Unit 2 - Diabetes Mellitus Flashcards

1
Q

What is diabetes mellitus?

A

an endocrine insulin related disorder

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2
Q

Which species of domestic animals will you most likely see diabetes mellitus in?

A

dogs and cats

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3
Q

What are the most common causes of diabetes mellitus in domestic animals?

A

insulin deficiency or diminished response to insulin

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4
Q

What are the types of diabetes mellitus in humans?

A

Type I (juvenile) and Type II (adult onset)

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5
Q

What causes human type I diabetes mellitus?

A

the destruction of beta cells leading to low levels of insulin

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6
Q

Is human type I diabetes mellitus insulin dependent or independent?

A

insulin dependent

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7
Q

Characterise type II diabetes mellitus.

A

non-insulin dependent diabetes mellitus which is a combined alteration of insulin sensitivity and insulin secretion

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8
Q

What are the ypes of diabetes mellitus in dogs?

A

hypoinsulinemic and hyperinsulinemic

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9
Q

What is hypoinsulinemic diabetes mellitus analogus to in humans?

A

Type I

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10
Q

What are the clinical signs of hypoinsulinemic diabetes mellitus?

A

differing degrees of ketosis

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11
Q

What is often associated with hyperinsulinemic diabetes mellitus?

A

elevated level of growth hormone with mild clinical signs

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12
Q

What is the most common type of diabetes mellitus in dogs?

A

hypoinsulinemic

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13
Q

What is the most common type of diabetes mellitus in cats?

A

an analog to type II in humans; decrease in insulin sensitivity and altered insulin secretion

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14
Q

What are the common signs of DM in dogs?

A

Cataracts, weight loss, depression, ketoacidosis, hyperglycemia, ketonuria, glucouria, polyuria, cystitis, hepatomegaly, polydipsia, and anorexia

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15
Q

What happens in the absence of insulin?

A

fuel breakdown in the liver, muscles, and adipose predominates, yielding elevated levels of glucose, ketoacids, amino acids, and free fatty acids

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16
Q

What are common treatments of diabetes mellitus?

A

weight loss, dietary manipulations, hypoglycemic agents, insulin administration

17
Q

What are the types of hypoglycemic agents that can be used to treat diabetes mellitus?

A

sulfonylureas, metformin, and alpha-glucosidae inhibitors

18
Q

What do sulfunylureas do?

A

block K channels in beta cells to lead to depolarization which leads to insulin release

19
Q

What do metformins do?

A

stimulate synthesis of enzymes controlled by insulin increased insulin sensitivity

20
Q

What do alpha-glucosidase inhibitors do?

A

decrease glucose absorption in GI tract