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PATHOPHYSIOLOGY OF DIABETES MELLITUS AND HYPERTENSION

Non-Modifiable
 Age >65 y/o Modifiable
 Family history of Risk Factors  Chronic smoker
Hypertension and  Physical inactivity
DM

Chronic exposure to nicotine Beta cell dysfunction

Nicotine absorption in the lungs


Insulin resistance

Nicotine deposition in the endothelium


Impaired insulin sensitivity

Endothelial dysfunction
Poor glucose uptake inside the cell
Lack of energy source
HYPERGLYCEMIA
(glucose) resulting to ↓
Compensatory use of ATP production
glucose to reserve from
Oxidative stress adipose tissue
↓Nitric Inactivation
oxide of Nitric Shift from glycolysis to
production Oxide Nerve hypoxia gluconeogenesis
Consumption of glucose
reserve from adipose
Blood vessel Hemiparesis tissue
constriction Muscle wasting

Weakness on
↑ SVR right side of the ↑Blood viscosity
body

HYPERTENSION ↑ blood pressure

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