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Level two – Semester 4 - PharmD      Biochemistry-II PB-403 (Practical course)     2024/2025


                      Examples of pathologic changes in serum glucose concentration

                   Increased glucose concentration            Decreased glucose concentration


                                     in:                                        in:

                             Diabetes mellitus                 Liver cancer and hepatic failure

                             Hyperthyroidism                            Hypothyroidism


                           Pheochromocytoma                     Adrenal cortical hypofunction

                                Acromegaly                     Benign neoplasm of the pancreas



                   Types of diabetes:

                       1)  Diabetes mellitus: Hyperglycemia caused by:


                                       Type 1 diabetes                      Type 2 diabetes

                                Insulin Dependent Diabetes              Non-Insulin Dependent

                                      Mellitus (IDDM)                Diabetes Mellitus (NIDDM)

                                Destruction of beta cells in the  Multifactorial  condition  with  a

                                pancreas that produce insulin,  variety of risk factors leading to

                                 which may be due to:              insulin resistance, including:

                   Causes          1.  Genetic predisposition          1.  family history

                  and risk         2.  Autoimmune reaction             2.  Obesity

                   factors         3.  Viral infections                3.  A sedentary lifestyle

                                   4.  Chemical  toxins  in            4.  Increasing age

                                       food



                                     1. Hyperglycemia: increase in blood glucose level.


                                     2. Glucosuria: the appearance of glucose in urine because
                  Characters            blood  glucose  level  >  renal  threshold  of  glucose


                                        (maximum  capacity  of  the  renal  tubules  to  reabsorb
                                        glucose=180 mg/dl.)







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