Diabetes Mellitus Overview
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Questions and Answers

What is the primary cause of Diabetes Mellitus Type 1?

  • Age-related metabolic decline
  • Peripheral insulin resistance
  • Obesity-related factors
  • Autoimmune destruction of beta cells (correct)

At what age is one more likely to develop Diabetes Mellitus Type 2?

  • < 30 years old
  • < 50 years old
  • > 40 years old (correct)
  • > 25 years old

Which statement about insulin necessity in Diabetes Mellitus is true?

  • Type 2 diabetes always requires insulin
  • Type 1 diabetes requires insulin always (correct)
  • Type 1 diabetes requires insulin sometimes
  • Type 2 diabetes never requires insulin

What distinguishes the obesity association between Type 1 and Type 2 diabetes?

<p>Type 1 diabetes has no association with obesity (D)</p> Signup and view all the answers

Which condition is commonly seen in Diabetes Mellitus Type 1?

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

Which of the following best describes the key difference in the underlying mechanisms of Type 1 and Type 2 diabetes?

<p>Type 1 is characterized by high insulin sensitivity, whereas Type 2 is associated with low insulin sensitivity. (B)</p> Signup and view all the answers

A patient presents with severe glucose intolerance and is found to have HLA-DR3 and HLA-DR4 markers. Based on these findings, which type of diabetes is most likely?

<p>Type 1 diabetes, due to the presence of HLA-DR3 and HLA-DR4 markers. (A)</p> Signup and view all the answers

Which of the following is TRUE regarding the levels of serum insulin observed in Type 2 diabetes?

<p>They initially increase and may decrease later in the disease. (C)</p> Signup and view all the answers

Which of the following histological observations is most suggestive of Type 2 diabetes?

<p>Islet of amyloid polypeptide (IAPP) deposits (B)</p> Signup and view all the answers

Why are prolonged exposure to epinephrine and glucocorticoid therapy relevant to Type 2 diabetes?

<p>They contribute to peripheral insulin resistance. (C)</p> Signup and view all the answers

A patient diagnosed with type 1 diabetes mellitus presents with a condition often involving elevated ketone bodies. Which of the following conditions is most likely?

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

In type 2 diabetes mellitus, the presence of peripheral insulin resistance results in which of the following physiological responses?

<p>Reduced glucose uptake by cells (B)</p> Signup and view all the answers

A study of pancreatic tissue reveals a reduced number of beta cells with evidence of leukocytic infiltrate. This finding is most suggestive of which type of diabetes?

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

In a patient with type 2 diabetes, which of the following changes in serum insulin production is most likely to be seen over the course of the disease?

<p>Initially increased, followed by a decrease (B)</p> Signup and view all the answers

While genetic predisposition exists for both forms of diabetes, the association for type 2 diabetes is considered:

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

In the context of diabetes mellitus, a patient is diagnosed with a condition characterized by a high level of insulin sensitivity. What other finding would be most consistent with this diagnosis?

<p>Severe glucose intolerance (B)</p> Signup and view all the answers

A patient with a history of type 2 diabetes experiences a decrease in serum insulin levels over time. Which of the following factors most likely contributes to this change?

<p>Long term peripheral insulin resistance and subsequent beta cell failure (A)</p> Signup and view all the answers

A tissue analysis from a diabetic patient reveals the presence of islet amyloid polypeptide (IAPP) deposits. This finding is most indicative of which condition?

<p>Diabetes Mellitus Type 2 with variable beta cell numbers (B)</p> Signup and view all the answers

In the context of diabetes, which description is the MOST consistent with aetiology, in the absence of specific lab results?

<p>Type 1: Destroyed beta cells and Type 2: Peripheral insulin resistance (B)</p> Signup and view all the answers

A patient, who is not obese, presents with a condition that necessitates insulin treatment. Of the factors listed, which one is most suggestive of Diabetes Mellitus Type 1?

<p>Positive HLA-DR3 and HLA-DR4 markers (A)</p> Signup and view all the answers

Flashcards

Type 1 Diabetes

A condition characterized by loss of functioning beta cells in the pancreas, leading to absolute insulin deficiency.

Type 2 Diabetes

A condition characterized by insulin resistance, where the body either doesn't produce enough insulin or cannot use it properly.

Insulin Resistance

The process by which the body's cells become less responsive to insulin, hindering the uptake of glucose.

Ketoacidosis

High levels of ketones in the blood, often caused by a lack of insulin and excessive breakdown of fats.

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Beta Cell Destruction

The process where beta cells within the pancreas are damaged or destroyed, preventing them from producing insulin.

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What is the main cause of type 1 diabetes?

In type 1 diabetes, the immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas, leading to absolute insulin deficiency.

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What is the main cause of type 2 diabetes?

In type 2 diabetes, the body either doesn't produce enough insulin or cannot use it properly. This is usually due to insulin resistance, where cells become less responsive to insulin.

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What is the usual age range for type 1 and type 2 diabetes?

Type 1 diabetes usually develops in younger individuals, typically before the age of 30, while type 2 diabetes is more common in older adults, generally after 40 years old.

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Is there a connection between obesity and type 1 and type 2 diabetes?

Type 1 diabetes is not associated with obesity, while type 2 diabetes is strongly linked to being overweight or obese.

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How strong is the genetic link for type 1 and type 2 diabetes?

Type 1 diabetes has a weak genetic predisposition, while type 2 diabetes has a relatively strong genetic influence. This means that if a family member has type 2 diabetes, you have a higher risk of developing it.

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What's the main difference between Type 1 and Type 2 diabetes?

In Type 1, the beta cells in the pancreas are destroyed, leading to an inability to produce insulin. In Type 2, the body develops resistance to insulin, meaning the cells are less responsive to it.

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What are the typical ages for Type 1 and Type 2 diagnosis?

Type 1 diabetes is often diagnosed before 30, while Type 2 diabetes is more common in adults over 40.

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How does obesity affect Type 1 and Type 2 diabetes?

Type 1 diabetes is not linked to obesity, while Type 2 diabetes is strongly associated with being overweight or obese.

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What is the genetic predisposition for each type of diabetes?

Type 1 diabetes has a weak genetic link, meaning family history doesn't significantly increase your risk. Type 2 diabetes, however, has a stronger genetic predisposition; having a family member with Type 2 increases your chances.

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How do glucose intolerance and insulin sensitivity differ between the two types?

Type 1 diabetes often involves severe glucose intolerance and high insulin sensitivity, while Type 2 diabetes typically features mild to moderate glucose intolerance and low insulin sensitivity.

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What are the typical ages for diagnosis of type 1 and type 2 diabetes?

Type 1 diabetes typically develops in younger individuals, usually before the age of 30, while type 2 diabetes is more commonly diagnosed in older adults, often after 40 years old.

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How are obesity and type 1 and type 2 diabetes related?

Type 1 diabetes is not linked to obesity, while type 2 diabetes is strongly associated with being overweight or obese.

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Study Notes

Diabetes Mellitus Type 1

  • Aetiology: Destruction of beta cells in the pancreas
  • Insulin necessity: Always
  • Age: Under 30 years old
  • Obesity Association: No
  • Genetic Predisposition: Weak
  • HLA System Risk: HLA-DR3 and HLA-DR4, severe
  • Glucose Intolerance: Not applicable
  • Insulin Sensitivity: High
  • Ketoacidosis: Common
  • Number of Beta Cells: Decreased
  • Serum Insulin Levels: Decreased
  • Histology: Islet of leukocytic infiltrate - less common
  • Nerve/Vascular Complications: Not applicable

Diabetes Mellitus Type 2

  • Aetiology: Peripheral insulin resistance; also influenced by glucocorticoid therapy (Prednisone, dexamethasone, which can contribute to the issue). Prolonged epinephrine exposure can also play a factor.
  • Insulin necessity: Sometimes
  • Age: Over 40 years old
  • Obesity Association: Yes
  • Genetic Predisposition: Relatively strong
  • HLA System Risk: None
  • Glucose Intolerance: Mild/moderate
  • Insulin Sensitivity: Low
  • Ketoacidosis: Rare
  • Number of Beta Cells: Variable (with amyloid deposits)
  • Serum Insulin Levels: Initially increased, later decreased
  • Histology: Islet of amyloid polypeptide (IAPP) Deposits - more common
  • Nerve/Vascular Complications: Not applicable

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Description

This quiz explores the key differences between Type 1 and Type 2 Diabetes Mellitus. It covers aetiology, age of onset, insulin requirements, and genetic predisposition among other essential aspects. Test your understanding of these two distinct conditions!

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