diabetes Flashcards
what is diabetes?
- abnormally high blood glucose levels
hyperglycemia - insufficient insulin
describe type 1 diabetes
= juvenile
- b cells no longer make insulin
- genetic origin
- triggered by a childhood infection
describe type 2 diabetes
= adult-onset
- normal insulin made
- the body doesn’t respond to insulin = more insulin is made to compensate
- islet cells cannot keep up with the demand
- associated with obesity + inactivity
what is gestational diabetes?
- similar to type 2
- develops during pregnancy
- placental hormones interact with insulin secretion
what is causing an increase in diabetics?
- lifestyle changes = less exercise
- change in diet = increase in sugar + saturated fats
what are the 10 symptoms of diabetes?
1) hyperglycemia
2) glucose in the urine
3) increased urine output
4) hunger
5) weakness/fatigue
6) blurred vision
7) weight loss (type 1)
8) weight gain (type 2)
9) long term = peripheral vascular disease, blurred vision, kidney damage
10) persistent thirst
what is the reason for hyperglycemia?
= insulin ineffective in storing/removing glucose from blood
what is the reason for glucose in the urine?
= excess glucose secreted - all glucose protein channels in the kidney tubules are saturated
what is the reason for increase urine output?
= water cannot be reabsorbed as glucose concentration in tubules is high - water passes out in urin
what is the reason for persistent thirst?
= iincrease osmotic pressure in blood and water loss in urine triggers thirst reflex in hypothalamus
what is the reason for hunger?
= inability of cells to uptake enough glucose
what is the reason for fatigue?
= low energy levels as cells are deficient in glucose and cannot produce ATP from cellular respiration
what is the reason for blurred vision?
lens loses water by osmosis - blood has high osmotic pressure due to high glucose conc
what is the reason for weight loss (type 1)?
- no insulin to store energy
- stored energy is used (fats)
what is the reason for weight gain (type 2)?
- pancrease produces increased insulin (but cells are insensitive) means more energy consumed from food is stored as fat
- cells starved of glucose