TY - CHAP M1 - Book, Section TI - Diabetes Mellitus: Diagnosis, Classification, and Pathophysiology A1 - Powers, Alvin C. A1 - Niswender, Kevin D. A1 - Evans-Molina, Carmella A2 - Jameson, J. Larry A2 - Fauci, Anthony S. A2 - Kasper, Dennis L. A2 - Hauser, Stephen L. A2 - Longo, Dan L. A2 - Loscalzo, Joseph PY - 2018 T2 - Harrison's Principles of Internal Medicine, 20e AB - Diabetes mellitus (DM) refers to a group of common metabolic disorders that share the phenotype of hyperglycemia. Several distinct types of DM are caused by a complex interaction of genetics and environmental factors. Depending on the etiology of the DM, factors contributing to hyperglycemia include reduced insulin secretion, decreased glucose utilization, and increased glucose production. The metabolic dysregulation associated with DM causes secondary pathophysiologic changes in multiple organ systems that impose a tremendous burden on the individual with diabetes and on the health care system. In the United States, DM is the leading cause of end-stage renal disease (ESRD), nontraumatic lower extremity amputations, and adult blindness. It also predisposes to cardiovascular diseases. With an increasing incidence worldwide, DM is likely to continue to be a leading cause of morbidity and mortality in the future. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1156520865 ER -