Diabetes Mellitus

doi:10.1059/0003-4819-96-5-635

Diabetes Mellitus

Los Angeles, California

Abstract

Diabetes mellitus is classified into two major categories: type I, which is insulin dependent, and type II, which is not. Insulin resistance in type II diabetes may be related to impaired receptor binding in some forms of the disorder. In the past, diabetes in pregnant women resulted in high rates of maternal and infant mortality. During the past 10 years, however, better management of maternal diabetes has led to a significant sharp reduction in maternal and fetal morbidity and mortality. The long-term outcome of insulin-dependent diabetes remains gloomy, probably because adequate control of the disease has rarely been achieved. Recently, more stringent efforts have been made to achieve tighter control. Frequent monitoring of blood glucose levels at home and use of constant infusion insulin pumps may help to achieve this end until successful islet transplantation is feasible.

Article and Author Information

▸An edited transcription of an Interdepartmental Conference arranged by the Department of Medicine of the UCLA School of Medicine; Los Angeles, California.
▸Authors who wish to cite a section of this conference and specifically indicate its author can use this example of the form of the reference:

LIPPE BM. Insulin action and the insulin receptor, pp. 635-8. In: KAPLAN SA, moderator. Diabetes mellitus. Ann Intern Med. 1982;96:635-649.
▸Requests for reprints should be addressed to Solomon A. Kaplan, M.D.; Department of Pediatrics, Division of Endocrinology and Metabolism, UCLA School of Medicine; Los Angeles, CA 90024.