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Table 5-18

VariableType 1 (Insulin-Dependent) Diabetes MellitusType 2 (Non–Insulin-Dependent) Diabetes Mellitus
Endogenous (naturally occurring) insulinAbsolute deficiency of insulin; pancreas produces no insulinRelative insufficiency of insulin
Dependence on exogenous insulinTotal dependence on insulin injections for remainder of lifeVaries; disease may be controlled by combination of: diet, exercise, oral hypoglycemics, and insulin injections
Typical onset AbruptInsidious
Age at onsetAnytime during childhood years; usually before age 20Most common between age 40 and 60 years, but ↑ incidence in children with obesity, lack of exercise, diet high in “junk” food
Weight at onsetNormal or sudden, unexplained loss of weightOverweight or obese
Gender Slightly more common in boys than girlsMore common in women than men
Ethnicity More common in CaucasiansMore common in Hispanics and Native Americans
Ketoacidosis Relatively commonRelatively rare
Ease of control/stability Unstable, difficult to achieve steady blood sugar levelStable, easier to achieve steady blood sugar level
Presenting symptoms bulbImagePolyuria, polyphagia, polydipsia (“three Ps”)More commonly related to long-term complications (e.g., changes in vision or kidney function)
Complications Occur more frequently and at relatively younger age because of younger age at onset of disease; rate 80% or greaterOccur less frequently, and often not seen until later adult years; rate is variable