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Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type I Diabetes II: Pathophysiology01:26

Type I Diabetes II: Pathophysiology

Type 1 diabetes mellitus arises from an immune-mediated destruction of pancreatic β-cells, resulting in an absolute deficiency of insulin. This process develops in genetically susceptible individuals when autoimmunity, environmental exposures, and immunologic dysregulation converge to trigger a targeted attack on the insulin-producing cells of the pancreas. The β-cells are located within the islets of Langerhans and are essential for regulating blood glucose by facilitating cellular uptake of...
Diabetes Mellitus: Introduction01:26

Diabetes Mellitus: Introduction

Diabetes mellitus consists of chronic metabolic disorders characterized by persistent hyperglycemia. This elevated blood glucose results from defects in insulin secretion, impaired insulin action, or both. Insulin, produced by pancreatic β-cells, is essential for maintaining glucose homeostasis by facilitating cellular glucose uptake for energy or storage. Disruptions in insulin production or function lead to glucose accumulation in the bloodstream, causing the clinical features and long-term...
Type I Diabetes I: Introduction01:12

Type I Diabetes I: Introduction

Type 1 diabetes mellitus is a chronic metabolic disorder characterized by an absolute deficiency of insulin resulting from the autoimmune destruction of pancreatic β-cells. Although it can occur at any age, it is most commonly diagnosed in childhood, adolescence, or early adulthood. The loss of insulin production impairs cellular glucose uptake, resulting in persistent hyperglycemia and necessitating lifelong insulin therapy.Autoimmune Destruction of β-CellsThe hallmark of type 1 diabetes is an...

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Alternate Immersion in Glucose to Produce Prolonged Hyperglycemia in Zebrafish
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[Vitamin A and gestational diabetes].

Larissa Queiroz de Lira1, Roberto Dimenstein

  • 1programa de pós-graduação em Bioquímica, Centro de Biociências, Universidade Federal do Rio Grande do Norte, Natal, RN.

Revista Da Associacao Medica Brasileira (1992)
|August 3, 2010
PubMed
Summary

Gestational diabetes (DM) can impact pregnant women's vitamin A levels, potentially leading to deficiency. This review examines how DM affects retinol and the risks for mothers and infants.

Area of Science:

  • Endocrinology
  • Nutritional Science
  • Maternal-Fetal Medicine

Background:

  • Diabetes mellitus (DM) is a global epidemic, with gestational diabetes (GDM) presenting a significant challenge during pregnancy.
  • GDM is linked to insulin resistance and impaired beta-cell function, affecting maternal health.
  • Emerging evidence suggests a connection between maternal retinol (vitamin A) levels and the progression of DM during pregnancy.

Purpose of the Study:

  • To elucidate the impact of DM on retinol levels in pregnant women.
  • To review the consequences of vitamin A deficiency in pregnant women with DM and their infants.
  • To highlight the importance of monitoring vitamin A status in this population.

Main Methods:

  • This review synthesizes current scientific literature.

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  • It analyzes studies investigating the relationship between DM, retinol levels, and pregnancy outcomes.
  • The review focuses on biochemical profiles and nutritional status in pregnant women with DM.
  • Main Results:

    • Pregnant women with DM often exhibit suboptimal biochemical profiles.
    • A higher incidence of vitamin A deficiency is observed in pregnant women with DM compared to healthy controls.
    • DM's progression during pregnancy appears to correlate with altered retinol levels.

    Conclusions:

    • Gestational diabetes mellitus significantly affects maternal retinol status, increasing the risk of vitamin A deficiency.
    • Vitamin A deficiency poses potential risks to both the mother and the developing infant.
    • Monitoring and managing vitamin A levels are crucial for pregnant women with DM.