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Diabetes Mellitus ( Dm ) Is A Metabolic Disorder Caused By Pancreatic Disorders

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Diabetes Mellitus (DM) is a metabolic disorder caused by pancreatic dysfunction resulting in absence or insufficient insulin secretion. Different categories of DM are as follows; type 1 DM, type 2 DM, other specific type and gestational DM (GDM) (Huether & McCance 2012). Type 1 DM is caused by autoimmune where there is no insulin production, type 2 DM happens later in life due to insulin resistance from obesity, low level of HDL(good cholesterol), or polycystic ovary disease (Blair, 2016). Other specific types could be idiopathic, and lastly GDM which is seen only during pregnancy due to increased pregnancy hormone. Diabetes Insipidus (DI) is caused by vasopressin (antidiuretic hormone (ADH) deficiency resulting in disorder of water metabolism. Hypotonic polyuria, increased thirst and excessive fluid intake is common with DI. In addition, DI has four classification; namely neurogenic, nephrogenic, gestagenic, and dipsogenic types (Walsh & March, 2016). Pathophysiology of Diabetes Mellitus
Type 1 DM is caused by autoimmune disorder where the T cell mediated disease damage the pancreatic beta cell (Huether & McCance, 2012). At the onset of the disease process, lymphocytic infiltrates of macrophage activating CD4+ cells with cytokine secreting, cytotoxic CD8+cells surround the necrotic B cells (McPhee & Hammer, 2010) (p.507). This is a gradual process that happens over several years. However, the production of glucagon increases due to the damage to the beta cells of islet

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