DIABETES MELLITUS  Diabetes Mellitus- Is a multisystem disease  cogitate to abnormal insulin production, impaired insulin  role, or both. Diabetes Mellitus is a serious health problem throughout the world. It is the  ordinal leading  defecate of death in the U.S. It is the leading   caseful of heart disease, stroke, adult blindness, and nontraumatic lower limb amputations.  Etiology and Pathophysiology  authoritative theories link the cause of diabetes, singly or in combination, to genetic, autoimmune, viral, and environmental factors (obesity, stress). Regardless of its cause, diabetes is primarily a disorder of glucose metabolism related to absent or insufficient insulin supplies and/or poor utilization of the insulin that is available. The two  near common types of diabetes  ar classified as type I or type II diabetes mellitus. gestational diabetes and secondary diabetes are other classifications of diabetes commonly seen in clinical practice  Normal Insulin Metabolism Insulin is    a  hormone produced by the B cells in the islets of Langerhans of the pancreas. Under normal conditions, insulin is  unendingly   get across outd into the bloodstream in small pulsatile increments (a basal rate), with  developmentd release (bolus) when   edible is ingested. The activity of released insulin lowers blood glucose and facilitates a stable, normal glucose  align of  roughly 70 to 120 mg/dl. The average  fare of insulin secreted  periodic by and adult is approx. 40 to 50 U, or 0.6 U/kg of body weight. Other hormones (glucagons, epinephrine, growth hormone, and cortisol)  depart to  agitate the effects of insulin and are often referred to as counterregulatory hormones. These hormones  puzzle out to increase blood glucose levels by stimulating glucose production and  return by the liver and by decreasing the movement of glucose into the cells. Insulin and the these counterregulatory hormones  win a sustained but regulated release of glucose for  postal code during food inta   ke and periods of fasting and...            !                               If you want to get a  liberal essay, order it on our website: OrderCustomPaper.com
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