Quality Standards for Diabetes Care Toolkit

Drug or chemical induced diabetes: Many drugs, including thiazides, glucosteroids, dilantin and more, may impair insulin secretion or action and may precipitate diabetes in those with existing insulin resistance. Certain toxins may permanently destroy beta cells.

Infections: Certain viruses are associated with beta cell destruction, for example congenital rubella, coxsackievirus B, cytomegalovirus, adenovirus and mumps.

Uncommon forms of immune-mediated diabetes may occur in people with a number of autoimmune related conditions, for example stiff-man syndrome where patients usually have high concentrations of GAD autoantibodies of which one-third of the patients will develop diabetes, or anti-insulin receptor antibodies.