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PART II.

PATHOPHYSIOLOGY OF DIABETES MELLITUS

Precipitating factors:
Predisposing factors:
 family history of DM
 Age-> 40 YRS OLD or Late
 obesity
adulthood
 Production of  Age above 40
 Sedentary Lifestyle
 Diet (Excessive sugar intake) glucose by the
 Therapeutic regimen- Non- liver
compliance to Insulin therapy

Altered pancreatic Impaired insulin Inability of glucose


insulin secretions production to enter target cells

Peripheral resistance
UTI Vaginitis
to insulin

Glucose accumulation in the blood or


 Urethral flora HYPERGLYCEMIA
Diminished (FBS  to 180 mg/dL)
intracellular
 Acidity of urine reaction

Low sodium levels


Dilution of  Concentration of
GLYCOSURIA (Hyponatremia) ECF
SODIUM in ECF

 NAUSEA
 VOMITING
 FATIGUE
 HEADACHE
 GRADE 2 PITTING EDEMA
 DECREASED URINE
OUTPUT

Blood
glucose more
 Pressure than the
Proteinuria Stressed Filtration
of blood
Thickening in System Renal
vessels in
the glomerulus the urine threshold

Diabetic nephropathy Renal failure End-Stage Renal Disease

Potassium ion retention F & E imbalance POLYURIA & Diffuse glomerular sclerosis
ALBUMINURIA

Cardiac arrythmias Increased viscosity of


Stroke  Blood pressure
blood

DEATH

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