PANCREAS PATHOLOGY AND DIABETES MELLITUS

Francisco G. La Rosa, M.D.

 

SESSION III. Pathology of Diabetes Mellitus

A. Insulin

1. Biochemistry
2. Sources:

a. Animal
b. Human

B. Primary Idiopathic Diabetes:

1. Type I: Insulin-dependent diabetes mellitus (IDDM)

a. Hystological images of pancreatic islets with insulitis
b.
Immunofluorescence of NOD pancreatic islet with insulitis (T cells and insulin markers).


2. Type II: Non-insulin-dependent diabetes mellitus (NIDDM):

a. Non-obese NIDDM
b. Obese NIDDM
c. Maturity-onset diabetes of the young (MODY)

3. Table of Comparison between Type I and Type II

C. Secondary Diabetes:

1. Chronic pancreatitis
2. Post-pancreatectomy
3. Hormonal tumors (e.g. pheochromocytoma, pituitary tumors)
4. Hemochromatosis
5. Genetic disorders (e.g. Lipodystrophy)

D. Laboratory Diagnosis of Diabetes Mellitus

1. Glucose tests:

a. Fasting
b. Postprandial
c. Tolerance tests
d. Other tests

2. Insulin tests
3. Other complementary tests

E. Complications of diabetes

1. Microangiopathy
2. Retinopathy
3. Nephropathy
4. Neuropathy

F. Treatment of diabetes

1. Treatment of hyperglycemia
2. Treatment of hypoglycemia
3. Treatment of complications

 
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