Final answer:
In Type 1 DM, cells starve and breakdown Proteins and fats which has the byproduct ketones. The correct answer is D. Proteins, fats, ketones. This shift to fat metabolism leads to ketoacidosis and a lower blood pH.
Step-by-step explanation:
In Type 1 Diabetes Mellitus (DM), the cells are unable to use glucose efficiently due to lack of insulin. This causes the cells to starve and break down alternative sources of energy.
The body starts to breakdown fats and proteins, leading to the byproduct known as ketones. Therefore, the correct answer is D. Proteins, fats, ketones.
Biochemical changes in diabetes mellitus involve the liver producing ketone bodies through fat metabolism when glucose cannot be utilized.
An excess production of ketones leads to a state called ketoacidosis, characterized by lowered pH in the blood plasma and excretion of glucose along with ketones in the urine. These biochemical changes highlight the body's shift from glucose to fatty acids and then to ketones as an energy source.