目前糖尿病分型仍依据1999年WHO和1997年ADA的病因学分型。所谓1型糖尿病即为原称为的胰岛素依赖型糖尿病,而现今包括的IA型和IB型糖尿病。他们的根本特征即为胰岛β细胞损害或/和胰岛素分泌严重障碍。1B型糖尿病是指具有严重胰岛素缺乏的表现,但未见胰岛β细胞自身免疫的证据[1],即所谓的特发性糖尿病。近首先由日本学者报道的一种伴血清胰淀粉酶升高的并快速进展的糖尿病也应包括在1型糖尿病中,被称为暴发型1型 The current diabetes typing is still based on the 1999 WHO and 1997 ADA etiology. The so-called type 1 diabetes is the formerly known as insulin-dependent diabetes, and now includes type IA and type IB diabetes. Their fundamental feature is the islet β cell damage or / and severe obstacles to insulin secretion. Type 1B diabetes mellitus is a manifestation of severe insulin deficiency but no evidence of islet beta cell autoimmunity [1], so-called idiopathic diabetes. A type of diabetes mellitus with rapid and elevated serum pancreatic amylase, first reported by a Japanese scholar, should also be included in type 1 diabetes, referred to as fulminant type 1