1. MODY (maturity - onset diabetes of the young) Characteristics:

• Mild high blood glucose/sugar
• Generally occur before the age of 25

Cause:

• Genetic defect of the beta cells of the pancreas resulting in not enough insulin secretion by the pancreas

Treatment:

• Diet
• Exercise
• Self Blood Glucose Monitoring
• Education

2. Extensive injury to the pancreas such as:

• Pancreatitis
• Trauma
• Infection
• Pancreatectomy (removal of the pancreas)
• Cancer of the pancreas
• Hemochromatosis
• Cystic fibrosis

Treatment begins with:

• Diet
• Exercise
• Self Blood Glucose Monitoring
• Education

If not successful proceed with:

• Oral medication
• Insulin

References:

1. American Diabetes Association:
Tests of glycemia in diabetes (Position Statement). Diabetes Care 20 (Suppl. 1):S18-S20, 1997

2. American Diabetes Association:
Standards of medical care for patients with diabetes mellitus (Position Statement). Diabetes Care 20 (Suppl. 1) S5-S13, 1997

3. The Expert Committee on the Diagnosis and Classification
of Diabetes Mellitus. Diabetes Care 20: 1183-1197, 1997

4. American Diabetes Association:
Medical Management of Type 2 Diabetes. 4th Edition. 1998

5. American Diabetes Association:
Medical Management of Type 1 Diabetes. 3rd Edition. 1998

6. American Diabetes Association:
Medical Management of Pregnancy Complicated by Diabetes. 2nd Edition. 1995