Diabetes Mellitus Overview

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Questions and Answers

What is Diabetes Mellitus?

A group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both.

Which of the following are symptoms of Diabetes Mellitus? (Select all that apply)

  • Fatigue (correct)
  • Increased appetite
  • Polyuria (correct)
  • Blurred vision (correct)

Match the classification with its description:

Type 1 diabetes mellitus = Insulin dependent diabetes, absolute insulin deficiency Type 2 diabetes mellitus = Non-insulin dependent, related to insulin resistance Gestational diabetes mellitus = Glucose intolerance occurring in pregnant women Other specific types of diabetes = Various causes not classified as Type 1 or Type 2

Type 1 diabetes primarily occurs in adults.

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

Diabetes Mellitus results from a defect in ______ secretion.

<p>insulin</p> Signup and view all the answers

What is pre-diabetes?

<p>A condition where blood glucose levels are higher than normal but not yet high enough to be diagnosed as diabetes.</p> Signup and view all the answers

Gestational diabetes occurs without a previous history of diabetes.

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

List one possible cause of secondary diabetes.

<p>Cushing syndrome or hyperthyroidism.</p> Signup and view all the answers

What is the prevalence of Type 1 diabetes among diabetes cases?

<p>10% (C)</p> Signup and view all the answers

What characterizes Type 2 diabetes?

<p>Insulin resistance with an insulin secretory defect.</p> Signup and view all the answers

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Study Notes

Diabetes Mellitus

  • A group of metabolic diseases that cause hyperglycemia due to a deficiency in insulin secretion, insulin action, or both.
  • The primary cause of diabetes is either an inability to produce insulin or the inability of the body to effectively use the insulin produced.

Symptoms of Diabetes Mellitus

  • Polyuria (Frequent urination)
  • Polydipsia (Increased thirst)
  • Polyphagia (Increased hunger)
  • Weight loss
  • Blurry vision
  • Headache
  • Fatigue
  • Slow healing of cuts
  • Itchy skin
  • Vision changes

Classification of Diabetes Mellitus

  • Initially classified as Type 1 (Insulin-dependent diabetes mellitus - IDDM) and Type 2 (Non-insulin dependent diabetes mellitus - NIDDM)
  • The ADA/WHO classification (1995) eliminated IDDM and NIDDM and instead adopted Arabic numerals.

Diabetes Mellitus Types

  • Type 1 Diabetes Mellitus
    • Characterized by hyperglycemia resulting from pancreatic islet β-cell destruction, leading to absolute insulin deficiency.
    • Accounts for 10-20% of all diabetes cases.
    • Often diagnosed in childhood or adolescence (juvenile diabetes).
    • Patients are often underweight.
    • Prone to developing ketoacidosis.
    • May be present in one or more marker (examples: islet cell antibodies, insulin antibodies).
  • Type 2 Diabetes Mellitus
    • Characterized by hyperglycemia due to insulin resistance and a relative insulin deficiency.
    • Accounts for the majority of diabetes cases.
    • Diagnosed in adulthood.
    • 80-90% of patients are overweight
  • Secondary Diabetes
    • Results from another medical condition or due to the treatment of a medical condition that causes abnormal blood glucose levels.
    • Can be induced by conditions such as Cushing Syndrome (e.g. steroid administration), Hyperthyroidism, or Parenteral Nutrition

Gestational Diabetes Mellitus

  • Definition: Any degree of glucose intolerance that occurs during pregnancy in women without a previous history of diabetes.
  • Cause: Metabolic and hormonal changes during pregnancy.

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