Diabetes Mellitus · Pathology

Which of the following is the primary pathogenetic mechanism in Type 1 Diabetes Mellitus?

  1. Peripheral insulin resistance
  2. Autoimmune beta-cell destruction
  3. Amyloid deposition in pancreatic islets
  4. Increased hepatic gluconeogenesis
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Correct answer: Autoimmune beta-cell destruction

Type 1 Diabetes Mellitus is characterized by an absolute insulin deficiency caused by T-cell mediated autoimmune destruction of the beta cells. This usually occurs in genetically susceptible individuals and is often associated with specific HLA haplotypes.

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