Introduction > Classification > Other types of diabetes

Other specific types of diabetes

When diabetes is due to a precise cause it is called secondary diabetes. Approximately 2% of all cases of diabetes are secondary forms, but unfortunately, most of them are not recognized and they are most commonly classified as type 2 diabetes. MIDD diabetes (Maternal Inherited Diabetes and Deafness) may affect up to 1% of patients with diabetes, but is often undiagnosed. The main secondary forms of diabetes are:

1. Genetic defects of beta cell function

  • Chromosome 20 (HNF 4alfa): MODY 1
  • Chromosome 7 (glucokinaza): MODY 2
  • Chromosome 12 (HNF 1alfa): MODY 3
  • Chromosome 13 (IPF-1): MODY 4
  • Chromosome 17 (HNF 1beta): MODY 5
  • MODY 6: mutation of NEURO D1/BETA2
  • Mitochondrial DNA 3243 mutation

2. Genetic defects in insulin action

  • Type A insulin resistance
  • Leprechaunism
  • Rabson-Mendenhall syndrome
  • Lipoatrophic diabetes

3. Disease of the entire pancreas

  • Fibrocalculous pancreatopathy
  • Pancreatitis
  • Trauma/pancreatectomy
  • Cystic fibrosis
  • Hemochromatosis

4. Endocrinopathies

  • Cushing syndrome
  • Acromegaly
  • Pheochromocytoma
  • Glucagonoma
  • Hyperthyroidism
  • Somatostatinoma
  • Conn syndrome

5. Infections

  • Congenital rubella
  • Cytomegalovirus
  • Coksackie B4
  • Mumps

6. Uncommon forms of immune – mediated disease

  • “Stiff man” syndrome
  • Anti-insulin receptor antibodies

7. Drug – or chemical – induced diabetes

  • Nicotinic acid
  • Glucocorticoids
  • Interferon
  • Thyroxine/triiodothyronine
  • Thiazides
  • Pentamidine
  • Vacor
  • Alfa and beta – adrenergic agonists
  • Beta – adrenergic antagonists

8. Other genetic syndromes

  • Down syndrome
  • Fiedreich ataxi
  • Huntington chorea
  • Klinefelter syndrome
  • Lawrence-Moon-Biedel syndrome
  • Porphyria
  • Prader-Willi syndrome
  • Turner syndrome
  • Wolfram syndrome
  • Myotonic dystrophy

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