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Which of the following best describes the pathogenesis of Type 2 DiabetesMellitus?a. It is related to HLA-linked diabetogenic genesb. It is the result of insulin resistance coupled with β cell dysfunctionc. It is caused by immune-related progressive decline in β cell massd. It is the result of AGE-RAGE interactionse. It is the effect of activation of protein Kinase C

Question

Which of the following best describes the pathogenesis of Type 2 DiabetesMellitus?a. It is related to HLA-linked diabetogenic genesb. It is the result of insulin resistance coupled with β cell dysfunctionc. It is caused by immune-related progressive decline in β cell massd. It is the result of AGE-RAGE interactionse. It is the effect of activation of protein Kinase C

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Solution

The best description for the pathogenesis of Type 2 Diabetes Mellitus is:

b. It is the result of insulin resistance coupled with β cell dysfunction

Here's why:

Type 2 Diabetes Mellitus (T2DM) is primarily characterized by two major physiological abnormalities:

  1. Insulin Resistance: This is a condition where the body's cells become resistant to the effects of insulin. That is, the normal response to a given amount of insulin is reduced. As a result, higher levels of insulin are needed in order for insulin to have its proper effects, and the pancreas compensates by trying to produce more insulin. This resistance usually occurs in the muscle, liver, and fat cells.

  2. β cell dysfunction: Over time, the pancreas isn’t able to keep up and can’t make enough insulin to keep your blood glucose levels normal. The β cells in the pancreas that produce insulin wear out. This is a significant part of the reason why T2DM develops.

The other options are not as directly related to the pathogenesis of T2DM. For example, HLA-linked diabetogenic genes (option a) are more related to Type 1 Diabetes, which is an autoimmune condition. Similarly, a progressive decline in β cell mass due to immune-related factors (option c) is also more characteristic of Type 1 Diabetes. AGE-RAGE interactions (option d) and activation of protein Kinase C (option e) can be involved in the complications of diabetes, but they are not the primary mechanisms of the disease's pathogenesis.

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