Pathway DM

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DM Type I/ IDDM

DM Type II/ NIDDM


-

Immunology
Factor
Environmen
t Factor
(Mumps virus,
Rubella/ toxic)

Genetic
(Antigen
HLA)

About 85% of all


cases
Genetic (mutation
gen Glucokirase
{kr.7})
Most common in
over 40s in White
population
And over 25s in
Black and South
Asian Population

Deficiency insulin lead to the use of


glucose by cells
Leukocytes

Autoimmune Cell precipitate lipid in vascular

infiltration

Destruction of the Pancreatic

Insulin Secretion
(-)/

Transport glucose
Hyperglycaemia

Impaired of
Insulin resistance
Insulin secretion
Hyperinsulinemia
Depressed of cell

Insulin Secretion
(-)/
Lipid

Glicogenesis

Hypertrigliseri
Hypercholeste

LDL

HDL

Risk
infection
Lipolysi
s

Glucosuria
Water secretion

Kidney disease

Polyuria

Death

Ketoneuria,

Intracell

Heart
compensation

Intravascular
Osmotic of the cell

Weight loss,
fatigue, malaise,
energy

Schwann
cell
destroyed
Hypoxia
peripheral cells
Peripheral
Neuropathy

Intravascul

Intracell
Dehydratio

Aterosclerosi
s

Hyperosmolarit

Infark Miokard

Sorbitol,
fruktosa

Risk of injury

Diabetic
Ketoacidosis (DKA)

Reproducti
on Organ

Lipolysis,
glycogenesis

Nutrition less
than body needs

osmotic
pressure a

Disorder balance acid


bases

Artery
Coronaria

Compensation
protein rupture

Progressiv
e Damage
glomerulu
s

Hyperglycaemia

Polyfagi

Mechanism

BUN
GFR

Gluconeogenesis

And forming body of

Hypertensio
n

Glucose

Fatty acids go to

Sediment lipid in
vascular

Cell glucose

Protein

Carbohydra
te

Cerebro
Vascular

Hemoconsentrati
Acidosis metabolic
Coma
Death

Polydipsia

Nausea,
vomiting
hypovolem
Deficient fluid

Microaneurism
Impaired vision

Motoric and
sensory disorder
Pain sensation

Osmoreceptor in
Hypothalamus

Disorder blood
vessels coz the flow
onto retina

Risk injury

Low sensibility
Ulcus diabeticum
Surgery
Disability

Impaired of
skin
integrity
Self-image
disorder

Atropi of
muscle

Death

Decompensati
on cordis

Sexual
disfunction

Stroke
Death

Disorder
sexual pattern

Insulin Secretion
(-)/
Hyperglycaemia
Provision of
insulin , diet ++
Glucose to the

Hypoglycaemia

Impaired function
of the brain

Activation autonom
Hypothalamus
Hormone

Dizzy, blurred
vision, mental
acuity ,
consciousness
Risk injury

Coma

Crisis

Palpitation,
sweating , tremor,

Self-image
disorder

Death

Change the
process family

Searching
information

Lacking
knowledge

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