Portal de Periódicos da CAPES

Diabetic Complications Without Manifest Diabetes

1963; American Medical Association; Volume: 183; Issue: 11 Linguagem: Inglês

10.1001/jama.1963.03700110058011

1538-3598

Max Ellenberg,

Diabetes Management and Research

A number of conditions generally recognized as complications of diabetes mellitus frequently occur before the characteristic findings of hyperglycemia, glycosuria, polyuria, and polyphagia. As a result, the complications appear as the presenting symptoms that lead to the diagnosis. The characteristic retinopathy, for example, occasionally causes impairment of vision before glycosuria is found. This fact, that characteristic disorders can involve the eye, the skin, the nervous and vascular systems, the kidney, and the reproductive functions before the characteristic disorder of carbohydrate metabolism becomes manifest, means that diabetes mellitus is a complex disease. It should no longer be thought of as meaning simply hyperglycemia and glycosuria. An alert clinician has the opportunity to recognize the disease more promptly, begin its management at an earlier stage, and solve some obscure clinical problems.