Review
Copyright ©The Author(s) 2023.
World J Diabetes. May 15, 2023; 14(5): 481-493
Published online May 15, 2023. doi: 10.4239/wjd.v14.i5.481
Table 1 Pathophysiology of various types of diabetes mellitus
Type of diabetes mellitus
Pathophysiology
Type 1 diabetes mellitus Autoimmune β-cell destruction
Type 2 diabetes mellitusInsulin resistance (liver, muscle, adipose tissue)
Disorder of insulin secretion and β-cells breakdown
Immune dysregulation and metainflammation
Disorder of incretin production (glucagon-like peptide-1)
Hyperglucagonemia
Gut dysbiosis
Increased glucose apsorption in stomach
Kidney adaptation with increased glucose reabsorption and gluconeogenesis
Decreased dopamine and increased sympathetic tone in brain
Type 3 diabetes mellitus conceptImpaired insulin and insulin-like growth factor-1 signaling
Gestational diabetes mellitusPregnancy induced glucose intolerance