The cardiovascular risk factors

THE NON INSULIN-DEPENDENT DIABETES

- Definition, A few explanations
- Positive diagnosis
- Evolution
- Treatment

DEFINITION

The non insulin dependent diabetes is defined by an elevated rate of sugar in blood, whose lowering does not require any artificial insulin administration.

A FEW EXPLANATIONS

The non insulin dependent diabetes represents the majority of the diabetes: 85%. It is most often associated to an obesity in the mature subject. If the absence of insulin-dependence is the criterion to define the non insulin dependent diabetes, it is not a predictive criterion of evolution because the non insulin dependent diabetes can thereafter become insulin-requiring (which means it requires insulin).

In the non insulin dependent diabetes, an undeniable genetic factor is added to the environment factors. These are represented by an android obesity (masculine obesity) in 80% of the cases.

Some non insulin dependent diabetes could originate from a disorder of the immune system: these are the type I slow diabetes, seen previously. In fact, the border between the 2 shapes is not very clear.

At the physiopathology level, 2 reasons explain the chronic hyperglycaemia:

* The muscular insulin resistance (resistance to the insulin) which results in a malfunction of the muscles;

* The hypoinsulinism (reduction of the insulin production), capable of being merely relative because of a consequent increase of the weight.

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