Seen Q3 fill in the gaps Flashcards

1
Q

Type 2 diabetes mellitus (T2DM) is a ______ disorder characterized by chronic hyperglycemia.

A

metabolic

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2
Q

T2DM is caused by a combination of insulin resistance and pancreatic ______ dysfunction.

A

β-cell

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3
Q

Hyperglycemia means raised ______ levels.

A

blood sugar

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4
Q

The pathogenesis of T2DM involves several ______ processes.

A

interrelated

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5
Q

T2DM results in persistent ______ and metabolic disturbances.

A

hyperglycemia

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6
Q

Insulin resistance arises when peripheral tissues show a diminished response to ______.

A

insulin

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7
Q

Peripheral tissues affected by insulin resistance include skeletal muscle, ______ tissue, and the liver.

A

adipose

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8
Q

In skeletal muscle, insulin resistance impairs glucose ______.

A

uptake

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9
Q

Reduced glucose uptake in muscle leads to decreased ______ synthesis.

A

glycogen

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10
Q

Insulin resistance in adipose tissue leads to increased ______.

A

lipolysis

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11
Q

Increased lipolysis raises levels of ______ in the blood.

A

free fatty acids

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12
Q

In the liver, insulin resistance fails to suppress ______.

A

gluconeogenesis

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13
Q

Hepatic gluconeogenesis leads to excessive ______ production.

A

glucose

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14
Q

Collectively, tissue insulin resistance contributes to elevated ______ levels.

A

blood glucose

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15
Q

Pancreatic β-cells initially compensate by increasing ______ secretion.

A

insulin

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16
Q

Over time, this compensation leads to β-cell ______.

A

exhaustion

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17
Q

β-cell exhaustion causes a decline in ______ production.

A

insulin

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18
Q

Chronic high glucose causes ______, damaging β-cells.

A

glucotoxicity

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19
Q

High levels of fatty acids cause ______ in β-cells.

A

lipotoxicity

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20
Q

Reactive oxygen species lead to ______ stress in β-cells.

A

oxidative

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21
Q

Protein misfolding in β-cells causes ______ reticulum stress.

A

endoplasmic

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22
Q

Loss of functional β-cell mass impairs the body’s ability to maintain ______.

A

normoglycemia

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23
Q

A family history of diabetes increases ______ to T2DM.

A

susceptibility

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24
Q

Environmental factors like ______ lifestyle increase T2DM risk.

A

sedentary

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25
Excessive caloric intake often leads to ______.
obesity
26
Obesity, especially ______ adiposity, worsens insulin resistance.
central
27
Obese adipose tissue is infiltrated by ______ and immune cells.
macrophages
28
This leads to chronic low-grade ______.
inflammation
29
Inflammation contributes to insulin resistance through ______ cytokines.
pro-inflammatory
30
Key cytokines include TNF-α and ______.
IL-6
31
These cytokines interfere with insulin ______ pathways.
signalling
32
Incretins enhance insulin secretion after a ______.
meal
33
GLP-1 is an important ______ hormone.
incretin
34
In T2DM, the incretin effect is often ______.
diminished
35
Reduced incretin response leads to inadequate insulin release and ______ hyperglycemia.
postprandial
36
T2DM is characterized by persistent ______.
hyperglycemia
37
Glucotoxicity refers to damage caused by high levels of ______.
glucose
38
Lipotoxicity is caused by elevated levels of ______.
fatty acids
39
Normoglycemia refers to ______ blood glucose levels.
normal
40
GLP-1 enhances insulin secretion and suppresses ______ release.
glucagon
41
Insulin resistance results in decreased glucose uptake and increased ______ production.
glucose
42
Skeletal muscle is a major site of ______-mediated glucose uptake.
insulin
43
Obesity increases release of inflammatory ______ from adipose tissue.
cytokines
44
In β-cells, oxidative stress leads to cellular ______.
damage
45
Fatty acids that impair β-cell function are an example of ______.
lipotoxicity
46
Excessive hepatic gluconeogenesis contributes to fasting ______.
hyperglycemia
47
β-cell compensation eventually becomes ______.
unsustainable
48
The incretin effect is normally stronger with ______ glucose intake.
oral
49
T2DM develops when insulin resistance and β-cell dysfunction occur ______.
together
50
Adipose-derived TNF-α and IL-6 interfere with insulin ______.
action
51
Postprandial hyperglycemia occurs after ______.
eating
52
Chronic inflammation is triggered by immune cell infiltration in ______ tissue.
adipose
53
TNF-α and IL-6 are examples of ______ markers.
inflammatory
54
The endoplasmic reticulum is involved in ______ protein folding.
intracellular
55
Excess fatty acids disrupt insulin ______ in tissues.
signaling
56
GLP-1 is secreted by the ______ in response to nutrients.
gut
57
β-cell failure results in impaired insulin ______.
secretion
58
The liver becomes a source of excess ______ in insulin resistance.
glucose
59
Skeletal muscle's role in glucose metabolism is to ______ glucose from the blood.
absorb
60
Adipose insulin resistance leads to increased fat ______.
breakdown
61
In T2DM, fasting and postprandial ______ are both elevated.
glucose
62
Oxidative stress contributes to β-cell ______.
dysfunction
63
Inflammation from visceral fat contributes to systemic ______ resistance.
insulin
64
β-cell mass and function are gradually ______ in T2DM.
lost
65
Reduced β-cell response contributes to poor ______ control.
glucose
66
Normoglycemia requires effective insulin production and ______ response.
tissue
67
Central adiposity is strongly linked to ______ resistance.
insulin
68
Persistent high glucose levels over time cause ______ damage.
cellular
69
Inflammatory cytokines like IL-6 impair insulin ______.
action
70
TNF-α is secreted by immune cells in ______ tissue.
fat
71
The pancreas contains β-cells within the islets of ______.
Langerhans
72
Incretin hormones are impaired in both secretion and ______.
effect
73
Lipotoxicity disrupts normal ______ function.
β-cell
74
T2DM is a progressive condition that worsens over ______.
time
75
Insulin's primary role is to promote ______ uptake into cells.
glucose
76
In obesity, adipocytes increase in ______ and number.
size
77
Fatty acid buildup leads to mitochondrial ______ in cells.
dysfunction
78
T2DM risk is higher in those with a ______ history of diabetes.
family
79
In early T2DM, the body compensates by producing more ______.
insulin
80
Long-term compensation leads to β-cell ______.
failure
81
The incretin effect refers to greater insulin response from ______ glucose intake.
oral
82
Insulin normally suppresses hepatic ______ production.
glucose
83
Without insulin, hepatic gluconeogenesis remains ______.
active