Diabetes Mellitus
Diabetes mellitus (DM), commonly known as diabetes, is a group of metabolic disorders characterized by a high blood sugar level over a prolonged period of time.
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- Autosomal Dominate
- Obesity
- Insulin Resistance
- MODY: mature onset diabetes of youth
- Cause:Mutations of Glucokinase genesand 5 other genes that regulate insulin inthe pancreas
- Gene mutations
- KCNJ11; Potassium channel glucosesecretion pathology
- TCF 12; endcodes for secretion of insulin
- PPAR-y; adpocyte differentiation & glucosemetabolization

- Insulin
- Carbohydrate limitation
- Exercise: increases insulin sensitivity

- HemeA1c
- Blood Glucose Monitoring
- Genetic marker testing

- Blindness
- Heart Disease
- Kidney Failure
- Elevated Blood Glucose
- Insulin Resistance

- Mutations on CTLA 4 ; cytotoxiclymphosyte
- PTPN22; lymphoid tyrosine phosphate
- negatively regulates T-cell activation, alsolinked to Lupus, Arthritis, Thyroid disease

- Pathophyology
- T-cells infiltrate pancreas kill insulinproducing B cells
- Autoantibiodies are formed againstpancreatic cells
- Genetic Risk factors
- HLA 2 Allels gene mutation; HLA DR3,4,inappropriate autoimmune activation
- Aspartic acid on position 57 mutates andchanges shape of the molecule
- Causitive Factors
- Genetic factors not exclusively responsiblefor disorder, viral infections activateautoimmune response