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What is Diabetes Mellitus? Answer: A chronic multisystem disease related to abnormal
insulin production, impaired insulin utilization, or both.
What is the global prevalence of Diabetes Mellitus? Answer: Approximately 29.1 million
people, or 9.3% of the population, have Diabetes Mellitus, with 86 million more having
prediabetes.
What are the major health complications associated with Diabetes Mellitus? Answer:
Leading cause of adult blindness, end-stage renal disease, and nontraumatic lower limb
amputations; major contributing factor to heart disease and stroke.
How much higher is the risk for stroke among people with Diabetes Mellitus? Answer:
2-4 times higher.
What are the normal blood glucose levels? Answer: 70-100 mg/dL.
What are the two main types of Diabetes Mellitus? Answer: Type 1 DM and Type 2 DM.
What characterizes Type 1 Diabetes Mellitus? Answer: An autoimmune disorder where
the body develops antibodies against insulin and/or pancreatic β-cells, leading to
insufficient insulin production.
What is the genetic predisposition associated with Type 1 Diabetes Mellitus? Answer:
Related to human leukocyte antigens (HLA-DR3, DR4) and viral infections that destroy
pancreatic β-cells.
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,What is required for survival in individuals with Type 1 Diabetes Mellitus? Answer:
Insulin from an outside source (exogenous insulin).
What is Diabetic Ketoacidosis (DKA)? Answer: A life-threatening condition resulting in
metabolic acidosis, prone to develop in individuals with Type 1 DM.
What characterizes Type 2 Diabetes Mellitus? Answer: Formerly known as adult-onset
diabetes; a combination of inadequate insulin secretion and insulin resistance.
What percentage of diabetes cases are Type 2 Diabetes Mellitus? Answer: 90% to
95%.
What are the risk factors for Type 2 Diabetes Mellitus? Answer: Being overweight or
obese, being older, and having a family history of Type 2 diabetes.
What is insulin resistance? Answer: A condition in which body tissues do not respond to
the action of insulin due to unresponsive or insufficient insulin receptors.
What happens to beta-cells in Type 2 Diabetes Mellitus? Answer: Fatigued beta-cells
lead to a decrease in the ability of the pancreas to produce insulin.
What role do active alpha cells play in Type 2 Diabetes Mellitus? Answer: They secrete
glucagon, causing hyperglycemia.
What are the components of metabolic syndrome that increase the risk for diabetes?
Answer: Elevated glucose levels, abdominal obesity, elevated blood pressure, high
levels of triglycerides, and decreased levels of high-density lipoproteins (HDLs).
What is prediabetes? Answer: A risk factor for the development of Type 2 Diabetes
Mellitus.
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, What is the relationship between obesity and Type 2 Diabetes Mellitus? Answer:
Obesity is a significant risk factor and is associated with genetic mutations leading to
insulin resistance.
What is the impact of adipokines in Type 2 Diabetes Mellitus? Answer: Adipokines can
cause chronic inflammation and contribute to insulin resistance.
What is the role of glucagon in diabetes? Answer: Glucagon secretion increases
glycogenolysis and gluconeogenesis, contributing to hyperglycemia.
What is the significance of the genetic link in Type 2 Diabetes Mellitus? Answer: The
genetic link is not fully understood but involves mutations that lead to insulin resistance.
What are the two conditions associated with impaired glucose tolerance? Answer:
Impaired Glucose Tolerance (IGT) and Impaired Fasting Glucose (IFG).
What are the 2-hour oral glucose tolerance test (OGTT) values for IGT? Answer: 140 to
199 mg/dL (7.8 to 11.0 mmol/L).
What are the fasting blood glucose levels for Impaired Fasting Glucose (IFG)? Answer:
100 to 125 mg/dL (5.56 to 6.9 mmol/L).
What does impaired glucose tolerance indicate? Answer: It is an intermediate stage
between normal glucose homeostasis and diabetes, with elevated blood glucose but not
high enough to meet the diagnostic criteria for diabetes.
What are common clinical manifestations of diabetes? Answer: Polyuria, polydipsia,
fatigue, recurrent infections, recurrent vaginal yeast infections, polyphagia, weight loss,
prolonged wound healing, and visual changes.
What percentage of pregnancies in the United States are affected by gestational
diabetes? Answer: About 4.6% to 9.2%.
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