儿童葡萄糖尿的研究
Patrik Konopásek1, Vít Neuman2, Barbora Piteková3
1Department of Pediatrics, Second Faculty of Medicine, Motol University Hospital, Charles University, Prague, Czech Republic - pat.konopasek@gmail.com.
Minerva pediatrics
|December 9, 2024
概括
尿中的葡萄糖,或尿中的葡萄糖,需要彻底的诊断方法. 本综述概述了原因,并提供了基于证据的策略,用于诊断儿童的葡萄糖尿,强调排除糖尿病.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 儿科内分泌学 儿科内分泌学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 葡萄糖 (尿中的葡萄糖) 可能源于血糖升高或脏葡萄糖再吸收受损.
- 以前针对家族性脏葡萄糖的诊断建议缺乏全面的差异诊断.
- 了解脏葡萄糖处理的病理生理学对于准确诊断至关重要.
研究的目的:
- 审查儿童葡萄糖尿症的各种原因.
- 建立一个基于证据的诊断途径,用于儿科葡萄糖尿.
- 为了区分葡萄糖尿和高血糖症的其他原因.
主要方法:
- 综合的文献搜索,重点关注葡萄糖的病因学和病理生理学.
- 分析涉及SGLT1,SGLT2和GLUT2载体的性葡萄糖再吸收机制.
- 检查影响近道管功能的疾病,包括Fanconi综合征和遗传缺陷.
主要成果:
- 尿中的葡萄糖出现在血葡萄糖超过脏值时或由于近道管中的葡萄糖再吸收有缺陷.
- 再吸收受损与Fanconi综合征或葡萄糖载体基因突变有关.
- 在诊断脏葡萄糖之前,必须排除糖尿病和其他高血糖状况.
结论:
- 葡萄糖尿症始终是需要调查的异常发现.
- 一种系统的,基于证据的方法对于诊断儿童葡萄糖的根本原因至关重要.
- 本综述提供了一个简化的诊断策略,以导航差异诊断.
相关概念视频
Glucose Transporters
22.5K
Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
22.5K
Hypoglycemia and Glucagon
152
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
152
Glucose Absorption Into the Small Intestine
31.3K
Complex carbohydrates consumed cannot be absorbed into the small intestine in their original form. First, they must be hydrolyzed to a monosaccharide form such as glucose or galactose. These monosaccharides are then transported across the intestinal membrane and into the blood via transcellular transport. The intestinal epithelial cells allow the movement of these monosaccharides with a defined 'entry' through membrane transporter proteins present on their apical membrane and...
31.3K
Diabetes: Symptoms, Diagnosis, and Complications
504
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
504
Oral Hypoglycemic Agents: Glinides
139
Repaglinide (Prandin) and Nateglinide (Starlix), known as glinides, are oral insulin secretagogues that stimulate insulin release from pancreatic β cells by closing the ATP-sensitive potassium channels (KATP channel). Repaglinide controls insulin release from pancreatic β cells by managing potassium efflux. It shares two binding sites with sulfonylureas and also has a unique site, indicating overlapping mechanisms of action. With a rapid onset and a 4-7 hour duration, it effectively...
139
Diabetes Mellitus: Type 2 and Gestational
2.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.2K


