PHS 4300 Chapter Notes - Chapter 3: Tachycardia, Acanthosis Nigricans, Polycythemia

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Diabetes: greek (cid:862)to pass through(cid:863) (cuz polyuria = large amounts urine); mellitus: indicate sweet urine. Diabetes mellitus: caused by absolute/relative insulin deficiency or abnormal response to insulin. ** diabetes mellitus (dm): a heterogeneous group of systemic disorders characterized by: hyperglycemia, complex disturbances of cho, fat & pro metabolism, blood vessel pathology causing variety of organic changes. Diabetes mellitus classification: primary diabetes mellitus: most cases. 1. 3 maturity onset diabetes mellitus of young (mody): single gene defect of langerhans cells; No langerhans b-cells & insulin sensitivity loss & no ketosis; Autosomal, mild hyperglycemia & insulin hyposecretion; defect in insulin production. Onset: earlier vs most; sometime similar symptom; not linked to obesity young/not overweight. Slow onset, autoimmune; insulin defiance from failing langerhans cells; not insulin resistance. 35 yo +; treatment: exercise & diet, insulin if needed; slowly progress to type 1 dm. Shares genetic features w/ both type 1 (hla, ins, vntr, ptpn22) & type 2 (tcf7l2) diabetes.

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