Diabetes mellitus (DM), commonly referred to as diabetes, is a group of metabolic diseases in which there are high blood sugar levels over a prolonged period.[7] Frequent urination, increased thirst, and increased hunger are the common symptoms of high blood …show more content…
This form was previously referred to as "insulin-dependent diabetes mellitus" (IDDM) or "juvenile diabetes".
• Insulin resistance is the main reason for Type 2 DM. It is a condition in which cells fail to respond to insulin properly. Lack of insulin also increases as the disease progress. This form was previously referred to as "non insulin-dependent diabetes mellitus" (NIDDM) or "adult-onset diabetes". The most common cause is excessive body weight and not enough …show more content…
This results from cellular mediated autoimmune destruction of β-cells of the pancreas. So this is also called as insulin-dependent diabetes or juvenile- onset diabetes. Destruction of the β-cell are analysed by certain markers which include islet cell autoantibodies, autoantibodies to insulin, autoantibodies to GAD (GAD65), and autoantibodies to the tyrosine phosphatases IA-2 and IA-2b. These autoantibodies are present when fasting hyperglycemia is detected initially in 85-90% individuals. The rate of β -cell destruction is quite variable in Type 1 diabetes, being rapid in some individuals (mainly infants and children) and slows in others (mainly adults). Some patients, particularly children and adolescents, may present with ketoacidosis as the first manifestation of the disease. At latter stage of the disease, there is little or no insulin secretion, as manifested by low or undetectable levels of plasma C-peptide. Immune-mediated diabetes commonly occurs in childhood and adolescence, but it can occur at any age, even at any time period of