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GROUP
MEMBERS
IQRA BATOOL
RAFIA SYED
AQSA KANWAL
AHMED RIAZ
JAVERIA
ALI TARIQ
HAROON
Diabetes mellitus (DM) is a group of
diseases characterized by high levels of
blood glucose resulting from defects in
insulin production, insulin action, or both.
 The term diabetes mellitus describes a
metabolic disorder of multiple aetiology
characterized by chronic hyperglycaemia with
disturbances of carbohydrate, fat and protein
metabolism resulting from defects in insulin
secretion, insulin action, or both.
 The effects of diabetes mellitus include long–
term damage, dysfunction and failure of
various organs.
Diabetes insipidous
 Diabetes Mellitus
type 1 DM
type 2 DM
Gastational diabetes
MODY
It is an insulin dependent diabetes
mellitus(IDDM)
Type 1 diabetes develops when the
body’s immune system destroys
pancreatic beta cells, the only cells in
the body that make the hormone insulin
that regulates blood glucose.
This form of diabetes usually strikes
children and young adults,
Risk factors for type 1 diabetes may
include
 autoimmune
 genetic and
 environmental factors.
In the case of type 1 diabetes, insulin
levels are grossly deficient. Thus type 1
diabetes is invariably treated with insulin
It is an non insulin dependent diabetes
mellitus (NIDDM)
It usually begins as insulin resistance, a
disorder in which the cells do not use
insulin properly. As the need for insulin
rises, the pancreas gradually loses its
ability to produce insulin.
 Type 2 diabetes is associated with
 older age,
obesity, family history of diabetes,
history of gestational diabetes,
impaired glucose metabolism,
physical inactivity, and
race/ethnicity.
Polyuria
Polydipsia
Polyphagia
Usually 4 methods employed
 Random Blood Glucose
 Fasting Blood Glucose (8-12 hrs)
 Oral Glucose Tolerance Test (OGTT):
sugar is injected 75g after 2hr and
check the glucose range. it is done in patients
with symptoms.
 HbA1C: glucosylated heamoglobin:
it predicts the glucose level in blood for-2 3
months.
<6% in healthy individual.
FASTING RANDOM OGTT
NORMAL < 6mmolL <7.8mmolL <7.8mmolL
IMPAIRED <7mmolL <11.1mmolL 7.8-11.1mmolL
DIABETIC ≥7mmolL ≥11.1mmolL >11.1mmolL
DIABETES
Intracellular
Hypoglycemia
Extracellular
hyperglycemia
Production of
ketone
bodies
Ketoacidosis
Acidic pH
•Hyperventilat
ion
•Shock
•coma
Decrease
protein
synthesis
Muscle loss
Weight loss
•Weakness
•Lethargy
•cachexia
Dehydration of cells
Less hydration of
brain cells
•Confusion
•coma
•Polyuria
•Polydipsia
•Hypokalemia
•hypotension
LIPOLYSIS PROTEOLYSIS
PLASMA
OSMOLALITY
MANAGMENT GOAL OF THERAPY
FLUID
REPLACEMENT
NaHCO3
Oxygen
KCl injection
insulin
Hypotension
Shock
Acidosis
OXYGEN
K
Diabetes mellitus
Diabetes mellitus
Diabetes mellitus
Diabetes mellitus
Diabetes mellitus

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Diabetes mellitus

  • 1.
  • 2. GROUP MEMBERS IQRA BATOOL RAFIA SYED AQSA KANWAL AHMED RIAZ JAVERIA ALI TARIQ HAROON
  • 3. Diabetes mellitus (DM) is a group of diseases characterized by high levels of blood glucose resulting from defects in insulin production, insulin action, or both.
  • 4.  The term diabetes mellitus describes a metabolic disorder of multiple aetiology characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both.  The effects of diabetes mellitus include long– term damage, dysfunction and failure of various organs.
  • 5.
  • 6. Diabetes insipidous  Diabetes Mellitus type 1 DM type 2 DM Gastational diabetes MODY
  • 7.
  • 8. It is an insulin dependent diabetes mellitus(IDDM) Type 1 diabetes develops when the body’s immune system destroys pancreatic beta cells, the only cells in the body that make the hormone insulin that regulates blood glucose. This form of diabetes usually strikes children and young adults,
  • 9. Risk factors for type 1 diabetes may include  autoimmune  genetic and  environmental factors. In the case of type 1 diabetes, insulin levels are grossly deficient. Thus type 1 diabetes is invariably treated with insulin
  • 10. It is an non insulin dependent diabetes mellitus (NIDDM) It usually begins as insulin resistance, a disorder in which the cells do not use insulin properly. As the need for insulin rises, the pancreas gradually loses its ability to produce insulin.
  • 11.  Type 2 diabetes is associated with  older age, obesity, family history of diabetes, history of gestational diabetes, impaired glucose metabolism, physical inactivity, and race/ethnicity.
  • 12.
  • 14.
  • 15. Usually 4 methods employed  Random Blood Glucose  Fasting Blood Glucose (8-12 hrs)  Oral Glucose Tolerance Test (OGTT): sugar is injected 75g after 2hr and check the glucose range. it is done in patients with symptoms.  HbA1C: glucosylated heamoglobin: it predicts the glucose level in blood for-2 3 months. <6% in healthy individual.
  • 16. FASTING RANDOM OGTT NORMAL < 6mmolL <7.8mmolL <7.8mmolL IMPAIRED <7mmolL <11.1mmolL 7.8-11.1mmolL DIABETIC ≥7mmolL ≥11.1mmolL >11.1mmolL
  • 17.
  • 18. DIABETES Intracellular Hypoglycemia Extracellular hyperglycemia Production of ketone bodies Ketoacidosis Acidic pH •Hyperventilat ion •Shock •coma Decrease protein synthesis Muscle loss Weight loss •Weakness •Lethargy •cachexia Dehydration of cells Less hydration of brain cells •Confusion •coma •Polyuria •Polydipsia •Hypokalemia •hypotension LIPOLYSIS PROTEOLYSIS PLASMA OSMOLALITY
  • 19.
  • 20. MANAGMENT GOAL OF THERAPY FLUID REPLACEMENT NaHCO3 Oxygen KCl injection insulin Hypotension Shock Acidosis OXYGEN K