Hyperglycemia Flashcards
Process
-Increased intake
-Increased production (gluconeogenesis_
-Increased glycogen breakdown (glycogenolysis)
-Decreased uptake by peripheral tissues
Physiologic hyperglycemia
-Postprandial
-Excitement or fright
-Glucocorticoid associated stress
-Diestrus due to progesterone
Pathologic hyperglycemia
-Endocrinopathies
-Pancreatic disease
-Functional neoplasms
Endocrinopathies
-DM
-Hyperpituitarism
-Hyperadrenocorticism
-Hypersomatotropism
Hyperpituitarism
PPID in horses.
Increased ACTH-> increased cortisol-> increased gluconeogenesis and decreased glucose uptake as well as increase GH and decreased glucose uptake
Hyperadrenocorticism
Increased cortisol-> increased gluconeogenesis and decreased glucose uptake
Hypersomatotropism
Increased GH -> increased gluconeogenesis and decreased glucose uptake
Diabetes mellitus types
I-> targeted pancreatic Beta cell destruction
II-> peripheral insulin resistance with inadequate compensatory insulin secretion
Type I DM causes
-Targeted Beta cell destruction
-Acute pancreatitis
-Pancreatic carcinoma
Pharmacologic increase in gluconeogenesis/glycogenolysis
-Ketamine
-Ethylene glycol
-Morphine
-Glucocorticoids
Decreased insulin secretion pharmacology
-Xylazine
-Detomidine
-Propranolol
Somogyi effect
Excess insulin administration-> marked hypoglycemia-> increased counterregulatory hormones-> rebound hyperglycemia