classification of diabetes Flashcards
autoantibodies against what things are implicated in diabetes?
islet cells (ICA), insulin (IAA), glutamic acid decarboxylase (GAD65), insulinoma associated antigen 2 (IA-2), IA-2Beta
what is slow acting diabetes type 1 called?
LADA latent autoimmune diabetes of adulthood
idiopathic type 1 (type 1B)
DKA present, obese but have lost a lot of weight, mild ketosis, waxing and waning Beta cell function
type 2 etiology
no autoimmune but genetic
insulin resistance develops where
fat, muscle, liver
glucosuria leads to…
osmotic diuresis, polyuria and then polydipsia
associations with diabetes
obesity, waist circumfrence (visceral adiposity) and acanthosis nigricans
type 2 diabetes octet
impaired insulin secretion
excessive hepatic glucose output
decrease glucose uptake by the muscle
insulin resistance in the brain
increased glucagon secretion from alpha cells of the pancreatic islet
increased lipolysis from the fat cell
increased glucose reabsorption at the level of the kidney
decreased incretin effect from the GI tract
incretins, type and receptor
GLP-1 (glucagon like peptide 1), gastric inhibitory peptide (GIP); act on GPCR @ beta cell