Glucose rugulation
Thus, type II diabetics tend especially toward massive hyperglycemia without corresponding impairment of fat metabolism (ketoacidosis). Relative insulin deficiency can also be caused by autoantibodies against receptors or insulin as well as by very rare defects in the biosynthesis of insulin, of insulin receptors, or of intracellular transmission. Even without any genetic disposition, diabetes can occur in the course of other diseases, such as pancreatitis, with destruction of the beta cells (pancreas-deprived diabetes), or by toxic damage to these cells. The development of diabetes mellitus is promoted by an increased release of antagonistic hormones. Among these are somatotropin (in acromegaly), glucocorticoids (in Cushing’s disease or stress [so-called steroid diabetes]), epinephrine (in stress), progestogens and choriomammotropin (in pregnancy), ACTH, thyroid hormone, and glucagon. Severe infections increase the release of several of the above hormones and thus the manifestation of diabetes mellitus. A somatostatinoma can cause diabetes because the stomatostatin secreted by it inhibits the release of insulin.
Glucose rugulationThus, type II diabetics tend especially toward massive hyperglycemia without corresponding impairment of fat metabolism (ketoacidosis). Relative insulin deficiency can also be caused by autoantibodies against receptors or insulin as well as by very rare defects in the biosynthesis of insulin, of insulin receptors, or of intracellular transmission. Even without any genetic disposition, diabetes can occur in the course of other diseases, such as pancreatitis, with destruction of the beta cells (pancreas-deprived diabetes), or by toxic damage to these cells. The development of diabetes mellitus is promoted by an increased release of antagonistic hormones. Among these are somatotropin (in acromegaly), glucocorticoids (in Cushing’s disease or stress [so-called steroid diabetes]), epinephrine (in stress), progestogens and choriomammotropin (in pregnancy), ACTH, thyroid hormone, and glucagon. Severe infections increase the release of several of the above hormones and thus the manifestation of diabetes mellitus. A somatostatinoma can cause diabetes because the stomatostatin secreted by it inhibits the release of insulin.
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