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III.

PATHOPHYSIOLOGY
Client Based:

Modifiable factor Non-modifiable factor


-Diet (sweet foods) -Age (49 y/o)
- Sedentary lifestyle -Genetics (Maternal)
-Sex (Female)

Uncontrolled Autoimmune destruction


lipolysis in adipose of pancreatic B-cells
tissue

Increase level of Deficiency in insulin


free fatty occurs in secretion
plasma
Abnormal pancreatic a-
Suppress glucose cells function
metab. In skeletal
muscle
Desensitization of the
liber to the levels of blood
Impairs the action glucose
of insulin

Excessive secretion of
glucagon

Decrease the expression


of a number of genes
necessary for target
tissues to respond to
insulin
Elevated plasma
glucose

Capacity of kidney
to absorb glucose
is surpassed

glycosuria Increased renal loss Accompanied of loss polyuria


of glucose of H2O and
electrolytes
Negative calorie
balance
dehydration

Increase appetite
and food intake Activation of thirst
mechanism

polyphagia
polydipsia

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