Report of the Committee of Japan Diabetes Society on the Classification and Diagnostic Criteria of Diabetes Mellitus.

  • Kuzuya Takeshi
    JA Shioya General Hospital
  • Nakagawa Shoichi
    Tenshi Junior College
  • Satoh Jo
    Third Department of Internal Medicine, Tohoku University School of Medicine
  • Kanazawa Yasunori
    Omiya Medical Center, Jichi Medical School
  • Iwamoto Yasuhiko
    Diabetes Center, Tokyo Women's Medical University School of Medicine
  • Kobayashi Masashi
    First Department of Internal Medicine, Toyama Medical and Pharrnaceutical University
  • Nanjo Kishio
    First Department of Medicine, Wakayama University of Medical Science
  • Sasaki Akira
    Department of Epidemiology, Osaka Seijinbyo Center
  • Seino Yutaka
    Department of Metabolism and Clinical Nutrition, Graduate School of Medicine, Kyoto University
  • Ito Chikako
    Hiroshima A-Bomb Casualty Council Health Management Center
  • Shima Kenji
    Department of Laboratory Medicine, Tokushima University
  • Nonaka Kyohei
    Endocrinology & Metabolism, Kurume University, School of Medicine
  • Kadowaki Takashi
    Department of Metabolic Diseases, Graduate School of Medicine, University of Tokyo Tenshi Junior College

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Other Title
  • 糖尿病の分類と診断基準に関する委員会報告

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Abstract

In 1995, the Japan Diabetes Society (JDS) appointed the Committee for the Classification and Diagnosis of Diabetes Mellitus. The following report of the Committee was prepared, taking account of the previous reports from JDS (1970 and 1982), opinions of the council members of the JDS, recent reports of the Expert Committee of American Diabetes Association (ADA) and the WHO Consultation, and new data presented at the JDS Symposium on the Classmcation and Diagnosis Of Diabetes Mellitus held in June, 1998.<BR>Concept of diabetes mellitus: Diabetes mellitus is a group of diseases characterized by chronic hyperglycemia and other speciflc metabolic abnormalities, with heterogenous etiologies in which both genetic and environmental factors are involved. After a long duration of metabolic derangement, specific complications of diabetes (retinopathy, nephropathy and neuropathy) may occur. Arteriosclerosis is also accelerated in the presence of diabetes. Depending on the severity of metabolic abnormality, diabetes may be asymptomatic, may present with characteristic symptoms such as thirst, polyuria, polydipsia, weight loss, or it may progress to ketoacidosis and coma.

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