Chapter

Jessica's hyperglycemia caused her renal carrier proteins to become saturated, resulting in glycosuria (glucose in the urine). The elimination of glucose in the urine and its consequent osmotic effects caused the urinary excretion of an excessive amount of water, resulting in dehydration. This raised the plasma osmolality, stimulating the thirst center in the hypothalamus. (Hyperglycemia and excessive thirst and urination are cardinal signs of diabetes mellitus.) Further, the loss of plasma water (increased plasma osmolal-ity) caused an increase in the concentration of plasma solutes, including K+. The resulting hyperkalemia affected the membrane potential of myocardial cells of the heart, producing electrical abnormalities that were revealed in Jessica's electrocardiogram.

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Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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