Diabetes

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DIABETES

WHAT IS DIABETES?

• Diabetes is a serious, chronic


metabolic disease
characterized by an increase
in blood sugar levels
associated with long term
damage and failure or organ
functions, especially the eyes,
the kidneys, the nerves, the
heart and blood vessels.
WHAT ARE THE TYPES OF DIABETES?

Type I- insulin dependent


diabetes

Type II - Non-insulin
dependent diabetes
HOW DOES ONE BECOME A DIABETIC?

• Diabetes occurs when the pancreas


does not adequately produce insulin.
• It also happens when the body cannot
properly use insulin.
• Insulin is a hormone necessary for the
proper utilization of sugar by
muscles.
• Fat and liver.
WHAT ARE THE COMPLICATION OF DIABETES

• Blindness
• Kidney failure
• Stroke
• Heart attack
• Wounds that would not heal
• Impotence
HOW WILL YOU KNOW
IF YOU ARE A DIABETIC?
1. If you urinate frequently.
2. If experience excessive thirst.
3. If you have unexplained weight loss.
4. If your blood sugar level is higher than 200mg/dl.
5. If you have fasting plasma glucose level of more than
126mg/dl.

What are the 3 P's of diabetes?


• The main symptoms of diabetes are described as
the three polys - polyuria, polydipsia, and
polyphagia.
WHAT CAN YOU DO
TO CONTROL YOUR BLOOD SUGAR?

1. Diet Therapy*
Avoid simple sugars like cakes and chocolates.
Instead have complex carbohydrate like rice, pasta,
cereals and fresh fruits.
* Do not skip or delay meals. It causes fluctuations in
blood sugar levels.
* Eat more fiber-rich foods like vegetables.
* Cut down on salt.
* Avoid alcohol. Dietary guidelines recommend no more
than two drinks for men and no more than one drink per
day for women.
2. Regular Exercise
- exercise is an important part of diabetes control.
Daily exercise . . .
* Improves cardiovascular fitness
* Helps insulin to work better and lower blood sugar
* Lowers blood pressure and cholesterol levels
* Reduces body fat and controls body weight Exercise
at least 3 time a week for ate least 30 minutes each
session.
Reminders:
Always carry quick sugar sources like candy or soft
drink to avoid hypoglycemia (low blood sugar) during and
afterexercise.
3. CONTROL YOUR WEIGHT

If you are overweight or obese, start


weight reduction by diet and exercise.
This improves your cardiovascular risk
profile.
It lowers your blood sugar
It improves your lipid profile
It improves your blood pressure
control
4. QUIT SMOKING.
• Smoking is harmful to your health.
5. MAINTAIN A NORMAL BLOOD PRESSURE.

• Since having hypertension puts a


person at high risk of cardiovascular
disease, especially if it is associated
with diabetes, reliable BP monitoring
and control is recommended. See
your doctor for advice and
management..
IF THERE IS NO IMPROVEMENT IN BLOOD SUGAR WHAT
ADVICE CAN I EXPECT MY DOCTOR TO GIVE?

There are drug therapies using oral hypoglycemic


agents.
Your doctor can prescribe one or two agents,
depending on which is appropriate for you.

1. Sulfonylurea – Glibenclamide, Gliclazide,


Glipizide, Glimepiride, Repaglinide
2. Iguanid – Metformin
3. Alpha-glucosidase Inhibitors – Acarbose4.
Thiazolidindione – Troglitazone, Rosiglitazone,
Proglitazone.
REMEMBER
• If you have the classic symptoms of diabetes:
* See your doctor for blood sugar testing
* Start dieting eat plenty of vegetables avoid sweets such as
chocolates and cakes cut down on fatty foods
* Exercise regularly
* If you are obese, try to lose some weight
* Avoid alcohol drinking and stop smoking
* If you are hypertensive, consult your doctor for advice and
management

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