing beta cells in the pancreas.[12][13] Diagnosis of diabetes is by blood tests such as fasting plasma glucose, oral glucose tolerance test, or glycated hemoglobin (A1c).[3]

Type 2 diabetes is largely preventable by staying at a normal weight, exercising regularly, and eating a healthy diet (high in fruits and vegetables and low in sugar and saturated fat).[1]

Treatment involves exercise and dietary changes.[1] If blood sugar levels are not adequately lowered, the medication metformin is typically recommended.[7][14] Many people may eventually also require insulin injections.[9] In those on insulin, routinely checking blood sugar levels (such as through a continuous glucose monitor) is advised; however, this may not be needed in those who are not on insulin therapy.[15] Bariatric surgery often improves diabetes in those who are obese.[8][16]

Rates of type 2 diabetes have increased markedly since 1960 in parallel with obesity.[17] As of 2015, there were approximately 392 million people diagnosed with the disease compared to around 30 million in 1985.[11][18] Typically, it begins in middle or older age,[6] although rates of type 2 diabetes are increasing in young people.[19][20] Type 2 diabetes is associated with a ten-year-shorter life expectancy.[10] Diabetes was one of the first diseases ever described, dating back to an Egyptian manuscript from c. 1500 BCE.[21] Type 1 and type 2 diabetes were identified as separate conditions in 400–500 CE with type 1 associated with youth and type 2 with being overweight.[22] The importance of insulin in the disease was determined in the 1920s.[23]

Signs and symptoms

Overview of the most significant symptoms of diabetes

The classic symptoms of diabetes are frequent urination (polyuria), increased thirst (polydipsia), increased hunger (polyphagia), and weight loss.[24] Other symptoms that are commonly present at diagnosis include a history of blurred vision, itchiness, peripheral neuropathy, recurrent vaginal infections, and fatigue.[13] Other symptoms may include loss of taste.[25] Many people, however, have no symptoms during the first few years and are diagnosed on routine testing.[13] A small number of people with type 2 diabetes can develop a hyperosmolar hyperglycemic state (a condition of very high blood sugar associated with a decreased level of consciousness and low blood pressure).[13]

Complications

Main article: Complications of diabetes

Type 2 diabetes is typically a chronic disease associated with a ten-year-shorter life expectancy.[10][26] This is partly due to a number of complications with which it is associated, including: two to four times the risk of cardiovascular disease, including ischemic heart disease and stroke; a 20-fold increase in lower limb amputations, and increased rates of hospitalizations.[10] In the developed world, and increasingly elsewhere, type 2 diabetes is the largest cause of nontraumatic blindness and kidney failure.[27] It has also been associated with an increased risk of cognitive dysfunction and dementia through disease processes such as Alzheimer's disease and vascular dementia.[28] Other complications include hyperpigmentation of skin (acanthosis nigricans), sexual dysfunction, diabetic ketoacidosis, and frequent infections.[24][29][30] There is also an association between type 2 diabetes and mild hearing loss.[31]

Causes

The development of type 2 diabetes is caused by a combination of lifestyle and genetic factors.[27][32] While some of these factors are under personal control, such as diet and obesity, other factors are not, such as increasing age, female sex, and genetics.[10] Generous consumption of alcohol is also a risk factor.[33] Obesity is more common in women than men in many parts of Africa.[34] The nutritional status of a mother during fetal development may also play a role.[35]

Lifestyle

Main article: Lifestyle causes of type 2 diabetes

Lifestyle factors are important to the development of type 2 diabetes, including obesity and being overweight (defined by a body mass index of greater than 25), lack of physical activity, poor diet, psychological stress, and urbanization.[10][36] Excess body fat is associated with 30% of cases in those of Chinese and Japanese descent, 60–80% of cases in those of European and African descent, and 100% of cases in Pima Indians and Pacific Islanders.[13] Among those who are not obese, a high waist–hip ratio is often present.[13] Smoking appears to increase the risk of type 2 diabetes.[37] Lack of sleep has also been linked to type 2 diabetes.[38] Laboratory studies have linked short-term sleep deprivations to changes in glucose metabolism, nervous system activity, or hormonal factors that may lead to diabetes.[38]

Dietary factors also influence the risk of developing type 2 diabetes. Consumption of sugar-sweetened drinks in excess is associated with an increased risk.[39][40] The type of fats in the diet are important, with saturated fat and trans fatty acids increasing the risk, and polyunsaturated and monounsaturated fat decreasing the risk.[32] Eating a lot of white rice appears to play a role in increasing risk.[41] A lack of exercise is believed to cause 7% of cases.[42] Sedentary lifestyle is another risk factor.[43] Persistent organic pollutants may also play a role.[44]

Genetics

Main articles: Genetic causes of type 2 diabetes and Epigenetics of diabetes type 2

Most cases of diabetes involve many genes, with each being a small contributor to an increased probability of becoming a type 2 diabetic.[10] The proportion of diabetes that is inherited is estimated at 72%.[45] More than 36 genes and 80 single nucleotide polymorphisms (SNPs) had been found that contribute to the risk of type 2 diabetes.[46][47] All of these genes together still only account for 10% of the total heritable component of the disease.[46] The TCF7L2 allele, for example, increases the risk of developing diabetes by 1.5 times and is the greatest risk of the common genetic variants.[13] Most of the genes linked to diabetes are involved in pancreatic beta cell functions.[13]

There are a number of rare cases of diabetes that arise due to an abnormality in a single gene (known as monogenic forms of diabetes or "other specific types of diabetes").[10][13] These include maturity onset diabetes of the young (MODY), Donohue syndrome, and Rabson–Mendenhall syndrome, among others.[10] Maturity onset diabetes of the young constitute 1–5% of all cases of diabetes in young people.[48]

Epigenetic regulation may have a role in type 2 diabetes.[49]

Medical conditions

There are a number of medications and other health problems that can predispose to diabetes.[50] Some of the medications include: glucocorticoids, thiazides, beta blockers, atypical antipsychotics,[51] and statins.[52] Those who have previously had gestational diabetes are at a higher risk of developing type 2 diabetes.[24] Other health problems that are associated include: acromegaly, Cushing's syndrome, hyperthyroidism, pheochromocytoma, and certain cancers such as glucagonomas.[50] Individuals with cancer may be at a higher risk of mortality if they also have diabetes.[53] Testosterone deficiency is also associated with type 2 diabetes.[54][55] Eating disorders may also interact with type 2 diabetes, with bulimia nervosa increasing the risk and anorexia nervosa decreasing it.[56]

Pathophysiology

Hyberbolic relationship between insulin sensitivity and beta cell function showing dynamical compensation in "healthy" insulin resistance (transition from A to B) and the evolution of type 2 diabetes mellitus (transition from A to C).
Hyberbolic relationship between insulin sensitivity and beta cell function showing dynamical compensation in "healthy" insulin resistance (transition from A to B) and the evolution of type 2 diabetes mellitus (transition from A to C). Disposition metrics integrate beta cell function and insulin sensitivity in a way so that the results remain constant across dynamical compensation. Changed from Cobelli et al. 2007, Hannon et al. 2018 and Dietrich et al. 2024[57][58][59]

Type 2 diabetes is due to insufficient insulin production from beta cells in the setting of insulin resistance.[13] Insulin resistance, which is the inability of cells to respond adequately to normal levels of insulin, occurs primarily within the muscles, liver, and fat tissue.[60] In the liver, insulin normally suppresses glucose release. However, in the setting of insulin resistance, the liver inappropriately releases glucose into the blood.[10] The proportion of insulin resistance versus beta cell dysfunction differs among individuals, with some having primarily insulin resistance and only a minor defect in insulin secretion and others with slight insulin resistance and primarily a lack of insulin secretion.[13]

Other potentially important mechanisms associated with type 2 diabetes and insulin resistance include: increased breakdown of lipids within fat cells, resistance to and lack of incretin, high glucagon levels in the blood, increased retention of salt and water by the kidneys, and inappropriate regulation of metabolism by the central nervous system.[10] However, not all people with insulin resistance develop diabetes since an impairment of insulin secretion by pancreatic beta cells is also required.[13]

In the early stages of insulin resistance, the mass of beta cells expands, increasing the output of insulin to compensate for the insulin insensitivity, so that the disposition index remains constant.[61] But when type 2 diabetes has become manifest, the person will have lost about half of their beta cells.[61]

The causes of the aging-related insulin resistance seen in obesity and in type 2 diabetes are uncertain. Effects of intracellular lipid metabolism and ATP production in liver and muscle cells may contribute to insulin resistance.[62]

Diagnosis

WHO diabetes diagnostic criteria[63][64]  edit
Condition 2-hour glucose Fasting glucose HbA1c
Unit mmol/L mg/dL mmol/L mg/dL mmol/mol DCCT %
Normal < 7.8 < 140 < 6.1 < 110 < 42 < 6.0
Impaired fasting glycaemia < 7.8 < 140 6.1–7.0 110–125 42–46 6.0–6.4
Impaired glucose tolerance ≥ 7.8 ≥ 140 < 7.0 < 126 42–46 6.0–6.4
Diabetes mellitus ≥ 11.1 ≥ 200 ≥ 7.0 ≥ 126 ≥ 48 ≥ 6.5

The World Health Organization definition of diabetes (both type 1 and type 2) is for a single raised glucose reading with symptoms, otherwise raised values on two occasions, of either:[65]

  • fasting plasma glucose ≥ 7.0 mmol/L (126 mg/dL)
or

A random blood sugar of greater than 11.1 mmol/L (200 mg/dL) in association with typical symptoms[24] or a glycated hemoglobin (HbA1c) of ≥ 48 mmol/mol (≥ 6.5 DCCT %) is another method of diagnosing diabetes.[10] In 2009, an International Expert Committee that included representatives of the American Diabetes Association (ADA), the International Diabetes Federation (IDF), and the European Association for the Study of Diabetes (EASD) recommended that a HbA1c threshold of ≥ 48 mmol/mol (≥ 6.5 DCCT %) should be used to diagnose diabetes.[66] This recommendation was adopted by the American Diabetes Association in 2010.[67] Positive tests should be repeated unless the person presents with typical symptoms and blood sugar >11.1 mmol/L (>200 mg/dL).[66]

ADA diabetes diagnostic criteria[68]  
Diabetes mellitus Prediabetes
HbA1c ≥ 6.5% (≥ 48 mmol/mol) 5.7–6.4% (39–47 mmol/mol)
Fasting glucose ≥ 126 mg/dL 100–125 mg/dL
2h glucose ≥ 200 mg/dL 140–199 mg/dL
Random glucose with classic symptoms ≥ 200 mg/dL Not available

Threshold for diagnosis of diabetes is based on the relationship between results of glucose tolerance tests, fasting glucose or HbA1c and complications such as retinal problems.[10] A fasting or random blood sugar is preferred over the glucose tolerance test, as they are more convenient for people.[10] HbA1c has the advantages that fasting is not required and results are more stable but has the disadvantage that the test is more costly than measurement of blood glucose.[69] It is estimated that 20% of people with diabetes in the United States do not realize that they have the disease.[10]

Type 2 diabetes is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency.[70] This is in contrast to type 1 diabetes in which there is an absolute insulin deficiency due to destruction of islet cells in the pancreas and gestational diabetes that is a new onset of high blood sugars associated with pregnancy.[13] Type 1 and type 2 diabetes can typically be distinguished based on the presenting circumstances.[66] If the diagnosis is in doubt antibody testing may be useful to confirm type 1 diabetes and C-peptide levels may be useful to confirm type 2 diabetes,[71] with C-peptide levels normal or high in type 2 diabetes, but low in type 1 diabetes.[72]

Screening

Universal screening for diabetes in people without risk factors or symptoms is not recommended.[73]

The United States Preventive Services Task Force (USPSTF) recommended in 2021 screening for type 2 diabetes in adults aged 35 to 70 years old who are overweight (i.e. BMI over 25) or have obesity.[73] For people of Asian descent, screening is recommended if they have a BMI over 23.[73] Screening at an earlier age may be considered in people with a family history of diabetes; some ethnic groups, including Hispanics, African Americans, and Native Americans; a history of gestational diabetes; polycystic ovary syndrome.[73] Screening can be repeated every 3 years.[73]

The American Diabetes Association (ADA) recommended in 2024 screening in all adults from the age of 35 years.[68] ADA also recommends screening in adults of all ages with a BMI over 25 (or over 23 in Asian Americans) with another risk factor: first-degree relative with diabetes, ethnicity at high risk for diabetes, blood pressure ≥130/80 mmHg or on therapy for hypertension, history of cardiovascular disease, physical inactivity, polycystic ovary syndrome or severe obesity.[68] ADA recommends repeat screening every 3 years at minimum.[68] ADA recommends yearly tests in people with prediabetes.[68] People with previous gestational diabetes or pancreatitis are also recommended screening.[68]

There is no evidence that screening changes the risk of death and any benefit of screening on adverse effects, incidence of type 2 diabetes, HbA1c or socioeconomic effects are not clear.[74][75]

In the UK, NICE guidelines suggest taking action to prevent diabetes for people with a body mass index (BMI) of 30 or more.[76] For people of Black African, African-Caribbean, South Asian and Chinese descent the recommendation to start prevention starts at the BMI of 27,5.[76] A study based on a large sample of people in England suggest even lower BMIs for certain ethnic groups for the start of prevention, for example 24 in South Asian and 21 in Bangladeshi populations.[77][78]

Prevention

Main article: Prevention of type 2 diabetes

Onset of type 2 diabetes can be delayed or prevented through proper nutrition and regular exercise.[79][80] Intensive lifestyle measures may reduce the risk by over half.[27][81] The benefit of exercise occurs regardless of the person's initial weight or subsequent weight loss.[82] High levels of physical activity reduce the risk of diabetes by about 28%.[83] Evidence for the benefit of dietary changes alone, however, is limited,[80] with some evidence for a diet high in green leafy vegetables[84] and some for limiting the intake of sugary drinks.[85] There is an association between higher intake of sugar-sweetened fruit juice and diabetes, but no evidence of an association with 100% fruit juice.[86] A 2019 review found evidence of benefit from dietary fiber.[87]

A 2017 review found that, long term, lifestyle changes decreased the risk by 28%, while medication does not reduce risk after withdrawal.[88] While low vitamin D levels are associated with an increased risk of diabetes, correcting the levels by supplementing vitamin D3 does not improve that risk.[89]

In those with prediabetes, diet in combination with physical activity delays or reduces the risk of type 2 diabetes, according to a 2017 Cochrane review.[80] In those with prediabetes, metformin may delay or reduce the risk of developing type 2 diabetes compared to diet and exercise or a placebo intervention, but not compared to intensive diet and exercise, and there was not enough data on outcomes such as mortality and diabetic complications and health-related quality of life, according to a 2019 Cochrane review.[90] In those with prediabetes, alpha-glucosidase inhibitors such as acarbose may delay or reduce the risk of type 2 diabetes when compared to placebo, however there was no conclusive evidence that acarbose improved cardiovascular mortality or cardiovascular events, according to a 2018 Cochrane review.[91] In those with prediabetes, pioglitazone may delay or reduce the risk of developing type 2 diabetes compared to placebo or no intervention, but no difference was seen compared to metformin, and data were missing on mortality and complications and quality of life, according to a 2020 Cochrane review.[92] In those with prediabetes, there was insufficient data to draw any conclusions on whether SGLT2 inhibitors may delay or reduce the risk of developing type 2 diabetes, according to a 2016 Cochrane review.[93]

Management

Further information: Diabetes management

Management of type 2 diabetes focuses on lifestyle interventions, lowering other cardiovascular risk factors, and maintaining blood glucose levels in the normal range.[27] Self-monitoring of blood glucose for people with newly diagnosed type 2 diabetes may be used in combination with education,[94] although the benefit of self-monitoring in those not using multi-dose insulin is questionable.[27] In those who do not want to measure blood levels, measuring urine levels may be done.[95] Managing other cardiovascular risk factors, such as hypertension, high cholesterol, and microalbuminuria, improves a person's life expectancy.[27] Decreasing the systolic blood pressure to less than 140 mmHg is associated with a lower risk of death and better outcomes.[96] Intensive blood pressure management (less than 130/80 mmHg) as opposed to standard blood pressure management (less than 140–160 mmHg systolic to 85–100 mmHg diastolic) results in a slight decrease in stroke risk but no effect on overall risk of death.[97]

Intensive blood sugar lowering (HbA1c < 6%) as opposed to standard blood sugar lowering (HbA1c of 7–7.9%) does not appear to change mortality.[98][99] The goal of treatment is typically an HbA1c of 7 to 8% or a fasting glucose of less than 7.2 mmol/L (130 mg/dL); however these goals may be changed after professional clinical consultation, taking into account particular risks of hypoglycemia and life expectancy.[100][101] Hypoglycemia is associated with adverse outcomes in older people with type 2 diabetes.[102] Despite guidelines recommending that intensive blood sugar control be based on balancing immediate harms with long-term benefits, many people – for example people with a life expectancy of less than nine years who will not benefit, are over-treated.[103]

It is recommended that all people with type 2 diabetes get regular eye examinations.[13] There is moderate evidence suggesting that treating gum disease by scaling and root planing results in an improvement in blood sugar levels for people with diabetes.[104]

Lifestyle

Exercise

A proper diet and regular exercise are foundations of diabetic care,[24] with one review indicating that a greater amount of exercise improved outcomes.[105] Regular exercise may improve blood sugar control, decrease body fat content, and decrease blood lipid levels.[106]

Diet

Further information: Diet in diabetes

Calorie restriction to promote weight loss is generally recommended.[107] Around 80 percent of obese people with type 2 diabetes achieve complete remission with no need for medication if they sustain a weight loss of at least 15 kilograms (33 lb),[108][109] but most patients are not able to achieve or sustain significant weight loss.[110] Even modest weight loss can produce significant improvements in glycemic control and reduce the need for medication.[111]

Several diets may be effective such as the DASH diet, Mediterranean diet, low-fat diet, or monitored carbohydrate diets such as a low carbohydrate diet.[112][113][114] Other recommendations include emphasizing intake of fruits, vegetables, reduced saturated fat and low-fat dairy products, and with a macronutrient intake tailored to the individual, to distribute calories and carbohydrates throughout the day.[112][115] A 2021 review showed that consumption of tree nuts (walnuts, almonds, and hazelnuts) reduced fasting blood glucose in diabetic people.[116] As of 2015, there is insufficient data to recommend nonnutritive sweeteners, which may help reduce caloric intake.[117] An elevated intake of microbiota-accessible carbohydrates can help reducing the effects of T2D.[118] Viscous fiber supplements may be useful in those with diabetes.[119]

Culturally appropriate education may help people with type 2 diabetes control their blood sugar levels for up to 24 months.[120] There is not enough evidence to determine if lifestyle interventions affect mortality in those who already have type 2 diabetes.[81]

Stress management

Although psychological stress is recognized as a risk factor for type 2 diabetes,[10] the effect of stress management interventions on disease progression are not established.[121] A Cochrane review is under way to assess the effects of mindfulness‐based interventions for adults with type 2 diabetes.[122]

Medications

Blood sugar control

See also: Diabetes medication

There are several classes of diabetes medications available. Metformin is generally recommended as a first line treatment as there is some evidence that it decreases mortality;[7][27][123] however, this conclusion is questioned.[124] Metformin should not be used in those with severe kidney or liver problems.[24] The American Diabetes Association and European Association for the Study of Diabetes recommend using a GLP-1 receptor agonist or SGLT2 inhibitor as the first-line treatment in patients who have or are at high risk for atherosclerotic cardiovascular disease, heart failure, or chronic kidney disease.[125][126] The higher cost of these drugs compared to metformin has limited their use.[110][127][128]

Other classes of medications include: sulfonylureas, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, SGLT2 inhibitors, and GLP-1 receptor agonists.[126] A 2018 review found that SGLT2 inhibitors and GLP-1 agonists, but not DPP-4 inhibitors, were associated with lower mortality than placebo or no treatment.[129] Rosiglitazone, a thiazolidinedione, has not been found to improve long-term outcomes even though it improves blood sugar levels.[130] Additionally it is associated with increased rates of heart disease and death.[131]

Injections of insulin may either be added to oral medication or used alone.[27] Most people do not initially need insulin.[13] When it is used, a long-acting formulation is typically added at night, with oral medications being continued.[24][27] Doses are then increased to effect (blood sugar levels being well controlled).[27] When nightly insulin is insufficient, twice daily insulin may achieve better control.[24] The long acting insulins glargine and detemir are equally safe and effective,[132] and do not appear much better than NPH insulin, but as they are significantly more expensive, they are not cost effective as of 2010.[133] In those who are pregnant, insulin is generally the treatment of choice.[24]

Blood pressure lowering

Many international guidelines recommend blood pressure treatment targets that are lower than 140/90 mmHg for people with diabetes.[134] However, there is only limited evidence regarding what the lower targets should be. A 2016 systematic review found potential harm to treating to targets lower than 140 mmHg,[135] and a subsequent review in 2019 found no evidence of additional benefit from blood pressure lowering to between 130–140 mmHg, although there was an increased risk of adverse events.[136]

In people with diabetes and hypertension and either albuminuria or chronic kidney disease, an inhibitor of the renin-angiotensin system (such as an ACE inhibitor or angiotensin receptor blocker) to reduce the risks of progression of kidney disease and present cardiovascular events.[137] There is some evidence that angiotensin converting enzyme inhibitors (ACEIs) are superior to other inhibitors of the renin-angiotensin system such as angiotensin receptor blockers (ARBs),[138] or aliskiren in preventing cardiovascular disease.[139] Although a 2016 review found similar effects of ACEIs and ARBs on major cardiovascular and renal outcomes.[140] There is no evidence that combining ACEIs and ARBs provides additional benefits.[140]

Other

The use of statins in diabetes to prevent cardiovascular disease should be considered after evaluating the person's total risk for cardiovascular disease.[141]

The use of aspirin (acetylsalicylic acid) to prevent cardiovascular disease in diabetes is controversial.[141] Aspirin is recommended in people with previous cardiovascular disease, however routine use of aspirin has not been found to improve outcomes in uncomplicated diabetes.[142] Aspirin as primary prevention may have greater risk than benefit, but could be considered in people aged 50 to 70 with another significant cardiovascular risk factor and low risk of bleeding after information about possible risks and benefits as part of shared-decision making.[141]

Vitamin D supplementation to people with type 2 diabetes may improve markers of insulin resistance and HbA1c.[143]

Sharing their electronic health records with people who have type 2 diabetes helps them to reduce their blood sugar levels. It is a way of helping people understand their own health condition and involving them actively in its management.[144][145]

Surgery

Weight loss surgery in those who are obese is an effective measure to treat diabetes.[146] Many are able to maintain normal blood sugar levels with little or no medication following surgery[147] and long-term mortality is decreased.[148] There however is some short-term mortality risk of less than 1% from the surgery.[149] The body mass index cutoffs for when surgery is appropriate are not yet clear.[148] It is recommended that this option be considered in those who are unable to get both their weight and blood sugar under control.[150][151]

Epidemiology

Further information: Epidemiology of diabetes
Prevalence of total diabetes by age and Global Burden of Disease super-region in 2021

The International Diabetes Federation estimates nearly 537 million people lived with diabetes worldwide in 2021,[152] 90–95% of whom have type 2 diabetes.[153] Diabetes is common both in the developed and the developing world.[10]

Some ethnic groups such as South Asians, Pacific Islanders, Latinos, and Native Americans are at particularly high risk of developing type 2 diabetes.[24] Type 2 diabetes in normal weight individuals represents 60 to 80 percent of all cases in some Asian countries. The mechanism causing diabetes in non-obese individuals is poorly understood.[154][155][156]

Rates of diabetes in 1985 were estimated at 30 million, increasing to 135 million in 1995 and 217 million in 2005.[18] This increase is believed to be primarily due to the global population aging, a decrease in exercise, and increasing rates of obesity.[18] Traditionally considered a disease of adults, type 2 diabetes is increasingly diagnosed in children in parallel with rising obesity rates.[10] The five countries with the greatest number of people with diabetes as of 2000 are India having 31.7 million, China 20.8 million, the United States 17.7 million, Indonesia 8.4 million, and Japan 6.8 million.[157] It is recognized as a global epidemic by the World Health Organization.[1]

History

Further information: History of diabetes

Diabetes is one of the first diseases described[21] with an Egyptian manuscript from c. 1500 BCE mentioning "too great emptying of the urine."[22][158] The first described cases are believed to be of type 1 diabetes.[22] Indian physicians around the same time identified the disease and classified it as madhumeha or honey urine noting that the urine would attract ants.[22] The term "diabetes" or "to pass through" was first used in 230 BCE by the Greek Apollonius Memphites.[22] The disease was rare during the time of the Roman empire with Galen commenting that he had only seen two cases during his career.[22]

Type 1 and type 2 diabetes were identified as separate conditions for the first time by the Indian physicians Sushruta and Charaka in 400–500 CE with type 1 associated with youth and type 2 with being overweight.[22] Effective treatment was not developed until the early part of the 20th century when the Canadians Frederick Banting and Charles Best discovered insulin in 1921 and 1922.[22] This was followed by the development of the longer acting NPH insulin in the 1940s.[22]

In 1916, Elliot Joslin proposed that in people with diabetes, periods of fasting are helpful.[159] Subsequent research has supported this, and weight loss is a first line treatment in type 2 diabetes.[159]

Research

In 2020, Diabetes Severity Score (DISSCO) was developed which is a tool that might better than HbA1c identify if a person's condition is declining.[26][160] It uses a computer algorithm to analyse data from anonymised electronic patient records and produces a score based on 34 indicators.[161][160]

Stem cells

See also: Type 1 diabetes § Stem cells, and Diabetes management § Stem cells

In April 2024 scientists reported the first case of reversion of type 2 diabetes by use of stem cells in a 59-year old man treated in 2021 who has since remain insulin-free.[162][163] Replication in more patients and evidence over longer periods would be needed before considering this treatment as a possible cure.

References

  1. ^ a b c d e f g h i j k "Diabetes Fact sheet N°312". World Health Organization. August 2011. Archived from the original on 26 August 2013. Retrieved 2012-01-09.
  2. ^ "Diabetes Blue Circle Symbol". International Diabetes Federation. 17 March 2006. Archived from the original on 5 August 2007.
  3. ^ a b c d e "Diagnosis of Diabetes and Prediabetes". National Institute of Diabetes and Digestive and Kidney Diseases. June 2014. Archived from the original on 6 March 2016. Retrieved 10 February 2016.
  4. ^ a b Pasquel FJ, Umpierrez GE (November 2014). "Hyperosmolar hyperglycemic state: a historic review of the clinical presentation, diagnosis, and treatment". Diabetes Care. 37 (11): 3124–31. doi:10.2337/dc14-0984. PMC 4207202. PMID 25342831.
  5. ^ a b Fasanmade OA, Odeniyi IA, Ogbera AO (June 2008). "Diabetic ketoacidosis: diagnosis and management". African Journal of Medicine and Medical Sciences. 37 (2): 99–105. PMID 18939392.
  6. ^ a b c d e f g "Causes of Diabetes". National Institute of Diabetes and Digestive and Kidney Diseases. June 2014. Archived from the original on 2 February 2016. Retrieved 10 February 2016.
  7. ^ a b c Maruthur NM, Tseng E, Hutfless S, Wilson LM, Suarez-Cuervo C, Berger Z, et al. (June 2016). "Diabetes Medications as Monotherapy or Metformin-Based Combination Therapy for Type 2 Diabetes: A Systematic Review and Meta-analysis". Annals of Internal Medicine. 164 (11): 740–51. doi:10.7326/M15-2650. PMID 27088241. S2CID 32016657.
  8. ^ a b Cetinkunar S, Erdem H, Aktimur R, Sozen S (June 2015). "Effect of bariatric surgery on humoral control of metabolic derangements in obese patients with type 2 diabetes mellitus: How it works". World Journal of Clinical Cases. 3 (6): 504–9. doi:10.12998/wjcc.v3.i6.504. PMC 4468896. PMID 26090370.
  9. ^ a b Krentz AJ, Bailey CJ (February 2005). "Oral antidiabetic agents: current role in type 2 diabetes mellitus". Drugs. 65 (3): 385–411. doi:10.2165/00003495-200565030-00005. PMID 15669880. S2CID 29670619.
  10. ^ a b c d e f g h i j k l m n o p q r Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. (2011). Williams textbook of endocrinology (12th ed.). Philadelphia: Elsevier/Saunders. pp. 1371–1435. ISBN 978-1-4377-0324-5.
  11. ^ a b Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, et al. (GBD 2015 Disease and Injury Incidence and Prevalence Collaborators) (October 2016). "Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet. 388 (10053): 1545–1602. doi:10.1016/S0140-6736(16)31678-6. PMC 5055577. PMID 27733282.
  12. ^ MacKay I, Rose N, eds. (2014). The Autoimmune Diseases. Academic Press. p. 575. ISBN 978-0-12-384929-8. OCLC 965646175.
  13. ^ a b c d e f g h i j k l m n o Gardner DG, Shoback D, eds. (2011). "Chapter 17: Pancreatic hormones & diabetes mellitus". Greenspan's basic & clinical endocrinology (9th ed.). New York: McGraw-Hill Medical. ISBN 978-0-07-162243-1. OCLC 613429053.
  14. ^ Gnesin F, Thuesen AC, Kähler LK, Madsbad S, Hemmingsen B, et al. (Cochrane Metabolic and Endocrine Disorders Group) (June 2020). "Metformin monotherapy for adults with type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 6 (6): CD012906. doi:10.1002/14651858.CD012906.pub2. PMC 7386876. PMID 32501595.
  15. ^ Malanda UL, Welschen LM, Riphagen II, Dekker JM, Nijpels G, Bot SD (January 2012). "Self-monitoring of blood glucose in patients with type 2 diabetes mellitus who are not using insulin". The Cochrane Database of Systematic Reviews. 1: CD005060. doi:10.1002/14651858.CD005060.pub3. hdl:1871/48558. PMID 22258959. S2CID 205176936.
  16. ^ Ganguly S, Tan HC, Lee PC, Tham KW (April 2015). "Metabolic bariatric surgery and type 2 diabetes mellitus: an endocrinologist's perspective". Journal of Biomedical Research. 29 (2): 105–11. doi:10.7555/JBR.29.20140127. PMC 4389109. PMID 25859264.
  17. ^ Moscou S (2013). "Getting the word out: advocacy, social marketing, and policy development and enforcement". In Truglio-Londrigan M, Lewenson SB (eds.). Public health nursing: practicing population-based care (2nd ed.). Burlington, MA: Jones & Bartlett Learning. p. 317. ISBN 978-1-4496-4660-8. OCLC 758391750.
  18. ^ a b c Smyth S, Heron A (January 2006). "Diabetes and obesity: the twin epidemics". Nature Medicine. 12 (1): 75–80. doi:10.1038/nm0106-75. PMID 16397575. S2CID 1042625.
  19. ^ Tfayli H, Arslanian S (March 2009). "Pathophysiology of type 2 diabetes mellitus in youth: the evolving chameleon". Arquivos Brasileiros de Endocrinologia e Metabologia. 53 (2): 165–74. doi:10.1590/s0004-27302009500200008. PMC 2846552. PMID 19466209.
  20. ^ Imperatore G, Boyle JP, Thompson TJ, Case D, Dabelea D, Hamman RF, et al. (December 2012). "Projections of type 1 and type 2 diabetes burden in the U.S. population aged <20 years through 2050: dynamic modeling of incidence, mortality, and population growth". Diabetes Care. 35 (12): 2515–20. doi:10.2337/dc12-0669. PMC 3507562. PMID 23173134.
  21. ^ a b Leutholtz BC, Ripoll I (2011). "Diabetes". Exercise and disease management (2nd ed.). Boca Raton: CRC Press. p. 25. ISBN 978-1-4398-2759-8. OCLC 725919496.
  22. ^ a b c d e f g h i Zajac J, Shrestha A, Patel P, Poretsky L (2009). "The Main Events in the History of Diabetes Mellitus". In Poretsky L (ed.). Principles of diabetes mellitus (2nd ed.). New York: Springer. pp. 3–16. ISBN 978-0-387-09840-1. OCLC 663097550.
  23. ^ Zaccardi F, Webb DR, Yates T, Davies MJ (February 2016). "Pathophysiology of type 1 and type 2 diabetes mellitus: a 90-year perspective". Postgraduate Medical Journal. 92 (1084): 63–9. doi:10.1136/postgradmedj-2015-133281. PMID 26621825. S2CID 28169759.
  24. ^ a b c d e f g h i j Vijan S (March 2010). "In the clinic. Type 2 diabetes". Annals of Internal Medicine. 152 (5): ITC31–15, quiz ITC316. doi:10.7326/0003-4819-152-5-201003020-01003. PMID 20194231. S2CID 207535925.
  25. ^ Rathee M, Prachi J (2019). "Ageusia". StatPearls. StatPearls Publishing. PMID 31747182.
  26. ^ a b "Developing tools to help predict future risk for diabetes and heart attack". Faculty of Biology, Medicine and Health. Retrieved 2024-03-20.
  27. ^ a b c d e f g h i j Ripsin CM, Kang H, Urban RJ (January 2009). "Management of blood glucose in type 2 diabetes mellitus". American Family Physician. 79 (1): 29–36. PMID 19145963.
  28. ^ Pasquier F (October 2010). "Diabetes and cognitive impairment: how to evaluate the cognitive status?". Diabetes & Metabolism. 36 (Suppl 3): S100-5. doi:10.1016/S1262-3636(10)70475-4. PMID 21211730.
  29. ^ "Diabetic ketoacidosis: Know the warning signs-Diabetic ketoacidosis - Symptoms & causes". Mayo Clinic. Retrieved 2024-03-20.
  30. ^ "WHAT IS TYPE 2 DIABETES?". Diabetes Daily. December 29, 2021. Archived from the original on 2024-03-19. Retrieved 2024-03-20.
  31. ^ Akinpelu OV, Mujica-Mota M, Daniel SJ (March 2014). "Is type 2 diabetes mellitus associated with alterations in hearing? A systematic review and meta-analysis". The Laryngoscope. 124 (3): 767–776. doi:10.1002/lary.24354. PMID 23945844. S2CID 25569962.
  32. ^ a b Risérus U, Willett WC, Hu FB (January 2009). "Dietary fats and prevention of type 2 diabetes". Progress in Lipid Research. 48 (1): 44–51. doi:10.1016/j.plipres.2008.10.002. PMC 2654180. PMID 19032965.
  33. ^ Olokoba AB, Obateru OA, Olokoba LB (July 2012). "Type 2 diabetes mellitus: a review of current trends". Oman Medical Journal. 27 (4): 269–273. doi:10.5001/omj.2012.68. PMC 3464757. PMID 23071876.
  34. ^ Hilawe EH, Yatsuya H, Kawaguchi L, Aoyama A (September 2013). "Differences by sex in the prevalence of diabetes mellitus, impaired fasting glycaemia and impaired glucose tolerance in sub-Saharan Africa: a systematic review and meta-analysis". Bulletin of the World Health Organization. 91 (9): 671–682D. doi:10.2471/BLT.12.113415. PMC 3790213. PMID 24101783.
  35. ^ Christian P, Stewart CP (March 2010). "Maternal micronutrient deficiency, fetal development, and the risk of chronic disease". The Journal of Nutrition. 140 (3): 437–45. doi:10.3945/jn.109.116327. PMID 20071652.
  36. ^ Abdullah A, Peeters A, de Courten M, Stoelwinder J (September 2010). "The magnitude of association between overweight and obesity and the risk of diabetes: a meta-analysis of prospective cohort studies". Diabetes Research and Clinical Practice. 89 (3): 309–19. doi:10.1016/j.diabres.2010.04.012. PMID 20493574.
  37. ^ Pan A, Wang Y, Talaei M, Hu FB, Wu T (December 2015). "Relation of active, passive, and quitting smoking with incident type 2 diabetes: a systematic review and meta-analysis". The Lancet. Diabetes & Endocrinology. 3 (12): 958–67. doi:10.1016/S2213-8587(15)00316-2. PMC 4656094. PMID 26388413.
  38. ^ a b Touma C, Pannain S (August 2011). "Does lack of sleep cause diabetes?". Cleveland Clinic Journal of Medicine. 78 (8): 549–58. doi:10.3949/ccjm.78a.10165. PMID 21807927. S2CID 45708828.
  39. ^ Malik VS, Popkin BM, Bray GA, Després JP, Hu FB (March 2010). "Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk". Circulation. 121 (11): 1356–64. doi:10.1161/CIRCULATIONAHA.109.876185. PMC 2862465. PMID 20308626.
  40. ^ Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB (November 2010). "Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis". Diabetes Care. 33 (11): 2477–83. doi:10.2337/dc10-1079. PMC 2963518. PMID 20693348.
  41. ^ Hu EA, Pan A, Malik V, Sun Q (March 2012). "White rice consumption and risk of type 2 diabetes: meta-analysis and systematic review". BMJ. 344: e1454. doi:10.1136/bmj.e1454. PMC 3307808. PMID 22422870.
  42. ^ Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT (July 2012). "Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy". Lancet. 380 (9838): 219–29. doi:10.1016/S0140-6736(12)61031-9. PMC 3645500. PMID 22818936.
  43. ^ Patterson R, McNamara E, Tainio M, de Sá TH, Smith AD, Sharp SJ, et al. (September 2018). "Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis". European Journal of Epidemiology. 33 (9): 811–829. doi:10.1007/s10654-018-0380-1. PMC 6133005. PMID 29589226.
  44. ^ Lind L, Lind PM (June 2012). "Can persistent organic pollutants and plastic-associated chemicals cause cardiovascular disease?". Journal of Internal Medicine. 271 (6): 537–53. doi:10.1111/j.1365-2796.2012.02536.x. PMID 22372998. S2CID 41018361.
  45. ^ Willemsen G, Ward KJ, Bell CG, Christensen K, Bowden J, Dalgård C, et al. (December 2015). "The Concordance and Heritability of Type 2 Diabetes in 34,166 Twin Pairs From International Twin Registers: The Discordant Twin (DISCOTWIN) Consortium". Twin Research and Human Genetics. 18 (6): 762–771. doi:10.1017/thg.2015.83. PMID 26678054.
  46. ^ a b Herder C, Roden M (June 2011). "Genetics of type 2 diabetes: pathophysiologic and clinical relevance". European Journal of Clinical Investigation. 41 (6): 679–692. doi:10.1111/j.1365-2362.2010.02454.x. PMID 21198561. S2CID 43548816.
  47. ^ Fuchsberger C, Flannick J, Teslovich TM, Mahajan A, Agarwala V, Gaulton KJ, et al. (August 2016). "The genetic architecture of type 2 diabetes". Nature. 536 (7614): 41–47. Bibcode:2016Natur.536...41F. doi:10.1038/nature18642. PMC 5034897. PMID 27398621.
  48. ^ "Monogenic Forms of Diabetes: Neonatal Diabetes Mellitus and Maturity-onset Diabetes of the Young". National Diabetes Information Clearinghouse (NDIC). National Institute of Diabetes and Digestive and Kidney Diseases, NIH. March 2007. Archived from the original on 2008-07-04. Retrieved 2008-08-04.
  49. ^ Rosen ED, Kaestner KH, Natarajan R, Patti ME, Sallari R, Sander M, Susztak K. Epigenetics and Epigenomics: Implications for Diabetes and Obesity. Diabetes. 2018 Oct;67(10):1923-1931. doi: 10.2337/db18-0537. PMID 30237160; PMCID: PMC6463748
  50. ^ a b Funnell MM, Anderson RM (2008). "Influencing self-management: from compliance to collaboration". In Bethel MN, Feinglos MA (eds.). Type 2 diabetes mellitus: an evidence-based approach to practical management. Contemporary endocrinology. Totowa, NJ: Humana Press. p. 462. ISBN 978-1-58829-794-5. OCLC 261324723.
  51. ^ Izzedine H, Launay-Vacher V, Deybach C, Bourry E, Barrou B, Deray G (November 2005). "Drug-induced diabetes mellitus". Expert Opinion on Drug Safety. 4 (6): 1097–1109. doi:10.1517/14740338.4.6.1097. PMID 16255667. S2CID 21532595.
  52. ^ Sampson UK, Linton MF, Fazio S (July 2011). "Are statins diabetogenic?". Current Opinion in Cardiology. 26 (4): 342–347. doi:10.1097/HCO.0b013e3283470359. PMC 3341610. PMID 21499090.
  53. ^ Giovannucci E, Harlan DM, Archer MC, Bergenstal RM, Gapstur SM, Habel LA, et al. (July 2010). "Diabetes and cancer: a consensus report". Diabetes Care (Professional society guidelines). 33 (7): 1674–1685. doi:10.2337/dc10-0666. PMC 2890380. PMID 20587728.
  54. ^ Saad F, Gooren L (March 2009). "The role of testosterone in the metabolic syndrome: a review". The Journal of Steroid Biochemistry and Molecular Biology. 114 (1–2): 40–43. doi:10.1016/j.jsbmb.2008.12.022. PMID 19444934. S2CID 22222112.
  55. ^ Farrell JB, Deshmukh A, Baghaie AA (2008). "Low testosterone and the association with type 2 diabetes". The Diabetes Educator. 34 (5): 799–806. doi:10.1177/0145721708323100. PMID 18832284.
  56. ^ Nieto-Martínez R, González-Rivas JP, Medina-Inojosa JR, Florez H (November 2017). "Are Eating Disorders Risk Factors for Type 2 Diabetes? A Systematic Review and Meta-analysis". Current Diabetes Reports (Systematic review and meta-analysis). 17 (12): 138. doi:10.1007/s11892-017-0949-1. PMID 29168047. S2CID 3688434.
  57. ^ Cobelli C, Toffolo GM, Dalla Man C, Campioni M, Denti P, Caumo A, et al. (July 2007). "Assessment of beta-cell function in humans, simultaneously with insulin sensitivity and hepatic extraction, from intravenous and oral glucose tests". American Journal of Physiology. Endocrinology and Metabolism. 293 (1): E1–E15. doi:10.1152/ajpendo.00421.2006. PMID 17341552.
  58. ^ Hannon TS, Kahn SE, Utzschneider KM, Buchanan TA, Nadeau KJ, Zeitler PS, et al. (January 2018). "Review of methods for measuring β-cell function: Design considerations from the Restoring Insulin Secretion (RISE) Consortium". Diabetes, Obesity & Metabolism. 20 (1): 14–24. doi:10.1111/dom.13005. PMC 6095472. PMID 28493515.
  59. ^ Dietrich JW, Abood A, Dasgupta R, Anoop S, Jebasingh FK, Spurgeon R, et al. (September 2024). "A novel simple disposition index (SPINA-DI) from fasting insulin and glucose concentration as a robust measure of carbohydrate homeostasis". Journal of Diabetes. 16 (9): e13525. doi:10.1111/1753-0407.13525. PMC 11418405. PMID 38169110.
  60. ^ Diabetes mellitus a guide to patient care. Philadelphia: Lippincott Williams & Wilkins. 2007. p. 15. ISBN 978-1-58255-732-8.
  61. ^ a b Sun T, Han X (2019). "Death versus dedifferentiation: The molecular bases of beta cell mass reduction in type 2 diabetes". Seminars in Cell and Developmental Biology. 103: 76–82. doi:10.1016/j.semcdb.2019.12.002. PMID 31831356. S2CID 209341381.
  62. ^ Reed J, Bain S, Kanamarlapudi V (August 2021). "A Review of Current Trends with Type 2 Diabetes Epidemiology, Aetiology, Pathogenesis, Treatments and Future Perspectives". Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 14: 3567–3602. doi:10.2147/DMSO.S319895. PMC 8369920. PMID 34413662.
  63. ^ Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: Report of a WHO/IDF consultation (PDF). Geneva: World Health Organization. 2006. p. 21. ISBN 978-92-4-186393-6.
  64. ^ Vijan S (March 2010). "In the clinic. Type 2 diabetes". Annals of Internal Medicine. 152 (5): ITC31-15, quiz ITC316. doi:10.7326/0003-4819-152-5-201003020-01003. PMID 20194231.
  65. ^ World Health Organization. "Definition, diagnosis and classification of diabetes mellitus and its complications: Report of a WHO Consultation. Part 1. Diagnosis and classification of diabetes mellitus". Archived from the original on 2007-05-29. Retrieved 2007-05-29.
  66. ^ a b c International Expert Committee (July 2009). "International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes". Diabetes Care. 32 (7): 1327–34. doi:10.2337/dc09-9033. PMC 2699715. PMID 19502545.
  67. ^ American Diabetes Association (January 2010). "Diagnosis and classification of diabetes mellitus". Diabetes Care. 33 (Supplement_1): S62-9. doi:10.2337/dc10-S062. PMC 2797383. PMID 20042775.
  68. ^ a b c d e f ElSayed NA, Aleppo G, Bannuru RR, Bruemmer D, Collins BS, Ekhlaspour L, et al. (American Diabetes Association Professional Practice Committee) (January 2024). "2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes-2024". Diabetes Care. 47 (Suppl 1): S20–S42. doi:10.2337/dc24-S002. PMC 10725812. PMID 38078589.
  69. ^ American Diabetes Association (January 2012). "Diagnosis and classification of diabetes mellitus". Diabetes Care. 35 (Suppl 1): S64-71. doi:10.2337/dc12-s064. PMC 3632174. PMID 22187472.
  70. ^ Kumar V, Fausto N, Abbas AK, Cotran RS, Robbins SL (2005). Robbins and Cotran Pathologic Basis of Disease (7th ed.). Philadelphia, Pa.: Saunders. pp. 1194–95. ISBN 978-0-7216-0187-8.
  71. ^ Diabetes mellitus a guide to patient care. Philadelphia: Lippincott Williams & Wilkins. 2007. p. 201. ISBN 978-1-58255-732-8.
  72. ^ Vivian EM, Blackorbay B (2013). "Chapter 13: Endocrine Disorders". In Lee M (ed.). Basic Skills in Interpreting Laboratory Data (5th ed.). Bethesda, MD: American Society of Health-System Pharmacists. ISBN 978-1-58528-345-3. OCLC 859778842.
  73. ^ a b c d e Davidson KW, Barry MJ, Mangione CM, Cabana M, Caughey AB, Davis EM, et al. (August 2021). "Screening for Prediabetes and Type 2 Diabetes: US Preventive Services Task Force Recommendation Statement". JAMA. 326 (8): 736–743. doi:10.1001/jama.2021.12531. PMID 34427863.
  74. ^ Selph S, Dana T, Blazina I, Bougatsos C, Patel H, Chou R (June 2015). "Screening for type 2 diabetes mellitus: a systematic review for the U.S. Preventive Services Task Force". Annals of Internal Medicine. 162 (11): 765–76. doi:10.7326/M14-2221. PMID 25867111.
  75. ^ Peer N, Balakrishna Y, Durao S (May 2020). "Screening for type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 5 (6): CD005266. doi:10.1002/14651858.cd005266.pub2. PMC 7259754. PMID 32470201.
  76. ^ a b "Diabetes: putting people at the heart of services". NIHR Evidence. National Institute for Health and Care Research. 2022-07-26. doi:10.3310/nihrevidence_52026. S2CID 251299176.
  77. ^ "Are you at risk of diabetes? Research finds prevention should start at a different BMI for each ethnic group". NIHR Evidence (Plain English summary). National Institute for Health and Care Research. 2022-03-10. doi:10.3310/alert_48878. S2CID 247390548.
  78. ^ Caleyachetty R, Barber TM, Mohammed NI, Cappuccio FP, Hardy R, Mathur R, et al. (July 2021). "Ethnicity-specific BMI cutoffs for obesity based on type 2 diabetes risk in England: a population-based cohort study". The Lancet. Diabetes & Endocrinology. 9 (7): 419–426. doi:10.1016/S2213-8587(21)00088-7. PMC 8208895. PMID 33989535.
  79. ^ Raina Elley C, Kenealy T (December 2008). "Lifestyle interventions reduced the long-term risk of diabetes in adults with impaired glucose tolerance". Evidence-Based Medicine. 13 (6): 173. doi:10.1136/ebm.13.6.173. PMID 19043031. S2CID 26714233.
  80. ^ a b c Hemmingsen B, Gimenez-Perez G, Mauricio D, Roqué I, Figuls M, Metzendorf MI, et al. (December 2017). "Diet, physical activity or both for prevention or delay of type 2 diabetes mellitus and its associated complications in people at increased risk of developing type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 2017 (12): CD003054. doi:10.1002/14651858.CD003054.pub4. PMC 6486271. PMID 29205264.
  81. ^ a b Schellenberg ES, Dryden DM, Vandermeer B, Ha C, Korownyk C (October 2013). "Lifestyle interventions for patients with and at risk for type 2 diabetes: a systematic review and meta-analysis". Annals of Internal Medicine. 159 (8): 543–551. doi:10.7326/0003-4819-159-8-201310150-00007. PMID 24126648.
  82. ^ O'Gorman DJ, Krook A (September 2011). "Exercise and the treatment of diabetes and obesity". The Medical Clinics of North America. 95 (5): 953–969. doi:10.1016/j.mcna.2011.06.007. PMID 21855702.
  83. ^ Kyu HH, Bachman VF, Alexander LT, Mumford JE, Afshin A, Estep K, et al. (August 2016). "Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013". BMJ. 354: i3857. doi:10.1136/bmj.i3857. PMC 4979358. PMID 27510511.
  84. ^ Carter P, Gray LJ, Troughton J, Khunti K, Davies MJ (August 2010). "Fruit and vegetable intake and incidence of type 2 diabetes mellitus: systematic review and meta-analysis". BMJ. 341: c4229. doi:10.1136/bmj.c4229. PMC 2924474. PMID 20724400.
  85. ^ Schwingshackl L, Hoffmann G, Lampousi AM, Knüppel S, Iqbal K, Schwedhelm C, et al. (May 2017). "Food groups and risk of type 2 diabetes mellitus: a systematic review and meta-analysis of prospective studies". European Journal of Epidemiology. 32 (5): 363–375. doi:10.1007/s10654-017-0246-y. PMC 5506108. PMID 28397016.
  86. ^ Xi B, Li S, Liu Z, Tian H, Yin X, Huai P, et al. (2014). "Intake of fruit juice and incidence of type 2 diabetes: a systematic review and meta-analysis". PLOS ONE. 9 (3): e93471. Bibcode:2014PLoSO...993471X. doi:10.1371/journal.pone.0093471. PMC 3969361. PMID 24682091.
  87. ^ Reynolds A, Mann J, Cummings J, Winter N, Mete E, Te Morenga L (February 2019). "Carbohydrate quality and human health: a series of systematic reviews and meta-analyses". Lancet. 393 (10170): 434–445. doi:10.1016/S0140-6736(18)31809-9. PMID 30638909. S2CID 58632705.
  88. ^ Haw JS, Galaviz KI, Straus AN, Kowalski AJ, Magee MJ, Weber MB, et al. (December 2017). "Long-term Sustainability of Diabetes Prevention Approaches: A Systematic Review and Meta-analysis of Randomized Clinical Trials". JAMA Internal Medicine. 177 (12): 1808–1817. doi:10.1001/jamainternmed.2017.6040. PMC 5820728. PMID 29114778.
  89. ^ Seida JC, Mitri J, Colmers IN, Majumdar SR, Davidson MB, Edwards AL, et al. (October 2014). "Clinical review: Effect of vitamin D3 supplementation on improving glucose homeostasis and preventing diabetes: a systematic review and meta-analysis". The Journal of Clinical Endocrinology and Metabolism. 99 (10): 3551–60. doi:10.1210/jc.2014-2136. PMC 4483466. PMID 25062463.
  90. ^ Madsen KS, Chi Y, Metzendorf MI, Richter B, Hemmingsen B, et al. (Cochrane Metabolic and Endocrine Disorders Group) (December 2019). "Metformin for prevention or delay of type 2 diabetes mellitus and its associated complications in persons at increased risk for the development of type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 2019 (12): CD008558. doi:10.1002/14651858.CD008558.pub2. PMC 6889926. PMID 31794067.
  91. ^ Moelands SV, Lucassen PL, Akkermans RP, De Grauw WJ, Van de Laar FA, et al. (Cochrane Metabolic and Endocrine Disorders Group) (December 2018). "Alpha-glucosidase inhibitors for prevention or delay of type 2 diabetes mellitus and its associated complications in people at increased risk of developing type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 12 (12): CD005061. doi:10.1002/14651858.CD005061.pub3. PMC 6517235. PMID 30592787.
  92. ^ Ipsen EØ, Madsen KS, Chi Y, Pedersen-Bjergaard U, Richter B, Metzendorf MI, et al. (Cochrane Metabolic and Endocrine Disorders Group) (November 2020). "Pioglitazone for prevention or delay of type 2 diabetes mellitus and its associated complications in people at risk for the development of type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 11 (11): CD013516. doi:10.1002/14651858.CD013516.pub2. PMC 8092670. PMID 33210751.
  93. ^ Hemmingsen B, Krogh J, Metzendorf MI, Richter B, et al. (Cochrane Metabolic and Endocrine Disorders Group) (April 2016). "Sodium-glucose cotransporter (SGLT) 2 inhibitors for prevention or delay of type 2 diabetes mellitus and its associated complications in people at risk for the development of type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 4 (4): CD012106. doi:10.1002/14651858.CD012106.pub2. PMC 6486006. PMID 27101360.
  94. ^ Mannucci E, Giaccari A, Gallo M, Bonifazi A, Belén ÁD, Masini ML, et al. (February 2022). "Self-management in patients with type 2 diabetes: Group-based versus individual education. A systematic review with meta-analysis of randomized trails". Nutrition, Metabolism, and Cardiovascular Diseases. 32 (2): 330–336. doi:10.1016/j.numecd.2021.10.005. PMID 34893413. S2CID 244580173.
  95. ^ "Type 2 diabetes: The management of type 2 diabetes". May 2009. Archived from the original on 2015-05-22.
  96. ^ Emdin CA, Rahimi K, Neal B, Callender T, Perkovic V, Patel A (February 2015). "Blood pressure lowering in type 2 diabetes: a systematic review and meta-analysis". JAMA. 313 (6): 603–615. doi:10.1001/jama.2014.18574. PMID 25668264.
  97. ^ McBrien K, Rabi DM, Campbell N, Barnieh L, Clement F, Hemmelgarn BR, et al. (September 2012). "Intensive and Standard Blood Pressure Targets in Patients With Type 2 Diabetes Mellitus: Systematic Review and Meta-analysis". Archives of Internal Medicine. 172 (17): 1296–1303. doi:10.1001/archinternmed.2012.3147. PMID 22868819.
  98. ^ Boussageon R, Bejan-Angoulvant T, Saadatian-Elahi M, Lafont S, Bergeonneau C, Kassaï B, et al. (July 2011). "Effect of intensive glucose lowering treatment on all cause mortality, cardiovascular death, and microvascular events in type 2 diabetes: meta-analysis of randomised controlled trials". BMJ. 343: d4169. doi:10.1136/bmj.d4169. PMC 3144314. PMID 21791495.
  99. ^ Webster MW (July 2011). "Clinical practice and implications of recent diabetes trials". Current Opinion in Cardiology. 26 (4): 288–93. doi:10.1097/HCO.0b013e328347b139. PMID 21577100. S2CID 20819316.
  100. ^ ElSayed NA, Aleppo G, Bannuru RR, Bruemmer D, Collins BS, Ekhlaspour L, et al. (American Diabetes Association Professional Practice Committee) (January 2024). "6. Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes-2024". Diabetes Care. 47 (Suppl 1): S111–S125. doi:10.2337/dc24-S006. PMC 10725808. PMID 38078586.
  101. ^ Qaseem A, Wilt TJ, Kansagara D, Horwitch C, Barry MJ, Forciea MA (April 2018). "Hemoglobin A1c Targets for Glycemic Control With Pharmacologic Therapy for Nonpregnant Adults With Type 2 Diabetes Mellitus: A Guidance Statement Update From the American College of Physicians". Annals of Internal Medicine. 168 (8): 569–576. doi:10.7326/M17-0939. PMID 29507945.
  102. ^ Seaquist ER, Anderson J, Childs B, Cryer P, Dagogo-Jack S, Fish L, et al. (May 2013). "Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society". Diabetes Care (Professional society guidelines). 36 (5): 1384–1395. doi:10.2337/dc12-2480. PMC 3631867. PMID 23589542.
  103. ^ Makam AN, Nguyen OK (January 2017). "An Evidence-Based Medicine Approach to Antihyperglycemic Therapy in Diabetes Mellitus to Overcome Overtreatment". Circulation. 135 (2): 180–195. doi:10.1161/CIRCULATIONAHA.116.022622. PMC 5502688. PMID 28069712.
  104. ^ Simpson TC, Clarkson JE, Worthington HV, MacDonald L, Weldon JC, Needleman I, et al. (April 14, 2022). "Treatment of periodontitis for glycaemic control in people with diabetes mellitus". The Cochrane Database of Systematic Reviews. 2022 (4): CD004714. doi:10.1002/14651858.CD004714.pub4. hdl:2164/20480. PMC 9009294. PMID 35420698.
  105. ^ Smith AD, Crippa A, Woodcock J, Brage S (December 2016). "Physical activity and incident type 2 diabetes mellitus: a systematic review and dose-response meta-analysis of prospective cohort studies". Diabetologia. 59 (12): 2527–2545. doi:10.1007/s00125-016-4079-0. PMC 6207340. PMID 27747395.
  106. ^ Thomas DE, Elliott EJ, Naughton GA (July 2006). "Exercise for type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 2009 (3): CD002968. doi:10.1002/14651858.CD002968.pub2. PMC 8989410. PMID 16855995. S2CID 25505640.
  107. ^ Davis N, Forbes B, Wylie-Rosett J (June 2009). "Nutritional strategies in type 2 diabetes mellitus". The Mount Sinai Journal of Medicine, New York. 76 (3): 257–268. doi:10.1002/msj.20118. PMID 19421969.
  108. ^ Magkos F, Hjorth MF, Astrup A (October 2020). "Diet and exercise in the prevention and treatment of type 2 diabetes mellitus". Nature Reviews. Endocrinology. 16 (10): 545–555. doi:10.1038/s41574-020-0381-5. PMID 32690918. S2CID 220651657. A weight loss of ~15 kg, achieved by calorie restriction as part of an intensive management programme, can lead to remission of T2DM in ~80% of patients with obesity and T2DM.
  109. ^ "Achieving Type 2 Diabetes Remission through Weight Loss". National Institute of Diabetes and Digestive and Kidney Diseases. 30 September 2020. Retrieved 29 November 2023.
  110. ^ a b "Initial management of hyperglycemia in adults with type 2 diabetes mellitus". UpToDate. September 2023. Retrieved 29 November 2023.
  111. ^ American Diabetes Association (1 January 2021). "8. Obesity Management for the Treatment of Type 2 Diabetes: Standards of Medical Care in Diabetes—2021". Diabetes Care. 44 (Supplement_1): S100–S110. doi:10.2337/dc21-S008. PMID 33298419. S2CID 228087486.
  112. ^ a b ElSayed NA, Aleppo G, Bannuru RR, Bruemmer D, Collins BS, Ekhlaspour L, et al. (American Diabetes Association Professional Practice Committee) (January 2024). "5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2024". Diabetes Care. 47 (Supplement_1): S77–S110. doi:10.2337/dc24-S005. ISSN 0149-5992. PMC 10725816. PMID 38078584.
  113. ^ Thomas D, Elliott EJ (January 2009). Thomas D (ed.). "Low glycaemic index, or low glycaemic load, diets for diabetes mellitus". The Cochrane Database of Systematic Reviews. 2009 (1): CD006296. doi:10.1002/14651858.CD006296.pub2. PMC 6486008. PMID 19160276.
  114. ^ Feinman RD, Pogozelski WK, Astrup A, Bernstein RK, Fine EJ, Westman EC, et al. (January 2015). "Dietary carbohydrate restriction as the first approach in diabetes management: critical review and evidence base". Nutrition. 31 (1): 1–13. doi:10.1016/j.nut.2014.06.011. PMID 25287761.
  115. ^ Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, et al. (January 2014). "Nutrition therapy recommendations for the management of adults with diabetes". Diabetes Care (Professional society guidelines). 37 (Supplement_1): S120–S143. doi:10.2337/dc14-S120. PMID 24357208.
  116. ^ Muley A, Fernandez R, Ellwood L, Muley P, Shah M (May 2021). "Effect of tree nuts on glycemic outcomes in adults with type 2 diabetes mellitus: a systematic review". JBI Evidence Synthesis. 19 (5): 966–1002. doi:10.11124/JBISRIR-D-19-00397. PMID 33141798. S2CID 226250006.
  117. ^ Gardner C, Wylie-Rosett J, Gidding SS, Steffen LM, Johnson RK, Reader D, et al. (August 2012). "Nonnutritive sweeteners: current use and health perspectives: a scientific statement from the American Heart Association and the American Diabetes Association". Diabetes Care. 35 (8): 1798–1808. doi:10.2337/dc12-9002. PMC 3402256. PMID 22778165.
  118. ^ Xu B, Fu J, Qiao Y, Cao J, Deehan EC, Li Z, et al. (June 2021). "Higher intake of microbiota-accessible carbohydrates and improved cardiometabolic risk factors: a meta-analysis and umbrella review of dietary management in patients with type 2 diabetes". The American Journal of Clinical Nutrition. 113 (6): 1515–1530. doi:10.1093/ajcn/nqaa435. PMID 33693499.
  119. ^ Jovanovski E, Khayyat R, Zurbau A, Komishon A, Mazhar N, Sievenpiper JL, et al. (May 2019). "Should Viscous Fiber Supplements Be Considered in Diabetes Control? Results From a Systematic Review and Meta-analysis of Randomized Controlled Trials". Diabetes Care. 42 (5): 755–766. doi:10.2337/dc18-1126. PMID 30617143. S2CID 58665219.
  120. ^ Attridge M, Creamer J, Ramsden M, Cannings-John R, Hawthorne K (September 2014). "Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 2014 (9): CD006424. doi:10.1002/14651858.CD006424.pub3. PMC 10680058. PMID 25188210.
  121. ^ Hackett RA, Steptoe A (September 2017). "Type 2 diabetes mellitus and psychological stress - a modifiable risk factor". Nature Reviews. Endocrinology. 13 (9): 547–560. doi:10.1038/nrendo.2017.64. PMID 28664919. S2CID 34925223.
  122. ^ "8. Obesity Management for the Treatment of Type 2 Diabetes: Standards of Medical Care in Diabetes-2021". Diabetes Care. 44 (Suppl 1): S100–S110. January 2021. doi:10.1002/14651858.CD014881. PMC 8701561.
  123. ^ Palmer SC, Mavridis D, Nicolucci A, Johnson DW, Tonelli M, Craig JC, et al. (July 2016). "Comparison of Clinical Outcomes and Adverse Events Associated With Glucose-Lowering Drugs in Patients With Type 2 Diabetes: A Meta-analysis". JAMA. 316 (3): 313–24. doi:10.1001/jama.2016.9400. PMID 27434443.
  124. ^ Boussageon R, Supper I, Bejan-Angoulvant T, Kellou N, Cucherat M, Boissel JP, et al. (2012). Groop L (ed.). "Reappraisal of metformin efficacy in the treatment of type 2 diabetes: a meta-analysis of randomised controlled trials". PLOS Medicine. 9 (4): e1001204. doi:10.1371/journal.pmed.1001204. PMC 3323508. PMID 22509138.
  125. ^ Marx N, Davies MJ, Grant PJ, Mathieu C, Petrie JR, Cosentino F, et al. (January 2021). "Guideline recommendations and the positioning of newer drugs in type 2 diabetes care". The Lancet. Diabetes & Endocrinology. 9 (1): 46–52. doi:10.1016/S2213-8587(20)30343-0. PMID 33159841. S2CID 226280186.
  126. ^ a b ElSayed NA, Aleppo G, Bannuru RR, Bruemmer D, Collins BS, Ekhlaspour L, et al. (American Diabetes Association Professional Practice Committee) (January 2024). "9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2024". Diabetes Care. 47 (Supplement_1): S158–S178. doi:10.2337/dc24-S011. ISSN 1935-5548. PMC 10725810. PMID 38078590.
  127. ^ Choi JG, Winn AN, Skandari MR, Franco MI, Staab EM, Alexander J, et al. (October 2022). "First-Line Therapy for Type 2 Diabetes With Sodium-Glucose Cotransporter-2 Inhibitors and Glucagon-Like Peptide-1 Receptor Agonists : A Cost-Effectiveness Study". Annals of Internal Medicine. 175 (10): 1392–1400. doi:10.7326/M21-2941. PMC 10155215. PMID 36191315.
  128. ^ Baker C, Retzik-Stahr C, Singh V, Plomondon R, Anderson V, Rasouli N (13 January 2021). "Should metformin remain the first-line therapy for treatment of type 2 diabetes?". Therapeutic Advances in Endocrinology and Metabolism. 12: 2042018820980225. doi:10.1177/2042018820980225. PMC 7809522. PMID 33489086.
  129. ^ Zheng SL, Roddick AJ, Aghar-Jaffar R, Shun-Shin MJ, Francis D, Oliver N, et al. (April 2018). "Association Between Use of Sodium-Glucose Cotransporter 2 Inhibitors, Glucagon-like Peptide 1 Agonists, and Dipeptidyl Peptidase 4 Inhibitors With All-Cause Mortality in Patients With Type 2 Diabetes: A Systematic Review and Meta-analysis". JAMA. 319 (15): 1580–1591. doi:10.1001/jama.2018.3024. PMC 5933330. PMID 29677303.
  130. ^ Richter B, Bandeira-Echtler E, Bergerhoff K, Clar C, Ebrahim SH (July 2007). Richter B (ed.). "Rosiglitazone for type 2 diabetes mellitus" (PDF). The Cochrane Database of Systematic Reviews. 2007 (3): CD006063. doi:10.1002/14651858.CD006063.pub2. PMC 7389529. PMID 17636824.
  131. ^ Chen X, Yang L, Zhai SD (December 2012). "Risk of cardiovascular disease and all-cause mortality among diabetic patients prescribed rosiglitazone or pioglitazone: a meta-analysis of retrospective cohort studies". Chinese Medical Journal. 125 (23): 4301–6. PMID 23217404.
  132. ^ Swinnen SG, Simon AC, Holleman F, Hoekstra JB, Devries JH (July 2011). Simon AC (ed.). "Insulin detemir versus insulin glargine for type 2 diabetes mellitus". The Cochrane Database of Systematic Reviews. 2011 (7): CD006383. doi:10.1002/14651858.CD006383.pub2. PMC 6486036. PMID 21735405.
  133. ^ Waugh N, Cummins E, Royle P, Clar C, Marien M, Richter B, et al. (July 2010). "Newer agents for blood glucose control in type 2 diabetes: systematic review and economic evaluation". Health Technology Assessment. 14 (36): 1–248. doi:10.3310/hta14360. PMID 20646668.
  134. ^ Mitchell S, Malanda B, Damasceno A, Eckel RH, Gaita D, Kotseva K, et al. (September 2019). "A Roadmap on the Prevention of Cardiovascular Disease Among People Living With Diabetes". Global Heart. 14 (3): 215–240. doi:10.1016/j.gheart.2019.07.009. PMID 31451236.
  135. ^ Brunström M, Carlberg B (February 2016). "Effect of antihypertensive treatment at different blood pressure levels in patients with diabetes mellitus: systematic review and meta-analyses". BMJ. 352: i717. doi:10.1136/bmj.i717. PMC 4770818. PMID 26920333.
  136. ^ Brunström M, Carlberg B (September 2019). "Benefits and harms of lower blood pressure treatment targets: systematic review and meta-analysis of randomised placebo-controlled trials". BMJ Open. 9 (9): e026686. doi:10.1136/bmjopen-2018-026686. PMC 6773352. PMID 31575567.
  137. ^ ElSayed NA, Aleppo G, Bannuru RR, Bruemmer D, Collins BS, Ekhlaspour L, et al. (American Diabetes Association Professional Practice Committee) (January 2024). "11. Chronic Kidney Disease and Risk Management: Standards of Care in Diabetes—2024". Diabetes Care. 47 (Supplement_1): S219–S230. doi:10.2337/dc24-S011. ISSN 1935-5548. PMC 10725805. PMID 38078574.
  138. ^ Cheng J, Zhang W, Zhang X, Han F, Li X, He X, et al. (May 2014). "Effect of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers on all-cause mortality, cardiovascular deaths, and cardiovascular events in patients with diabetes mellitus: a meta-analysis". JAMA Internal Medicine. 174 (5): 773–785. doi:10.1001/jamainternmed.2014.348. PMID 24687000.
  139. ^ Zheng SL, Roddick AJ, Ayis S (September 2017). "Effects of aliskiren on mortality, cardiovascular outcomes and adverse events in patients with diabetes and cardiovascular disease or risk: A systematic review and meta-analysis of 13,395 patients". Diabetes & Vascular Disease Research. 14 (5): 400–406. doi:10.1177/1479164117715854. PMC 5600262. PMID 28844155.
  140. ^ a b Catalá-López F, Macías Saint-Gerons D, González-Bermejo D, Rosano GM, Davis BR, Ridao M, et al. (March 2016). "Cardiovascular and Renal Outcomes of Renin-Angiotensin System Blockade in Adult Patients with Diabetes Mellitus: A Systematic Review with Network Meta-Analyses". PLOS Medicine. 13 (3): e1001971. doi:10.1371/journal.pmed.1001971. PMC 4783064. PMID 26954482.
  141. ^ a b c ElSayed NA, Aleppo G, Bannuru RR, Bruemmer D, Collins BS, Ekhlaspour L, et al. (American Diabetes Association Professional Practice Committee) (January 2024). "10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes—2024". Diabetes Care. 47 (Supplement_1): S179–S218. doi:10.2337/dc24-S010. ISSN 1935-5548. PMC 10725811. PMID 38078592.
  142. ^ Pignone M, Alberts MJ, Colwell JA, Cushman M, Inzucchi SE, Mukherjee D, et al. (June 2010). "Aspirin for primary prevention of cardiovascular events in people with diabetes: a position statement of the American Diabetes Association, a scientific statement of the American Heart Association, and an expert consensus document of the American College of Cardiology Foundation". Diabetes Care. 33 (6): 1395–402. doi:10.2337/dc10-0555. PMC 2875463. PMID 20508233.
  143. ^ Mirhosseini N, Vatanparast H, Mazidi M, Kimball SM (September 2017). "The Effect of Improved Serum 25-Hydroxyvitamin D Status on Glycemic Control in Diabetic Patients: A Meta-Analysis". The Journal of Clinical Endocrinology and Metabolism. 102 (9): 3097–3110. doi:10.1210/jc.2017-01024. PMID 28957454.
  144. ^ Neves AL, Freise L, Laranjo L, Carter AW, Darzi A, Mayer E (December 2020). "Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis". BMJ Quality & Safety. 29 (12): 1019–1032. doi:10.1136/bmjqs-2019-010581. PMC 7785164. PMID 32532814.
  145. ^ "Sharing electronic records with patients led to improved control of type two diabetes". NIHR Evidence (Plain English summary). 2020-10-21. doi:10.3310/alert_42103. S2CID 242149388.
  146. ^ Picot J, Jones J, Colquitt JL, Gospodarevskaya E, Loveman E, Baxter L, et al. (September 2009). "The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation". Health Technology Assessment. 13 (41): 1–190, 215–357, iii–iv. doi:10.3310/hta13410. hdl:10536/DRO/DU:30064294. PMID 19726018.
  147. ^ Frachetti KJ, Goldfine AB (April 2009). "Bariatric surgery for diabetes management". Current Opinion in Endocrinology, Diabetes and Obesity. 16 (2): 119–24. doi:10.1097/MED.0b013e32832912e7. PMID 19276974. S2CID 31797748.
  148. ^ a b Schulman AP, del Genio F, Sinha N, Rubino F (September–October 2009). ""Metabolic" surgery for treatment of type 2 diabetes mellitus". Endocrine Practice. 15 (6): 624–31. doi:10.4158/EP09170.RAR. PMID 19625245.
  149. ^ Colucci RA (January 2011). "Bariatric surgery in patients with type 2 diabetes: a viable option". Postgraduate Medicine. 123 (1): 24–33. doi:10.3810/pgm.2011.01.2242. PMID 21293081. S2CID 207551737.
  150. ^ Dixon JB, le Roux CW, Rubino F, Zimmet P (June 2012). "Bariatric surgery for type 2 diabetes". Lancet. 379 (9833): 2300–11. doi:10.1016/S0140-6736(12)60401-2. PMID 22683132. S2CID 5198462.
  151. ^ Rubino F, Nathan DM, Eckel RH, Schauer PR, Alberti KG, Zimmet PZ, et al. (June 2016). "Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: A Joint Statement by International Diabetes Organizations". Diabetes Care. 39 (6): 861–77. doi:10.2337/dc16-0236. PMID 27222544.
  152. ^ International Diabetes Federation (2021). IDF Diabetes Atlas (PDF) (10 ed.). International Diabetes Federation. p. 33. ISBN 978-2-930229-98-0. Retrieved 18 March 2022.
  153. ^ Kahn CR, Ferris HA, O'Neill BT (2020). "Pathophysiology of Type 1 Diabetes Mellitus: Epidemiology". Williams Textbook of Endocrinology (14 ed.). Elsevier. pp. 1349–1370.
  154. ^ Olaogun I, Farag M, Hamid P (April 2020). "The Pathophysiology of Type 2 Diabetes Mellitus in Non-obese Individuals: An Overview of the Current Understanding". Cureus. 12 (4): e7614. doi:10.7759/cureus.7614. PMC 7213678. PMID 32399348.
  155. ^ Salvatore T, Galiero R, Caturano A, Rinaldi L, Criscuolo L, Di Martino A, et al. (December 2022). "Current Knowledge on the Pathophysiology of Lean/Normal-Weight Type 2 Diabetes". International Journal of Molecular Sciences. 24 (1): 658. doi:10.3390/ijms24010658. PMC 9820420. PMID 36614099.
  156. ^ Vipin VA, Blesson CS, Yallampalli C (March 2022). "Maternal low protein diet and fetal programming of lean type 2 diabetes". World Journal of Diabetes. 13 (3): 185–202. doi:10.4239/wjd.v13.i3.185. PMC 8984567. PMID 35432755.
  157. ^ Wild S, Roglic G, Green A, Sicree R, King H (May 2004). "Global prevalence of diabetes: estimates for the year 2000 and projections for 2030". Diabetes Care. 27 (5): 1047–53. doi:10.2337/diacare.27.5.1047. PMID 15111519.
  158. ^ Sajida S (2021-01-26). A Hand Book On Diabetes. OrangeBooks Publication. p. 2.
  159. ^ a b Koutroumpakis E, Jozwik B, Aguilar D, Taegtmeyer H (March 2020). "Strategies of Unloading the Failing Heart from Metabolic Stress". The American Journal of Medicine (Review). 133 (3): 290–296. doi:10.1016/j.amjmed.2019.08.035. PMC 7054139. PMID 31520618.
  160. ^ a b Zghebi SS, Mamas MA, Ashcroft DM, Salisbury C, Mallen CD, Chew-Graham CA, et al. (May 2020). "Development and validation of the DIabetes Severity SCOre (DISSCO) in 139 626 individuals with type 2 diabetes: a retrospective cohort study". BMJ Open Diabetes Research & Care. 8 (1): e000962. doi:10.1136/bmjdrc-2019-000962. PMC 7228474. PMID 32385076.
  161. ^ "New tool for assessing the severity of type 2 diabetes could help personalise treatment and improve outcomes". NIHR Evidence (Plain English summary). National Institute for Health and Care Research. 2020-08-07. doi:10.3310/alert_40652. S2CID 242997909.
  162. ^ Wu J, Li T, Guo M, Ji J, Meng X, Fu T, et al. (April 2024). "Treating a type 2 diabetic patient with impaired pancreatic islet function by personalized endoderm stem cell-derived islet tissue". Cell Discovery. 10 (1): 45. doi:10.1038/s41421-024-00662-3. PMC 11058776. PMID 38684699.
  163. ^ Gupta S. "World's first diabetes cure with cell therapy achieved in China". Interesting Engineering. Retrieved 2024-10-12.
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