RT Book, Section A1 Powers, Alvin C. A1 D’Alessio, David A2 Brunton, Laurence L. A2 Hilal-Dandan, Randa A2 Knollmann, Björn C. SR Print(0) ID 1162542616 T1 Endocrine Pancreas and Pharmacotherapy of Diabetes Mellitus and Hypoglycemia T2 Goodman & Gilman's: The Pharmacological Basis of Therapeutics, 13e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259584732 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1162542616 RD 2024/04/18 AB Diabetes mellitus is a spectrum of metabolic disorders arising from myriad pathogenic mechanisms, all resulting in hyperglycemia. Both genetic and environmental factors contribute to its pathogenesis, which involves insufficient insulin secretion, reduced responsiveness to endogenous or exogenous insulin, increased glucose production, or abnormalities in fat and protein metabolism. The resulting hyperglycemia may lead to both acute symptoms and metabolic abnormalities. Major sources of the morbidity of diabetes are the chronic complications that arise from prolonged hyperglycemia, including retinopathy, neuropathy, nephropathy, and cardiovascular disease. These chronic complications can be mitigated in many patients by sustained control of the blood glucose and treatment of comorbidities such as hypertension and dyslipidemia (Nathan, 2014; Orchard et al., 2015). There are now a wide variety of treatment options for hyperglycemia that target different processes involved in glucose regulation or dysregulation (Nathan, 2015).