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Endocrine pancreas
(islets of Langerhans)
Beta cells secrete insulin
Alpha cells secrete
glucagon
Other hormones
Insulin Stimulates Cellular Glucose Uptake
Adipocytes
Skeletal Muscle
Liver
Insulin
Insulin Insulin
Juvenile onset
Genetic component
Autoimmune/environmental etiology
Normal
Insulin
Glycerol
Lipolysis
LPL Glucose
Insulin
Type 1 Diabetes Mellitus
Glycerol Lipolysis
LPL Glucose
Clinical Chemistry
FA-CoA
Mitochondrion
In Liver:
FFA Entry into Mitochondria is Regulated by
Insulin/Glucacon
Malonyl CoA
carnitine carnitine
outer inner
TG Mitochondrial
membranes
CPT= Carnitine Palmitoyl
Transferase
Malonyl CoA is a Regulatory Molecule
Loss of first-phase
insulin response (IVGTT)
Clinical
Glucose intolerance onset
(OGTT) only
10% of
-cells
remain
Genetic Insulitis Pre-
predisposition -Cell injury diabetes Diabetes
Time
Metaboli Low
Osmotic diuresis Ketonemi c Renal H+
With Loss of water & Na+ a Acidosis Excretion
Low
& Hypovolemia Nausea Acetone Increased Blood
& Ketonuria Smelt Respiration Bicarbona
on Breath te
Polyuria, Vomiting
Thirst &
Low pCO2
Dehydration Low GFR
Primary Defect in Type 2
Reduced TG synthesis
Enhanced lipolysis
Increased oxidation
Increased gluconeogenesis