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Q.Write the causes and symptoms of Diabetes mellitus and Diabetes insipidus (diuresis).

Rajasthan RbseRajasthan Board Senior Secondary Part-I Examination 2017Subjective· 2mImportance★★★★★
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Diabetes mellitus results from a lack of/resistance to insulin (raised blood glucose); diabetes insipidus results from a lack of ADH (excess dilute urine) — the two are unrelated hormonal disorders that happen to share the word "diabetes" (excessive urination).

Diabetes mellitus:

  • Cause: Insufficient secretion of insulin by the beta cells of the pancreatic islets of Langerhans, or the body's cells becoming resistant to insulin's action.
  • Effect: Blood glucose level rises abnormally (hyperglycaemia); glucose spills into the urine (glucosuria) since the kidney can no longer reabsorb it all.
  • Symptoms: Excessive thirst (polydipsia), excessive urination (polyuria), excessive hunger (polyphagia), weight loss, fatigue, and in severe/uncontrolled cases, ketoacidosis.

Diabetes insipidus (diuresis):

  • Cause: Deficiency of the antidiuretic hormone (ADH, also called vasopressin) secreted by the posterior pituitary (or the kidney tubules failing to respond to ADH).
  • Effect: The kidney's distal tubules/collecting ducts cannot reabsorb enough water back into the blood, so a very large volume of dilute (watery) urine is passed.
  • Symptoms: Excessive urination (polyuria) of dilute urine, intense thirst, and risk of dehydration if fluid intake does not keep pace. …

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