Meaning of mellitus in diabetes
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Understanding the Term "Mellitus" in Diabetes Mellitus
Definition and Description of Diabetes Mellitus
Diabetes Mellitus is a group of metabolic diseases characterized by chronic hyperglycemia due to defects in insulin secretion, insulin action, or both . The term "mellitus" is derived from the Latin word for "honey-sweet," referring to the excess sugar found in the urine of individuals with this condition. This hyperglycemia is associated with long-term damage, dysfunction, and failure of various organs, particularly the eyes, kidneys, nerves, heart, and blood vessels .
Pathogenesis and Metabolic Abnormalities
The pathogenesis of diabetes mellitus involves multiple processes, ranging from autoimmune destruction of pancreatic beta-cells, leading to insulin deficiency, to abnormalities causing insulin resistance . These abnormalities result in impaired metabolism of carbohydrates, fats, and proteins due to deficient insulin action on target tissues .
Symptoms and Complications
Symptoms of marked hyperglycemia include polyuria (frequent urination), polydipsia (excessive thirst), weight loss, polyphagia (excessive hunger), and blurred vision . Chronic hyperglycemia can lead to severe complications such as retinopathy, nephropathy, neuropathy, and increased risk of cardiovascular diseases .
Types of Diabetes Mellitus
Diabetes mellitus is broadly categorized into two main types:
- Type 1 Diabetes: Characterized by an absolute deficiency of insulin secretion due to autoimmune destruction of pancreatic beta-cells .
- Type 2 Diabetes: Involves a combination of resistance to insulin action and an inadequate compensatory insulin secretory response .
Conclusion
The term "mellitus" in diabetes mellitus highlights the presence of excess sugar in the urine, a hallmark of the disease. Understanding the pathogenesis, symptoms, and complications of diabetes mellitus is crucial for effective management and treatment. The chronic nature of hyperglycemia in diabetes mellitus necessitates ongoing monitoring and intervention to prevent long-term organ damage and associated complications.
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