Diabetes Mellitus
Classification of DM:
1)
Type I.
2)
Type II.
3)
Nutrition related DM:Related to malnutrition.
4)
Gestational DM:Physiological DM in pregnancy.
Difference between Type I & Type II:
|
|
Type-I
|
Type-II
|
|
|
Juvenile
onset DM (<30yrs)
|
Maturity
onset DM(>30 yrs)
|
|
|
Insulin
dependent DM(IDDM)
|
Insulin
dependent DM(NIDDM)
|
|
Cause
|
Absolute
lack of insulin.Destruction of β cells of pancereas→No release of insulin
|
Decrease
release of insulin from β cells.Resistance to insulin.
|
|
Treatment
|
Insulin
|
1/3 rd pt
can be treated only with diet & exercise.
1/3 rd pt
can be treated with oral hypoglycemia agent.
1/3 rd pt
can be treated with insulin.
|
|
|
For Rx
insulin is the absolute requirement
|
As
insulin is not absolute requirement,it is known as NIDDM
|
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