NURS406 Lecture Notes - Lecture 11: Diabetes Mellitus Type 1, Blood Glucose Monitoring, Diabetes Mellitus Type 2

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Insulin also inhibits the breakdown of stored glucose, protein and fat. Combined genetic, immunologic and possibly environmental (ex. viral) factors contribute to beta cell destruction. They do not inherit type 1 diabetes, but a genetic predisposition: human leukocyte antigen (hla) types, 95% of whites with type 1 diabetes have hla types (dr3 or dr4) Concentration of glucose in the blood exceeds the renal threshold for glucose, usually 9. 9 to. 11. 1 mmol/l, the kidneys may not reabsorb all of the filtered glucose; the glucose then appears in the urine (glucosuria) Excess glucose is excreted in urine, it is accompanied by excessive loss of fluids and electrolytes, called osmotic diuresis. When there is a deficiency in the presence of insulin, the stored fat is broken down to provide a source of energy, resulting in the production of ketone bodies, which can lead to the development of ketosis. Onset of type 1 diabetes is more abrupt.

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