Quiz 6: Diabetes Mellitus Alkalosis- abnormally high alkalinity (low hydrogenion concentration) of the blood and other body tissues (pH above 7.45) Atrophy- to waste away Cataract- clouding of the natural lens of the eye Diabetes mellitus (DM)- a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced Diabetic coma- a loss of consciousness due to uncontrolled diabetes and the resulting buildup of toxic ketones in the blood Endocrinology- the branch of medicine dealing with the endocrine glands and their hormone secretions Fasting blood (serum) sugar or glucose- FBS, FBG Fasting blood glucose- Test that measures blood glucose levels after a 12-hour fast Fasting blood sugar- blood test to determine the amount of glucose int he blood after fasting for 8 to 10 hours Gangrene- the localized death of living cells/tissue (as from infection or the interruption of blood supply) Gastroparesis- Loss of motility of the stomach muscles, occurring as a long-term secondary complication of diabetes mellitus. (delayed gastric emptying) Gestational diabetes mellitus (GDM)- inability to produce enough insulin to maintain normal glucose levels during pregnancy Glaucoma- increased pressure in the eyeball due to obstruction of the outflow of aqueous humor Glucagon- a hormone secreted by the pancreas EX. stimulates increases in blood sugar levels in the blood (thus opposing the action of insulin) Gluconeogenesis- The formation of glycogen, a glucose storing compound, from fatty acids and proteins rather than carbohydrates. Glucose tolerance factor- a biologically active complex of chromium and nicotinic acid that facilitates the reaction of insulin with receptor sites on tissues. Glyco- sugar Glycogenolysis- breakdown of glycogen to glucose Glycosuria- the presence of abnormally high levels of sugar in the urine Glycosylated hemoglobin- form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time Hyperglycemia- a condition in which an excessive amount of glucose circulates in the blood plasma. This is generally a glucose level higher than (200 mg/dl Hyperinsulinism- condition resulting from an excessive amount of insulin in the blood that draws sugar out of the bloodstream, resulting in hypoglycemia, fainting, and convulsions; often caused by an overdose of insulin or by a tumor of the pancreas Hypoglycemia- an abnormally diminished content of glucose in the blood.[1] The term literally means "low sugar blood." The most common forms of hypoglycemia occur as a complication of treatment of diabetes mellitus with insulin or oral medications. Hypoglycemia is less common in nondiabetic persons, but can occur at any age. Among the causes are excessive insulin produced in the body (hyperinsulinemia). Impaired glucose tolerance (IGT)- blood glucose levels higher than normal but not high enough to be diagnosed as diabetes; sometimes called prediabetes. Insulin Resistance- unresponsiveness of cells to the effect of insulin, reducing their ability to absorb glucose, resulting in hyperglycemia Insulin shock- excessive insulin to induce convulsions and coma Islets of Langerhans- Also called simply, "islet cells" these are the endocrine cells of the pancreas. Different cell types within the inslets secrete insulin, glucagon, and somatostatin Keto- ketone group Ketoacidosis- presence of an abnormal amount of ketone bodies in the blood and urine indicating an abnormal utilization of carbohydrates as seen in uncontrolled diabetes and starvation Ketone bodies- the product of the incomplete breakdown of fat when glucose is not available in the cells Ketosis- condition resulting from uncontrolled diabetes mellitus, in which the body has an abnormal concentration of ketone bodies Ketouria- high levels of ketone bodies in urine Lipodystrophy- a medical condition characterized by abnormal or degenerative conditions of the body's adipose tissue Macrovascular disease- It is a disease of the large blood vessels, including the coronary arteries, the aorta, and the sizable arteries in the brain and in the limbs. This sometimes occurs when a person has had diabetes for a long time. Fat and blood clots build up in the large blood vessels and stick to the vessel walls. Microvascular disease- very small branches of arteries throughout the body become damaged due to diabetic neuropathy and/or diabetic nephropathy, can lead to diabetic retinopathy Nephropathy- a disease affecting the kidneys Neuropathy- any disease of the nerves Nocto- night Nocturia- excessive urination at night Oral hypoglycemic agents- Medications taken by mouth that cause a decrease in blood sugar; not used for insulin-dependent patients. Osteopenia- thinner than average bone density in a young person Pancreas- located partially behind the stomach in the abdomen, and it functions as both an endocrine and exocrine gland. It produces digestive enzymes as well as insulin and glucagon Phago- eating, ingestion Polydypsia- excessive thirst Polyphagia- excessive hunger and eating Polyuria- frequent urination Reactive hypoglycemia or postprandial syndrome- occurs when pancreas secretes too much insulin after a high-carbohydrate meal Retinopathy- Disease of the retina Selfmonitoring of blood glucose- SMBG Type 1Diabetes Mellitus- diabetes in which there is no beta cell production of insulin--the patient is dependent on insulin for survival Type II Diabetes- mild form of diabetes mellitus that develops gradually in adults; the body does not produce enough insulin or the cells ignore the insulin. Insulin is necessary for the body to be able to use glucose for energy Uro- urine