Diabetes Mellitus: Carbohydrate Metabolism Disorders
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Questions and Answers

What is the approximate percentage of pregnancies affected by gestational diabetes mellitus?

  • 10-15%
  • 1-2%
  • 5-10%
  • 2-5% (correct)

What is the primary function of the GALT enzyme in the body?

  • Breaks down lactose into galactose and glucose
  • Converts galactose to glucose (correct)
  • Converts glucose to galactose
  • Converts lactose to glucose

Which of the following is NOT a complication associated with galactosemia?

  • Cataracts
  • Kidney disease
  • Developmental delays
  • Type 2 diabetes (correct)

What is the mode of inheritance for galactosemia?

<p>Autosomal recessive (A)</p> Signup and view all the answers

Which of the following accurately describes the relationship between gestational diabetes mellitus and type 2 diabetes?

<p>Gestational diabetes mellitus is a temporary condition that may increase the risk of developing type 2 diabetes later in life. (D)</p> Signup and view all the answers

What is the primary symptom associated with lactose intolerance?

<p>Gastrointestinal distress (B)</p> Signup and view all the answers

What is the underlying cause of lactose intolerance?

<p>Lack of the enzyme lactase (A)</p> Signup and view all the answers

What is the typical age range for a diagnosis of galactosemia?

<p>Infancy (A)</p> Signup and view all the answers

What is the most definitive laboratory test to distinguish type 1 from type 2 diabetes?

<p>C-peptide assay (D)</p> Signup and view all the answers

What is the characteristic feature of insulin resistance in type 2 diabetes?

<p>Problem with cells that respond to insulin (D)</p> Signup and view all the answers

What is the correlation between obesity and type 2 diabetes?

<p>Obesity is found in approximately 55% of patients with type 2 diabetes (B)</p> Signup and view all the answers

What is a complication of type 2 diabetes?

<p>Diabetic nephropathy (A)</p> Signup and view all the answers

How can insulin sensitivity be restored in type 2 diabetes?

<p>With only moderate weight loss (D)</p> Signup and view all the answers

What is a genetic factor that increases the risk of developing type 2 diabetes?

<p>Having relatives with type 2 diabetes (A)</p> Signup and view all the answers

What is a contributing factor to recent increases in the rate of type 2 diabetes?

<p>Environmental exposures (C)</p> Signup and view all the answers

What is the initial treatment approach for type 2 diabetes?

<p>Increasing physical activity, decreasing carbohydrate intake and weight loss (B)</p> Signup and view all the answers

What is the primary cause of hyperglycemia in individuals with diabetes mellitus?

<p>Defects in insulin secretion or action (C)</p> Signup and view all the answers

Which type of diabetes is characterized by the pancreas's inability to produce insulin?

<p>Type 1 diabetes (D)</p> Signup and view all the answers

What is the primary treatment for Type 1 diabetes?

<p>Insulin replacement therapy (D)</p> Signup and view all the answers

Which of the following symptoms is NOT typically associated with diabetes mellitus?

<p>Weight gain (D)</p> Signup and view all the answers

Which of these is NOT a potential trigger for an autoimmune attack on pancreatic beta cells in Type 1 diabetes?

<p>Lifestyle factors (B)</p> Signup and view all the answers

What is the characteristic feature of Type 2 diabetes?

<p>Resistance to insulin's action (B)</p> Signup and view all the answers

What is the primary difference between Type 1 and Type 2 diabetes?

<p>Type 1 is characterized by insulin deficiency, while Type 2 is characterized by insulin resistance (C)</p> Signup and view all the answers

Which of the following statements about gestational diabetes is TRUE?

<p>It is a temporary condition that develops during pregnancy (A)</p> Signup and view all the answers

Study Notes

Carbohydrate Metabolism Disorders

Diabetes Mellitus

  • A group of diseases characterized by high blood glucose levels (hyperglycemia) due to defects in insulin secretion or action.
  • Signs and symptoms:
    • Excessive urine production (polyuria)
    • Thirst and increased fluid intake (polydipsia)
    • Blurred vision
    • Weight loss (in type 1)
    • Lethargy
    • Changes in energy metabolism

Types of Diabetes Mellitus

Type 1 Diabetes Mellitus

  • Also known as Insulin-Dependent Diabetes Mellitus (IDDM)
  • Characterized by:
    • Diminished production of insulin
    • Destruction of pancreatic beta cells or inactivity of insulin-producing cells
    • Treated with insulin replacement therapy, dietary management, and blood glucose monitoring
  • Causes:
    • Autoimmune attack on pancreatic beta cells
    • Genetic predisposition
    • Environmental factors
  • Not caused by lifestyle factors

Type 2 Diabetes Mellitus

  • Also known as Non-Insulin-Dependent Diabetes Mellitus (NIDDM)
  • Characterized by:
    • Resistance to insulin signaling
    • Compensatory increase in beta-cell insulin release
    • Insulin resistance is generally post-receptor
  • Risk factors:
    • Obesity
    • Central obesity
    • Family history
    • Environmental exposures
  • Complications:
    • Renal failure due to diabetic nephropathy
    • Vascular disease
    • Vision damage due to diabetic retinopathy
    • Loss of sensation or pain due to diabetic neuropathy
    • Liver damage from non-alcoholic steatohepatitis
    • Heart failure from diabetic cardiomyopathy

Gestational Diabetes Mellitus

  • A form of diabetes that develops during pregnancy
  • Resembles type 2 diabetes, but is transient
  • Can increase the risk of developing type 2 diabetes later in life

Diagnosis of Diabetes Mellitus

  • Fasting plasma glucose level ≥ 126 mg/dl (7.0 mmol/l)
  • Plasma glucose ≥ 200 mg/dl (11.1 mmol/l) 2 hours after a 75 g oral glucose load in a glucose tolerance test

Galactosemia

  • A genetic metabolic disease characterized by a defect in the body's ability to convert galactose to glucose
  • Affects 1 in every 55,000 newborns
  • Caused by a deficiency of the GALT enzyme
  • Inherited in an autosomal recessive manner
  • Complications:
    • Cataracts
    • Developmental delays
    • Jaundice
    • Speech difficulties
    • Hepatomegaly
    • Neurological impairments
    • Kidney disease

Lactose Intolerance

  • A condition characterized by the inability to fully digest lactose in milk due to decreased lactase enzyme production
  • Symptoms:
    • Diarrhea
    • Gas
    • Bloating after consuming dairy products

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Description

This quiz covers the definition, signs, and symptoms of diabetes mellitus, including type 1 diabetes, and its effects on carbohydrate metabolism and energy production.

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