Diabetes And Sugar

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Information about Diabetes And Sugar

Published on June 22, 2008

Author: arpanbhattacharya

Source: slideshare.net

Diabetes: Beyond Sugar

CHAOS C - Coronary artery disease H - Hyper-tension, -glycaemia, -insulinaemia A - Atherosclerosis O - Obesity S - Stroke

C - Coronary artery disease

H - Hyper-tension, -glycaemia, -insulinaemia

A - Atherosclerosis

O - Obesity

S - Stroke

Top 5 co-existing conditions Diabetes in Europe, 2000 Type 1 - 1531, Type 2 - 7911

Top 5 co-existing conditions Diab Care Asia, 2000 Type 2 - 2238

Management of T 2 DM Extends Beyond Glucose Control need to be addressed Issues like Obesity High Cholesterol Hypertension Smoking

Therapeutic Lifestyle change Healthy Eating, Time management, Regular exercise 30 min daily brisk walking.

Healthy Eating,

Time management,

Regular exercise

30 min daily brisk walking.

Lipid control DIFFICULT! Target is changing What level is safe? Multifactorial (Hyperglycaemia leads to hyperlipidaemia )

DIFFICULT!

Target is changing

What level is safe?

Multifactorial

(Hyperglycaemia leads to hyperlipidaemia )

Hypertension Complications HT Peripheral vascular disease Coronary Heart Disease 43% End Stage Renal Failure Stroke 18% Congestive Heart Failure

Hypertension- Interesting Facts 5-6 mm reduction in DBP lowers stroke risk by 33% and CHD risk by 15% Hypertension Optimal Study (HOT) Study- DBP  85 mm Hg associated with lower risk of CVS events than reduction to  90 mm Hg

5-6 mm reduction in DBP lowers stroke risk by 33% and CHD risk by 15%

Hypertension Optimal Study (HOT) Study- DBP  85 mm Hg associated with lower risk of CVS events than reduction to  90 mm Hg

Hypertension in India CODI Study BP was measured in 54.5% of patients with DM, In 40% BP was found to be high, 10% were on treatment BUD Study 24% of people with high BP were currently checking.

CODI Study

BP was measured in 54.5% of patients with DM,

In 40% BP was found to be high,

10% were on treatment

BUD Study

24% of people with high BP were currently checking.

Clinical and Experimental Studies Treatment -Target Organ Protection Antiatherosclerosis CNS protection Cardioprotection Renoprotection

Recommended Treatment Goals for Hypertension <140/80 mm Hg <130/80 mm Hg Without Diabetes With Diabetes

SMOKING

How to manage all? PATIENT Dietitian Pr. Nurse Govt. Sp. Doctor Pharms. Fm. Doctor Sp. Nurse Podiatrist

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