Pathophysiology
Pharmacology
Complications
Hormones
Drug Mechanism
100

This is the primary defect in Type 2 Diabetes Mellitus, where cells fail to respond properly to insulin?

What is insulin resistance?

100

This drug class works by activating AMPK, reducing hepatic glucose production, and improving insulin sensitivity.

What are biguanides (metformin)

100

This acute complication of T2DM is characterized by severe dehydration, extremely high glucose levels, and no ketosis.  

What is Hyperosmolar Hyperglycemic State (HHS)?

100

This hormone is secreted by pancreatic beta cells and promotes glucose uptake in muscle and adipose tissue.

What is insulin 

100

This drug class works by inhibiting intestinal alpha-glucosidases, delaying carbohydrate absorption.

What are alpha-glucosidase inhibitors (acarbose)

200

This organ is responsible for increased hepatic glucose production in T2DM, contributing to fasting hyperglycemia?

What is liver?

200

This GLP-1 agonist is administered once a week and has high homology to human GLP-1.

What is liraglutide (Victoza)

200

This is chronic complication of T2DM is the leading cause of end-stage renal disease (ESRD).

What is diabetic nephropathy

200

This hormone, secreted by pancreatic alpha cells, increases blood glucose by stimulating glycogenolysis and gluconeogensis.

What is glucagon 

200

This drug class blocks KATP channels in pancreatic beta cells, leading to increased insulin secretion.

What are sulfonylureas (glimepiride)

300

This hormone, secreted by pancreatic alpha cells, contributes to hyperglycemia by stimulating glycogenolysis and gluconeogenesis?

What is glucagon

300
This drug class inhibits SGLT-2 in the kidneys, increasing urinary glucose excretion.

What are SGLT-2 inhibitors

300

This complication of T2DM is characterized by nerve damage, leading to sensory deficits and burning pain in the feet. 

What is diabetic neuropathy 

300

This hormone, co-secreted with insulin, slows gastric emptying and promotes satiety. 

What is amylin

300

This drug class activates GLP-1 receptors, enhancing insulin secretion and suppressing glucagon.

What are GLP-1 agonist (exenatide)

400

This term describes the progressive loss of beta-cell function and mass in T2DM, leading to a decreased insulin secretion?

What is beta-cell dysfunction

400

This DPP-4 inhibitor increases levels of GLP-1 and GIP, enhancing insulin secretion and reducing glucagon.

What is sitagliptin (Januvia)

400

This condition is a rare but serious side effect of SGLT-2 inhibitors, characterized by high ketone levels without significant hyperglycemia. 

What is euglycemic diabetic ketoacidosis 

400

This incretin hormone is secreted by intestinal L-cells and enhances glucose-dependent insulin secretion.

What is GLP-1 

400

This drug class inhibits DPP-4, increasing levels of GLP-1 and GIP to enhance insulin secretion.

What are DDP-4 inhibitors (saxagliptin)

500

This theory, proposed by DeFronzo, describes eight key pathophysiological defect in T2DM, including insulin resistance and beta-cell dysfunction.

What is the Ominous Octet 

500

This drug class binds to PPAR-gamma receptors, improving insulin sensitivity in adipose tissue and muscle.

What are thiazolidinediones 

500

This macrovascular complication of T2DM is the leading cause of morbidity and mortality, often resulting in myocardial infraction or stroke. 

What is atherosclerosis 

500

This hormone, secreted by adipose tissue, improves insulin sensitivity but is reduced in obesity.

What is adiponectin 

500

This drug class works by inhibiting SGLT-2 in the kidneys, leading to increased urinary glucose excretion.

What are SGLT-2 inhibitors (empagliflozin)

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