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Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

1.0K
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,...
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Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

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For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
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Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

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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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Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

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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...
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Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
319
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
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相关实验视频

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Author Spotlight: Integrating Tai Chi with Mindfulness Training to Achieve an Effective Mind-Body Exercise
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在糖尿病前期的神经病变.

Dan Ziegler1, Christian Herder1,2,3, Nikolaos Papanas4

  • 1Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Düsseldorf, Germany.

Diabetes/metabolism research and reviews
|July 20, 2023
PubMed
概括
此摘要是机器生成的。

前糖尿病是一种血糖升高的状态,与外围神经病变和心血管疾病的风险增加有关. 生活方式的干预可以帮助预防或延迟这些情况.

关键词:
心血管自主神经病变 - 心血管自主神经病变远端感官运动性多神经病变禁食葡萄糖受损 禁食葡萄糖受损葡萄糖耐受性受损的情况.在糖尿病前期,糖尿病前期.2 型糖尿病 2 型糖尿病

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科学领域:

  • 内分泌学和神经病学 在内分泌学和神经病学.
  • 公共卫生 公共卫生

背景情况:

  • 糖尿病神经病变是糖尿病的主要并发症,导致严重的发病率和死亡率.
  • 糖尿病前期影响全球数百万人,往往未被诊断出来,并且越来越多地被认为是心血管疾病 (CVD) 和死亡率的风险因素.

研究的目的:

  • 审查目前关于糖尿病前期和外围神经病变之间的关联的证据.
  • 讨论生活方式干预对糖尿病前期相关神经病变的潜在益处.

主要方法:

  • 基于人口的研究和现有文献的审查.
  • 分析证据,将糖尿病前期与远端感觉运动性多神经病变 (DSPN) 和心血管自主神经病变 (CAN) 联系起来.

主要成果:

  • 越来越多的证据支持在糖尿病前期患者中增加DSPN和CAN风险.
  • 在延缓糖尿病进展方面有效的生活方式干预也可能有利于糖尿病前神经病变.

结论:

  • 提高对糖尿病前期相关神经病变的认识和临床转化至关重要.
  • 对糖尿病前期的查和实施预防性干预可以减轻心血管疾病和神经病变的风险.