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III.

PATHOPHYSIOLOGY
Client Based:

Modifiable factor Non-modifiable factor


-Diet (sweet -Age (49 y/o)
foods) -Genetics (Maternal)
- Sedentary -Sex (Female)

Uncontrolled Autoimmune
lipolysis in destruction of
adipose tissue pancreatic B-cells

Increase level Deficiency in insulin


of free fatty secretion
occurs in
plasma
Abnormal pancreatic
Suppress a-cells function
glucose metab.
In skeletal
muscle Desensitization of
the liber to the levels
Impairs the of blood glucose
action of insulin

Excessive secretion
of glucagon

Decrease the
expression of a
number of genes
necessary for target
tissues to respond to
Elevated insulin
plasma glucose

Capacity of
kidney to
absorb glucose
is surpassed

glycosuria Increased renal Accompanied of polyuria


loss of glucose loss of H2O and
electrolytes
Negative
calorie balance
dehydration

Increase
appetite and Activation of
food intake thirst mechanism

polyphagi
polydipsia
a

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