{diabetes}

Except to the differential diagnosis of the following situations:

1. Non-grape diabetes, such as milk or diabetes found in pregnant women and young infants and breast-feeding. E fructose and diabetes occasionally after eating a lot of fruit for a very rare congenital disorder. Diabetes was found positive, they should contact analysis of clinical judgments, not be sure as diabetes. Identification of biochemical and fermentation tests.

2. Non-diabetic Diabetic Grape
⑴ hunger glucosuria: When hunger quite suddenly into a large number of carbohydrates when the future of food, insulin secretion can not adapt to a time can have a diabetes and impaired glucose tolerance, identification, pay attention to analysis of disease, diet history, food volume, fasting blood sugar often normal or even may be low, if necessary, to more than 250g daily carbohydrate tolerance test repeated after 3.

⑵ after eating diabetes: diabetes occurs after eating a large number of carbohydrate food, or absorbed too fast, blood glucose levels rise temporarily exceed the threshold and the occurrence of renal sugar diabetes, but fasting glucose and normal glucose tolerance test.

⑶ renal glucosuria: As the tubular reabsorption capacity to reduce sugar, low renal glucose threshold, although the normal and diabetic glucose, found in a small number of pregnant women with transient renal glucose threshold is lowered, the need for postpartum follow-up are provided for identification. Nephritis, kidney tubular reabsorption may also be due to occurrence of renal dysfunction and diabetes, should be the identification of diabetic glomerulosclerosis. True renal glucosuria as Fanconi (Fanconi) syndrome in renal tubular enzyme defect, quite rare. Fasting glucose and glucose tolerance test completely normal, can be measured renal glucose threshold and tubular maximum glucose uptake rate measurement, etc. are provided for identification.

⑷ neurogenic diabetes: seen in stroke, brain tumors, intracranial fracture, asphyxia, anesthesia, and sometimes temporary high blood glucose was associated with diabetes, can be distinguished in the follow-up condition.

3. Secondary diabetes by the pancreatitis, cancer, pancreatic remnant caused such analysis should consider combining history. Hemochromatosis patient with pigmentation, hepatosplenomegaly, diabetes, and evidence of iron metabolism disorder, care should be identified, but rare. Are each other endocrine disease features, differential analysis of the general condition when combined with no problem. Stress High blood sugar or gestational diabetes should be followed up and identified, usually 2 weeks after the disappearance of stress can be restored, or ascertained at follow-up after delivery.