Pathogensis of Diabetes mellitus • Diabetes mellitus is a metabolic disease due to absolute or relative insulin deficiency characterised by hyperglycemia. • Etiologic classificataion of DM : Type 1 (IDDM): due to B-cell destruction with absolute deficiency of circulating insulin. Type 2(NIDDM): due to insulin resistance with relative insulin deficiency MODY: maturity onset diabetes of young: due to defective glucokinase enzyme. Gestational diabetes : DM prone state In both of the common types of diabetes, environmental factors interact with genetic susceptibility to determine which people develop the clinical syndrome, and the timing of its onset.