14.4 Diabetes and its Control Flashcards

1
Q

What is hyperglycaemia?

A

raised blood sugar

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2
Q

What are common symptoms of diabetes?

A

-High blood glucose concentration
-Glucose present in urine
-Excessive need to urinate
-Excessive thirst
-Constant hunger
-Weight loss
-Blurred vision
-Tiredness

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3
Q

What is type 1 diabetes (diabetes mellitus)?

A

When β cells in the islets of Langerhans are unable to produce insulin

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4
Q

What is the cause of type 1 diabetes?

A

The cause is unknown but evidence suggests that it arises as a result of an autoimmune response where the body’s own immune system attacks the β cells

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5
Q

When does type 1 diabetes arise?

A

Normally begins in childhood, symptoms develop quickly

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6
Q

What is type 2 diabetes?

A

When a patient cannot effectively use insulin and control their blood sugar levels. Either because the β cells do not produce enough insulin or body’s cells do not respond properly to insulin

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7
Q

What is the cause of type 2 diabetes?

A

-The glycoprotein insulin receptor on the cell membrane does not work properly so cells lose their responsiveness to insulin and does not take up enough glucose leaving it in the blood stream
-Excess body weight, physical inactivity, high carbohydrate diet

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8
Q

When does type 2 diabetes arise?

A

-Only diagnosed after complications have already arisen
-Risk increases with age
-Normally only seen in adults but also occurring in children

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9
Q

What is the difference in symptoms of type 1 and 2 diabetes?

A

Type 2 diabetes symptoms are often less severe and develop slower

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10
Q

Is diabetes cureable?

A

NO, but it can be managed and controlled successfully

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11
Q

What are the treatments for type 1 diabetes?

A

-Regualr insulin injections which increases the amount of glucose absorbed by the cells and causes glycogenesis to occur resulting in a reduction in blood glucose
-Stem cell treatment
-Pancreas transplant

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12
Q

What would happen if someone with type 1 diabetes injects themselves with too much or too little insulin?

A

Too much - hypoglycaemia, very low blood glucose concentration = unconsciousness
Too little - hyperglycaemia, very high blood glucose = unconsciousness, death

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13
Q

What are the treatments for type 2 diabetes?

A

-Regulate carbohydrate intake through diet
-Regular exercise
-Drugs that stimulate insulin production
-Ultimately, insulin injections

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14
Q

What are the ways of medically producing insulin?

A

-Originally obtained from pancreas of cows and pigs which had been slaughtered for food but this was difficult and expensive and could cause allergic reactions as it was different from human insulin.
-Now made by genetically modified bacteria

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15
Q

What are the advantages of using genetically modified bacteria for insulin production?

A

-Human insulin is produced in a pure form - it is less likely to cause an allergic reaction
-Insulin can be produced in much higher quantities
-Production cost is cheaper
-People had concerns over using animal products in humans, may be religion or ethical

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16
Q

How is diabetes treated using stem cells?

A

-Totipotent stem cells can grow into any of the body’s cells
-Use stem cells taken from embryos, these would be ‘spare’ and those that are usually destroyed

17
Q

What are the advantages of using stem cell treatment for diabetes?

A

-Donor availability would not be a problem - stem cells could produce an unlimited source of new β cells
-Reduced likelihood of rejection problems as embryonic stem cells are generally not rejected by the body
-People no longer have to inject themselves with insulin

18
Q

What is the potential problem surrounding stem cell treatment for diabetes?

A

-Our ability to control growth and development of stem cells is limited, major considerations as to weather any stem-like cells transplanted into the body might induce the formation of tumours as a result of unlimited cell growth