Saturday, December 8, 2012

What are the differences between type 1 diabetes mellitus and type 2 diabetes mellitus?

Q. I'd prefer the answer come from the Marieb Anatomy and Physiology text book. If you can answer this, please cite the page number(s) you referenced.

A. I don't have the book, but I do know the differences, if this helps:

type 1 diabetes happens when your pancreas cannot produce insulin. no one really knows why your pancreas cannot produce insulin, but some believe that it might have something to do with an autoimmune disease (your immune system attacking itself). type 1 diabetes is more prevalent among young people mostly between the ages of 7-16. Now, the reason you need insulin is so that your cells can pickup the sugar (glucose) from the bloodstream and transform it into energy. when insulin is not available, glucose levels stay high for long periods of time (high blood sugar). This in turn is dangerous because sugar starts taking water out of your cells, and because sugar can start scraping the blood vessels and eventually make them weaker.
type 2 diabetes is also a high blood sugar disease, but this is a different story. with type 2 diabetes, your pancreas works just fine, but your cells are resistant to insulin. type 2 diabetes is more prevalent in adults, and the causes are more genetic, or related to obesity, since obesity prevents the cells from utilizing the insulin.
hope this helps


How is diabetes mellitus a risk factor for developing atheroma?
Q. I can understand that badly controlled blood glucose levels may lead to damage to walls of blood vessels, hence making them more susceptible to developing atheroma, but is simply having Type 1 and Type 2 a risk factor to atheroma when blood sugar levels are near perfectly controlled?

A. visit http://cme.medscape.com/viewarticle/419012


Each of the tiles matches one of the descriptions associated with diabetes mellitus.?
Q. �Polydipsia
�Obesity
�Glycosuria
�Metabolic acidosis
�Hyperglycaemia

1.is a feature of Type-II rather than type-I diabetes mellitus.
2.is seen when the requirment for insulin is greater than is secretion
3.causes an osmotic diuresis
4.diuresis leads to dehydration which promotes thirst and drinking.
5.can cause respiratory compensation leading to hyperventilation.

A. 1. obesity
2. Hyperglycemia
3. Polydipsia
4. ANother guess
5. a wrong guess


What should I do to avoid Type 2 Diabetes?
Q. I'm very slim and exercise daily, but I have a major sweettooth. My grandmother died of complications from Type 2 Diabetes. I really don't want history to repeat itself. Will reducing sugar intake help me avoid a similar fate?


Thank You. :)

A. Type 2 Diabetes Mellitus has been linked to genetics. So there is a very good chance that you can get it not matter what you do.

Type 2 DM is not really a disease per say. What happens is that for some unknown reason your body's cells develop a resistance naturally occurring insulin. This causes your body to not absorb sugar properly, thus leading to high blood sugar levels. In the vast majority patients with this of DM it can be managed fairly easily-if the patients does what they are suppose to do!

The people who die of complications from type 2 DM generally do not manage their disease properly and/or do not find out that they have it until it has done major damage to their body. I buried a friend last month who died from unmanaged DM. She did everything wrong and it eventually killed her. She was 39 years old. I also have a former patient that I will be suprised if she lives to be 21.

There is research that suggest that a good, balanced diet, and regular exercise, along with a healthy lifestyle, (not smoking etc.) can drastically reduce your risk. They are also suggestion that you avoid concentrated sugars that can cause rapid increases in your blood sugar. This includes candy and other sweets and sodas. They are also suggestion only a moderate intake of diet drinks.

This along with a annual physical is the best that you can do.

Good luck





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