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SIGNS AND

SYMPTOMS

PANCREAS: IT HAS ENDOCRINE AND


EXOCRINE FUNCTION.
DIABETES MELLITUS
 Chronic disorder caused by deficient insulin or defective insulin action in
the body. It is characterized by hyperglycemia and disruption of
carbohydrates, fats and proteins.
 It has two types
 DM type 1
 DM type 2
PATHOLOGY
 SPECIAL PHYSIOLOGIC CHANGES WHEN INSULIN IS LACKING
OR INEFFECTIVE

 GLUCOSE ACCUMULATION IN BLOOD

 IMPAIRED PROTEIN SYNTHESIS

 ALTERED PROTEIN AND FAT METABOLISM


DIFFERENCE BETWEEN TYPE
1 AND TYPE 2 DIABETES
FACTORS TYPE 1 TYPE 2
AGE OF ONSET < 30 >30

TYPE OF ONSET ABRUPT GRADUAL


EDOGENOUS LITTLE OR NONE BELOW OR ABOVE
NORMAL
INCIDENCE 10 % 90%
KETOACIDOSIS MAY OCCUR UNLIKELY
INSULIN INJECTIONS REQUIRED 20-30% 0F PATIENTS
BODY WEIGHT NORMAL OR THIN OBESE
MANAGEMENT DIET, EXERCISE, DIET;EXERCISE, ORAL
INSULIN HYPOGLYCEMICS OR
INSULIN
ETIOLOGY VIRAL /AUTOIMMUNE INSULIN RESISTANCE
HEREDITARY YES YES
CLINICAL S/S
 POLYURIA
 POLYDIPSIA
 POLYPHAGIA
 WEIGHT LOSS
 HYPERGLYCEMIA
 GLUCOSURIA
 KETONURIA
 FATIGUE AND WEAKNESS
 BLURRED VISION
 IRRITABILITY
 RECURRENT INFECTIONS
 NUMBNESS
 BRUISES
COMPLICATIONS OF DM
 ATHEROSCLEROSIS
 INFECTIONS
 NEUROPATHY
 PERIARTHRITIS
 HAND STIFFNESS

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