Diabetes mellitus related to malnutrition
Malnutrition related diabetes can be divided into three types:
- J type (Jamaica)
- K type (Kerala)
- Z type (Zudeima)
Malnutrition and consumption of cassava are thought to be aetiological factors in this type of diabetes which is characterised by:
- history of malnutrition
- found only in tropical countries
- common association with pancreatic fibrosis and calculi
- often severe insulin resistance with moderate reduction in insulin secretion
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