Diabetes mellitus

Question 1

Describe type 1 DM

Answer 1

Type I
 Insulin dependent (IDDM)
 Absolute insulin deficiency due to destruction
of beta pancreatic cells by autoimmune disease,
viral infection or trauma
 Not related to behavioral factors or lifestyle
 Account for 5-10%, mainly affect young
patients
 Treatment require continuous injection of
insulin

Question 2

Describe type 2 DM

Answer 2

Type II
 Non-insulin dependent (NIDDM)
 Insulin resistance cause body cell fail to
respond and uptake glucose due to elevated fatty acid and triglycerides in blood, can be combined with relative or absolute insulin deficiency due to exhausted pancreatic cells
 Account for over 90%, mainly in adult
 Related to lifestyle like diet, insufficient
exercises, obesity
 Condition is reversible by modification of
lifestyle and medication like OHAs

Question 3

Information given:
70-year-old woman with DM
Pain on lower left molar region.
PAN: Edentulous span (upper PM to PM, lower multiple span) + Root treated 37 with likely fracture on 37MO + Horizontally impacted 48 + Large radiolucency in Q4 posterior region, connected to the crown of the 48.
Clinical findings: Vertical fracture of 37 extending to root

What is Diabetes Mellitus

Answer 3

DM is a condition / group of metabolic disorder in which the pancreas no longer produce enough insulin
or cells stop responding to insulin that is produced, result in hyperglycemia

Question 4

Information given:
70-year-old woman with DM
Pain on lower left molar region.
PAN: Edentulous span (upper PM to PM, lower multiple span) + Root treated 37 with likely fracture on 37MO + Horizontally impacted 48 + Large radiolucency in Q4 posterior region, connected to the crown of the 48.
Clinical findings: Vertical fracture of 37 extending to root

b. What are the common types of DM and which one is the patient suffering from?

Answer 4

 Type 2 (Non-insulin dependent DM)