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Diabetes mellitus history essay
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Diabetes and Diffusion
Carol Comyns
Stanbridge University
Assignment #1
Instructor: Vicky Sweet
DIABETES AND DIFFUSION 2
The first evidence of diabetes was found on an early Egyptian manuscript from 1500 BCE, however; it is only in the last 200 years that we understand what is happening at the cellular level in a diabetic individual (Polansky, 2012). We now know that diabetes is a complex disorder of genetic, chemical, and lifestyle factors that contribute to the body’s inability to utilize glucose for energy and cellular functions (ADA, 2013).
Our Patient
Mrs. Jones was admitted to the hospital for evaluation due to hyperglycemia related to diabetes. Her blood sugar was 350 and her physical exam revealed dry skin and mucous membranes.
On a cellular level, Mrs. Jones’ cells are dehydrated due to osmotic pressure changes related to her high blood glucose. Cells dehydrate when poor cellular diffusion of glucose causes increased concentrations of glucose outside of the cell and lesser concentrations inside of the cell. Diffusion refers to the movement of particles from one gradient to another. In simple diffusion there is a stabilization of unequal of particles on either side of a permeable membrane through which the particles move freely to equalize the particles on both sides. The more complex facilitated diffusion is a passive transport of large particles from a high concentration of particles to a lower concentration of particles with the aid of a transport protein (Porth, 2011). The cellular membranes in our bodies are semipermeable allowing for smaller molecules to flow freely from the intracellular to extracellular space. The glucose molecule, however; is too large to diffuse through the cellul...
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...the inside of the cell? If glucose molecules were able to move across the cell membrane unaided by a facilitating molecule then the concentration of glucose in the extracellular and intracellular environments would be equal. This is referred to as simple diffusion. In this case, there would not be any of the changes or symptoms we typically see with hyperglycemia. In fact, there would be no hyperglycemia. The balance of the glucose molecules on the inside and outside of the cells would be stable.
Glucose is the primary source of energy for the cells and consequently is necessary for all cellular functions that require energy. Facilitated diffusion plays a significant role in the management of concentrations of glucose, both intracellular and extracellular, providing a balance of glucose in the cells that when poorly utilized upsets the body’s homeostasis.
During the year 1889, two researchers, Joseph Von Mering and Oskar Minkowski, discovered the disease that is known today as diabetes. Diabetes is a disease in which the insulin levels (a hormone produced in unique cells called the islets of Langerhans found in the pancreas) in the bloodstream are irregular and therefore affect the way the body uses sugars, as well as other nutrients. Up until the 1920’s, it was known that being diagnosed with diabetes was a death sentence which usually affected “children and adults under 30.” Those who were diagnosed were usually very hungry and thirsty, which are two of the symptoms associated with diabetes. However, no matter how much they ate, their bodies wouldn’t be able to use the nutrients due to the lack of insulin.
The pathophysiology of diabetes mellitus in is related to the insulin hormone. Insulin is secreted by cells in the pancreas and is responsible for regulating the level of glucose in the bloodstream. It also aids the body in breaking down the glucose to be used as energy. When someone suffers from diabetes, however, the body does not break down the glucose in the blood as a result of abnormal insulin metabolism. When there are elevated levels of glucose in the blood, it is known as hyperglycemia. If the levels continue to remain high over an extended period of time, damage can be done to the kidneys, cardiovascular systems; you can get eye disorders, or even cause nerve damage. When the glucose levels are low in one’s body, it is called hypoglycemia. A person begins to feel very jittery, and possibly dizzy. If that occurs over a period of time, the person can possibly faint. Diabetes mellitus occurs in three different forms - type 1, type 2, and gestational.
In order for the body to maintain homeostatic levels of energy, blood glucose regulation is essential. Glucose is one of the body’s principal fuels. It is an energy-rich monosaccharide sugar that is broken down in our cells to produce adenosine triphosphate. In the small intestine, glucose is absorbed into the blood and travels to the liver via the hepatic portal vein. The hepatocytes absorb much of the glucose and convert it into glycogen, an insoluble polymer of glucose. Glycogen, which is stored in the liver and skeletal muscles, can easily be reconverted into glucose when blood-glucose levels fall. All of the body’s cells need to make energy but most can use other fuels such as lipids. Neurons; however, rely almost exclusively on glucose for their energy. This is why the maintenance of blood-glucose levels is essential for the proper functioning of the nervous system.
...s a component monomer of starch. As a monomer as opposed to a polymer, it is much smaller and would thus be able to cross the plasma membrane. However, glucose is a larger solute than the component ions of salt, thus meaning that simple diffusion would not be sufficient. Instead, facilitated diffusion would be needed to transport the glucose. However, in the dialysis tubing, there is no facilitated transport like there is for the plasma membrane. Thus, the glucose may pass through the dialysis tubing, but it would not be due to transport, but the artificial enlargement of the passages in the dialysis tubing. Water would move freely inside and outside of the cell, however, because there is a greater solute concentration inside the cell, the water would diffuse through osmosis into the cell model, increasing the final mass of the dialysis tubing and causing cytolysis.
An example of simple diffusion is osmosis. Facilitated diffusion on the other hand is dependant on carrier proteins to transport it across the membrane. Diffusion is essential for many organisms as it is a feature of a number of processes which control and supply vital substances to the body in order for basic survival. A few of these are discussed below. Gas exchange is one of these processes.
Why do some materials move through the dialysis tube (membrane) and others do not? We placed a dialysis tube containing a starch solution, glucose solution, and iodine into a beaker filled with distilled water. The goal was to to see what material would transport in and out of the dialysis tube. After about 24 hours, the dialysis tube no longer was white like it was originally (due to the glucose solution that was in it). We put a glucose strip into the distilled water and found that there was indeed glucose inside the water. The starch and iodine did not transport due to their molecules being too large to passively transport. We realized that the glucose diffused into the water because the tube held a higher concentration of glucose than the distilled water surrounding the tube (hypotonic solution). Since the glucose molecules were small enough to transport, an equilibrium of glucose was able to occur between the tube and the water. This is how strainers work. This is why our cells don’t require any energy to take in water because the water molecules are small enough to transport passively.
A. One condition is known as hyperglycemia, which means that the blood glucose gets too
We found our hypothesis to be true when looking back on our recorded date. Within the data sheet we observed that the movements when the glucose transport rate was constantly increasing as we increased the carriers. An example of this would be when the carrier rate was increased to 700 carriers, and as a result the transport rate had successfully reached .0031 in a drastically shorter period of time. As opposed to previous trials we performed with fewer protein carriers such as 100, which led to a slower glucose transportation rate. Increasing both the glucose concentration as well as the number of membrane carriers are also two variables that had played key roles in increasing the rate of facilitated diffusion of glucose as
Diabetes is a disease that results from the body's inability to maintain consistent levels of glucose (the main energy source for cells) in the blood. In a healthy individual, blood glucose levels are kept within a certain range by insulin, a hormone that aids the uptake of glucose by cells. The release of insulin in response to blood glucose levels is coordinated by clusters of cells in the pancreas called islets; residing in these islets are the beta cells, the cells that actually produc...
Fluid is a major component of our body and serves a vital role in our health and in normal cellular functions by serving as a medium for metabolic reactions in the cell. Fluid also moves nutrients into the body by the digestive system and moves waste products out of the body by way of the kidneys. Extracellular and intracellular fluids contain solutes such as dissolved nutrients, waste products and charged particles called electrolytes. Fluid and electrolytes play a vital role in homeostasis, which is the ability of the body (or cell) to maintain a relatively constant internal environment when dealing with external changes. Homeostasis must exist for the cells to function properly and the maintenance of fluid and electrolyte balances are necessary for homeostasis. To maintain homeostasis, ions move between the extracellular and intracellular fluid compartments through selectively permeable membranes by a variety of methods such as
These were individuals that were responsible for handling the diagnosis of this disease and did so through tasting the urine of those displaying symptoms and discerning whether it was sweet. This was the primary indicator that led to them to understand the influence of glucose in this disease. Beyond the detectible “sweetness” found in urine, symptoms that typically develop into Type I and Type II diabetes include increased thirst, frequent urination, hunger, fatigue, slow-healing cuts/sores, yeast infections, and high and low blood sugar. The symptoms of diabetes can develop in any ethnicity, in any culture, however there are demographics more prone to this disease than others. According to the latest Diabetes report from the Center of Disease Control and Prevention, “Compared with non-Hispanic whites, members of racial and ethnic minority groups are more likely to have diagnosed diabetes”
According to Krisha McCoy on her article: The history of Diabetes; “In 150 AD, the Greek physician Arateus described what we now call diabetes as "the melting down of flesh and limbs into urine." From then on, physicians began to gain a better understanding about diabetes. Centuries later, people known as "water tasters" diagnosed diabetes by tasting the urine of people suspected to have it. If urine tasted sweet, diabetes was diagnosed. To acknowledge this feature, in 1675 the word "mellitus," meaning honey, was added to the name "diabetes," meaning siphon. It wasn't until the 1800s that scientists developed chemical tests to detect the presence of sugar in the urine”.
According to Ahmed AM, a member of faculty in the Medicine department at University of Bahr Elghazal, “Clinical features similar to diabetes mellitus were described 3000 years ago by the ancient Egyptians. The term "diabetes" was first coined by Araetus of Cappodocia (81-133AD). Later, the word mellitus (honey sweet) was added by Thomas Willis (Britain) in 1675 after rediscovering the sweetness of urine and blood of patients (first noticed by the ancient Indians). It was only in 1776 that Dobson (Britain) firstly confirmed the presence of excess sugar in urine and blood as a cause of their sweetness.” Scholars have even found an acient papyrus that mentions “a rare disease that causes the patient to lose weight rapidly and urinate
These diffusions both differ because facilitated diffusion requires a membrane bound carrier protein to aid in the transportation of a molecule across the membrane. However, simple diffusion does not require assistance of membrane proteins. In this experiment, the larger value obtained when more glucose carries were present corresponds to an increase in the rate of glucose transport. The rate increased because there is no more room and surface area relative to glucose.