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Diabetes Mellitus
Presented by Shazia
Anatomy and physiology of Endocrine Pancreas
• Pancreas is a soft, finely lobulated elongated exo- endocrine
gland.
• Present in retroperitoneal cavity.
• The pancreasis an oblong flattened gland, about 6 inches
long.
• Located deep in the abdomen , sandwiched between the
stomach and the spine.
• It has five parts, the tail, body , neck, head and uncinate
process.
• The pancreas is made up of glandular tissues and a
system of ducts.
Con,,,
• The endocrine pancreas refer to those cells with in pancreas that
synthesize and secrete harmones.
• The endocrine portion of pancreas take the form of many small
clusters of cells called islets of langerhans .
• 𝛼 cells : Secrete glucagon that stimulates glycogenolysis in
liver.
• 𝛽 cells : Secrete Insulin that stimulates glycogenesis in liver.
• ∆ cells :Secrete somatostatin that regulates 𝛼 and 𝛽 cells.
Diabetes Mellitus
• Diabetes mellitus is a chronic
disorder of carbohydrates,
protiens and fat metabolism
resulting from insulin
deficiency or abnormality in
the use of insulin.
TYPE 2 Diabetes
• Formely knowns as Non
Insulin- Dependent Diabetes
Mellitus (NIDDM).
Probably caused by:
• Disturbance in insulin
reception in the cells.
• Decreased number of insulin
receptors.
• Loss of beta cells
responsiveness to glucose
leading to slow or decrease
insulin release by the pancreas.
Classification,,,
TYPE 1 Diabetes
• Formely known as Insulin
Dependent Diabetes Mellitus
(IDDM).
• Autoimmune (Islets cell
antibodies) destroy cells that
produce insulin.
• Destruction of beta cells of
pancreas leads to little or no
insulin production.
• It requires daily insulin admin.
Pathophysiology of TYPE 1
Pathophysiology of TYPE 2 Diabetes
Sign and Symptoms
• TYPE 1 Diabetes
• Often urination
• Feeling very thirsty
• Feeling hungry
• Extreme fatigue
• Blurry vision
• Tingling, pain or numbness
• TYPE 2 Diabetes
• Increased thirst
• fatigue
• Slow healing sores
• Frequent infection
• Unintended weight loss
Risk factors
• Obesity
• Race
• History of CVD
• Hypertention
• Physically inactive
• Family history
• Polycystic Ovary Syndrome
• Gestational Diabetes
Etiology of DM
Complications include,,
• Acute complications include
Ketoacidosis, hyperglycemia,
hypoglycemia and non
ketotic comma.
• Chronic complications such
as cardiovascular and
peripheralvascular disease,
neuropathy and nephropathy.
Diabetes mellitus

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Diabetes mellitus

  • 2. Anatomy and physiology of Endocrine Pancreas • Pancreas is a soft, finely lobulated elongated exo- endocrine gland. • Present in retroperitoneal cavity. • The pancreasis an oblong flattened gland, about 6 inches long. • Located deep in the abdomen , sandwiched between the stomach and the spine. • It has five parts, the tail, body , neck, head and uncinate process. • The pancreas is made up of glandular tissues and a system of ducts.
  • 3. Con,,, • The endocrine pancreas refer to those cells with in pancreas that synthesize and secrete harmones. • The endocrine portion of pancreas take the form of many small clusters of cells called islets of langerhans . • 𝛼 cells : Secrete glucagon that stimulates glycogenolysis in liver. • 𝛽 cells : Secrete Insulin that stimulates glycogenesis in liver. • ∆ cells :Secrete somatostatin that regulates 𝛼 and 𝛽 cells.
  • 4.
  • 5. Diabetes Mellitus • Diabetes mellitus is a chronic disorder of carbohydrates, protiens and fat metabolism resulting from insulin deficiency or abnormality in the use of insulin.
  • 6. TYPE 2 Diabetes • Formely knowns as Non Insulin- Dependent Diabetes Mellitus (NIDDM). Probably caused by: • Disturbance in insulin reception in the cells. • Decreased number of insulin receptors. • Loss of beta cells responsiveness to glucose leading to slow or decrease insulin release by the pancreas.
  • 7. Classification,,, TYPE 1 Diabetes • Formely known as Insulin Dependent Diabetes Mellitus (IDDM). • Autoimmune (Islets cell antibodies) destroy cells that produce insulin. • Destruction of beta cells of pancreas leads to little or no insulin production. • It requires daily insulin admin.
  • 10. Sign and Symptoms • TYPE 1 Diabetes • Often urination • Feeling very thirsty • Feeling hungry • Extreme fatigue • Blurry vision • Tingling, pain or numbness • TYPE 2 Diabetes • Increased thirst • fatigue • Slow healing sores • Frequent infection • Unintended weight loss
  • 11. Risk factors • Obesity • Race • History of CVD • Hypertention • Physically inactive • Family history • Polycystic Ovary Syndrome • Gestational Diabetes
  • 13. Complications include,, • Acute complications include Ketoacidosis, hyperglycemia, hypoglycemia and non ketotic comma. • Chronic complications such as cardiovascular and peripheralvascular disease, neuropathy and nephropathy.