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Type II Diabetes I: Introduction01:26

Type II Diabetes I: Introduction

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Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
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Diabetes Mellitus: Type 2 and Gestational01:22

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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...
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Type II Diabetes II: Pathophysiology01:24

Type II Diabetes II: Pathophysiology

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PathophysiologyType 2 diabetes mellitus (T2DM ) is a chronic metabolic disorder characterized by insulin resistance and progressive pancreatic β-cell dysfunction, leading to impaired glucose homeostasis. It results from interactions among genetic predisposition, environmental factors, and metabolic stressors, such as overnutrition and a sedentary lifestyle.Insulin Resistance and Glucose DysregulationEarly T2DM involves insulin resistance in skeletal muscle, adipose tissue, and the liver.
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Type I Diabetes II: Pathophysiology01:26

Type I Diabetes II: Pathophysiology

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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...
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Carbohydrate Metabolism01:36

Carbohydrate Metabolism

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Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
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Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis01:25

Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis

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Type 2 diabetes mellitus develops gradually and is often asymptomatic in early stages.Clinical ManifestationsWhen symptoms appear, they include fatigue, blurred vision, pruritus, delayed wound healing, and recurrent infections, particularly candidal infections. Peripheral neuropathy may present as numbness or tingling in the extremities. Classic hyperglycemia symptoms—polyuria, polydipsia, and polyphagia—are less common. Most patients are overweight and frequently have associated...
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Author Spotlight: Advancing Diabetes Research with Static Exercise Training in Mice
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Testosterone and type 2 diabetes in men.

Allan Mazur1, Ronny Westerman, Andrea Werdecker

  • 1Maxwell School, Syracuse University, Crouse-Hinds Hall , Syracuse, NY , USA and.

The Aging Male : the Official Journal of the International Society for the Study of the Aging Male
|January 30, 2014
PubMed
Summary

Low testosterone in men is an independent risk factor for high fasting glucose (FG), similar to aging and obesity. However, low testosterone is a weak predictor for developing type 2 diabetes (T2D).

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Area of Science:

  • Endocrinology
  • Metabolic Health
  • Men's Health

Background:

  • Low testosterone (hypogonadism) is prevalent in aging men.
  • Hypogonadism is associated with metabolic syndrome components.
  • The independent role of testosterone in glucose metabolism requires further elucidation.

Purpose of the Study:

  • To investigate the association between low testosterone levels and high fasting glucose (FG).
  • To determine if low testosterone is an independent risk factor for type 2 diabetes (T2D) diagnosis.
  • To compare the risk associated with low testosterone to aging and obesity.

Main Methods:

  • Observational study utilizing data from 991 male US Air Force veterans.
  • Longitudinal analysis over 20 years with six medical examinations.
  • Multivariate regression analysis controlling for age and obesity.

Main Results:

  • Low testosterone showed a moderate, independent association with high FG.
  • Testosterone levels were not significantly correlated with T2D diagnosis.
  • Low testosterone was a weak predictor for developing T2D.

Conclusions:

  • Low testosterone is an independent risk factor for elevated FG in men.
  • The risk posed by low testosterone for high FG is comparable to aging and obesity.
  • Low testosterone is not a strong predictor for T2D diagnosis.