Pathophysiology of Diabetes Mellitus

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PATHOPHYSIOLOGY OF DIABETES MELLITUS

PREDISPOSING FACTOR

ETIOLOGY: UNKNOWN

PRECIPITATING FACTOR
-Obesity

-Genetics
-Age>45 years old
-Race: Caucasians, African
American
-Gender

-Hypertension
-Diet
-Occupation
-Sedentary Lifestyle
-Stress, Trauma, Surgery

MACROVASCULAR

MICROVASCULAR
BLOOD VESSEL WALLA
THICKENBLOOD
SCLEROSE
INCREASED
GLUCOSE LEVEL (HYPERGYCEMIA)
EYES- Blurring of Vision->Blindness
AND OCCLUDED BY PLAQUE
(DIABETIC RETINOPATHY)

KI

KIDNEY- Decrease Kidney Function


Coronary Artery Disease
-Microalbuminuria
HYPOTHALAMUS
SIGNALS
Cerebrovascular
Disease TO STIMULATE PANCREAS TO RELEASE
KETONE BODIES
-Anemia, thirst,ACTIVATION
Fatigue, OF
INSULIN
Peripheral Vascular Disease
FORMATION
Frequent UTI
>Diminished
Peripheral
RAAS
ACETONE BREATH
Pulses
-(DIABETIC NEPHROPATHY)
>Intermittent
KETONURIAClaudication
NERVES- Paresthesia, Absent
Reflexes,
WATER
AND IN
DIABETIC
INCREASE
PRESSURE
pain, weakness, numbness
andWALLS
loss of
SODIUM
KUSSMAULS
BLOOD VESSEL

DECREASE INSULIN (NOT


ENOUGH OR INSULIN
RESISTANCE) TYPE 2

NO INSULIN PRODUCEDAUTOIMMUNE DAMAGE OF


THE PANCREAS- TYPE 1

FURTHER INCREASE IN BLOOD


SUGAR

OSMOTIC
DIURESIS

wt.

POLYU

Potassium

GLUCOSUR

SLUGGISH CIRCULATION OF
BLOOD

LOSS

CELLULAR
DHN
THIRST
MECHANISM
POLYDIPS
IA

CELLULAR
STARVATION

POLYPHAG

INCREASE VISCOSITY OF
BLOOD

DECREASE OXYGEN SUPPLY TO


VITAL ORGANS OF THE BODY
LIPOLYSIS
(FATS)

KIDNEY

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