Diabetes mellitus is characterized as the chronic elevation of blood glucose levels (hyperglycemia) resulting from defects in insulin secretion or insulin action. Diabetes mellitus falls into two broad categories or types namely type 1 and type 2 diabetes mellitus.
Type 1 diabetes mellitus also referred to as juvenile diabetes, it can also develop in adults. This type of diabetes mellitus occurs when your body no longer produces insulin because the immune system that normally protects the body against bacteria and viruses has attacked and destroyed the cells that produce insulin and thus insulin injections are recommended to treat type 1 diabetes mellitus.
Type 2 diabetes mellitus is a combination of resistance to insulin action and inadequate compensatory insulin secretory response. This type of diabetes mellitus is common in middle-aged people. This type of diabetes mellitus arises when fat, muscle and liver cells do not use insulin to carry glucose into the cells for energy and, as a result, the body needs to produce an increased amount of insulin so that glucose can enter the cells. At first, the body keeps up with the demand of an increased insulin production but over time, the pancreas does not produce enough insulin for example after meals when the blood sugar level rises. Type 2 diabetes mellitus arises when the pancreas does not produce enough insulin and thus using diabetic medicines is recommended.
A sedentary lifestyle is one of the aetiologies for Mrs. X developing diabetes mellitus (type II) because the patient mainly eats take out and her diet at home mainly consists of fats a...
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...y gangrene is a type of gangrene that arises as a result of a pre-existing condition which in this case was Mrs. X diabetes. DMT2 and the presence of prolonged hyperglycemia resulted in her blood vessels being severely damaged and consequently, blood circulation was disrupted. Lack of circulation resulted in the tissue being deprived of oxygen and nutrients resulting in tissue necrosis in the form of gangrene.
Abnormal Lipid profile
Mrs. X laboratory results indicate high Low-density lipoprotein level (LPL) which is indicative of a diet rich in Trans and saturated fats and a low high-density lipoprotein level (HDL) which are affected by type 2 diabetes, smoking, obesity and a sedentary lifestyle. A high triglyceride level such as Mrs. Xs in conjunction with a low HDL and high LPL level is a pre-requisite in the occurrence of a stroke or possibly atherosclerosis.
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