Medicine 5th year, all lecturesdiabetes mellitus dr. Diabetes lecture notes diabetes diabetes mellitusdm. Relative or complex lack of insulin secretion by beta cells of pancreas or defects of cell insulin receptors o results in disturbances of carbohydrates, proteins, and lipid metabolism and hyperglycemia high blood sugar o hormones a proteins o beta cells produce insulin type 1 a attach. Scribd is the worlds largest social reading and publishing site. It presents the basic science needed to understand. As the nurse taking care of the diabetic patient, you must know how to properly care for them, especially newly diagnosed diabetics. Aug 26, 2019 diabetes mellitus is a condition defined by persistently high levels of sugar glucose in the blood. Get a printable copy pdf file of the complete article 218k, or click on a page image below to browse page by page. So before we begin to define diabetes as a disease, lets just talk about some of the statistics. Our mission is to provide a free, worldclass education to. Wednesday, april 8, 1998 diabetes mellitus textbook assignment. Lecture notes, lectures 14 diabetes mellitus by dr doyle studocu. Diabetes mellitus maintenance normal blood glucose levels. Your comments and questions about endocrine notes articles are always welcome.
Classification, pathophysiology, diagnosis and management of. Insulin requiring for survival corresponding to the former clinical class of insulin. Clinical endocrinology and diabetes mellitus volume 1 pdf. Diabetes mellitus is a clinical syndrome characterized by hyperglycemia duo to absolute or relative insulin deficiency. Oct 24, 2010 medicine 5th year, all lecturesdiabetes mellitus dr. In roughly one quarter of cases, a patient with newonset. It presents the basic science needed to understand mechanisms of disease and describes the clinical presentations of the disorders associated with different glands, concluding with the relevant investigations and management.
Jun 10, 20 diabetes mellitus is a group of metabolic diseasescharacterized by elevated levels of glucose in the bloodresulting from defects in insulin secretion, insulin action,or both. Definition, diagnosis and classification of diabetes mellitus. Type i diabetes is usually diagnosed during childhood or young adulthood, which is why. The latest estimates october 2009 indicate there were over 145,000 new cases of diabetes diagnosed in the uk during the past year, bringing the total number of those diagnosed to 2.
Its central disturbance appears to involve an abnormality either in the secretion of or effects produced by insulin although other factors also may be involved. Diabetes type 2 complete food management program sherri. This brand new title in the lecture notes series covers a core element of the medical school curriculum. In roughly onequarter of cases, a patient with newonset. Diabetes mellitus is diagnosed on the basis of hyperglycemia. About 8% of the united states population has diabetes, and of those 8%, about 5% to 10% of those cases are type 1, and well talk about the differences between type 1 and type 2, but the majority of cases are type 2 diabetes. Diabetes diabetes mellitus dm melting of flesh o group of conditions characterized by. Get a printable copy pdf file of the complete article 882k, or click on a page image below to browse page by page. Oct 05, 2009 this brand new title in the lecture notes series covers a core element of the medical school curriculum. In people with diabetes macrovascular complications are two times greater than microvascular complications 20% 9% 0 5 10 15 20 25 macrovascular complications microvascular complications. Diabetes is fast becoming the fourth leading cause of death in the u. Nutrition and exercise interventions for diabetes sherri shafer rd, cde senior clinical dietitian ucsf medical center author.
Medical surgical nursing diabetes mellitus lecture 3 the. Diabetes mellitus dm is chronic metabolic disorder caused by absolute or relative. It is projected that by 2025 there will be 300 million people afflicted with diabetes worldwide. Diabetes mellitus, regardless of underlying cause, is sub divided into. Many experts advise patients to check their urine for ketones when blood glucose is more than 240 mgdl. The two most common are called type 1 diabetes and type 2 diabetes. Lecture 28 pathology of diabetes free download as powerpoint presentation. Bakris,2 ezio bonifacio,3 tamara darsow,4 robert h. People who have diabetes fall into one of two categories, referred to as type 1 and 2. It causes both retention of sodium and potassium which are required for growth metabolism.
Note when certain enzymatic glucose methods are used, fluoride anticoagulated. The word mellitus derived from the latin means sweet and thus diabetes mellitus is known as sweet urine disease. The elderly are very prone to dm and about 50% over the age of 65 have glucose intolerance. Definition, classification and diagnosis of diabetes mellitus authors w.
It is usually increased during sleep or during starvation. In the us diabetes is the leading cause of new blindness. In any use of this work, there should be no suggestion that who endorses. Management of noninsulindependent diabetes mellitus niddm requires teamwork. Apr 16, 2017 diabetes mellitus lecture by dr bal kishore professor in cell biology and neuroanatomy. What are the acute metabolic complications of diabetes mellitus.
Diabetes mellitus lecture by dr bal kishore professor in cell biology and neuroanatomy. Diabetes mellitus dm is chronic metabolic disorder caused by absolute or relative deficiency of insulin. This class of diabetes also known as noninsulin dependent dm accounts for 9095% of. Full text full text is available as a scanned copy of the original print version. Th e m embers o f th e t ask for ce on di abetes ed ucati on wer e. American diabetes association, expert committee on the diagnosis andclassification of diabetes mellitus, 2003 insulin, a hormone produced by the pancreas. Endocrinology notes pituitary disorders growth hormone usually decreases following an elevation in blood glucose after a meal. It is estimated that in 2010 there were globally 285 million. This can be caused by the lack of insulin synthesis or by the beta cells of the pancreas or the lack of sensitivity to insulin by cells that ar normally insulinsensitive. Diabetes causes and treatments lecture notes diabetes facts.
Type 1 diabetes, also known as insulin dependent diabetes mellitus, iddm, accounts for approximately 10% of diabetes cases. Insulin is produced by cells of islets of langerhans located in the pancreas, and the absence, destruction, or other loss of these cells results in type 1 diabetes in sulindependent diabetes mellitus iddm. Pathophysiology and clinical guidelines the academy of dental learning and osha training, llc, designates this activity for 7 continuing education credits 7 ces. This form of diabetes, which accounts for only 510% of all diabetes, is a juvenileonset. Diabetes mellitus is a heterogeneous group of disorders characterized by high blood glucose levels. The chronic metabolic disorder diabetes mellitus is a fastgrowing global problem with huge social, health, and economic consequences. Krishansamy walks through several reallife examples of patients and their indications for novel treatments for diabetes with a focus on mechanisms of action. The doctor should work closely with the nurse and other members of the diabetes health care team, whenever available, and with the person with diabetes. Diabetes in pima indians 317 ngt62 diabetics 0 10 20 30 40 50 % low mid high high mid low air m prospective analysis diabetes prevalence % in offspring by mothers diabetes at pregnancy 0 10 20 30 40 50 60 70 80 90 59 1014 1519 2024 2529 age years nond iabet c prediabetic diabetic. Eckel,5 leif groop,6 perhenrik groop,7,8,9 yehuda handelsman,10 richard a. Beverly thomassian, rn, bcadm, mph, cde revised and updated by health science editor. Definition, diagnosis and classification of diabetes mellitus and its. Introduction the word diabetes derived from the greek means to siphon and refers to the marked loss of water by urination, polyuria.
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