Prevent Diabetes

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Information about Prevent Diabetes

Published on June 22, 2008

Author: arpanbhattacharya

Source: slideshare.net

Prevention of Diabetes, Can we?

EP Joslin, 1921 “…… it is proper at the present time to devote time not alone to treatment, but still more, as in the case of typhoid fever, to prevention. The results may not be quite so striking or as immediate, but they are sure to come and important …...”

Onset of Diabetes Type 1 DM Type 2 DM Normal Normal Diabetes Diabetes Borderline Borderline

Primary Prevention in Type 1 DM Time available is quite short Limitation of Inflammation in Islet cells Prevention of triggering factor/s Gene therapy? Answer is not there for Clinical use today

Time available is quite short

Limitation of Inflammation in Islet cells

Prevention of triggering factor/s

Gene therapy?

Answer is not there for Clinical use today

Primary Prevention in Type 2 DM POPULATION STRATEGY Lifestyle change Environmental factors HIGH RISK STRATEGY Targeting the high risk group

POPULATION STRATEGY

Lifestyle change

Environmental factors

HIGH RISK STRATEGY

Targeting the high risk group

Prevention of Type 2 DM BASIC PROBLEM - Insulin resistance Answers Exercise Maintain body weight Healthy eating REGULAR FOLLOW UP with GTT, every 2 - 5y

BASIC PROBLEM - Insulin resistance

Answers

Exercise

Maintain body weight

Healthy eating

REGULAR FOLLOW UP with GTT, every 2 - 5y

Prevention of chronic complications -common determinants-1 EDUCATION Regular exercise Healthy eating - avoid COCOCOLANISATION Life style modification

EDUCATION

Regular exercise

Healthy eating - avoid COCOCOLANISATION

Life style modification

Prevention of chronic complications -common determinants-2 Near normal glycaemia Blood pressure control Lipid control Specific treatment

Near normal glycaemia

Blood pressure control

Lipid control

Specific treatment

Specific treatment - RETINA Aspirin ACE inhibitor LASER Photocoagulation

Aspirin

ACE inhibitor

LASER Photocoagulation

Specific treatment - KIDNEY ACE inhibitor Protein restriction in diet

ACE inhibitor

Protein restriction in diet

FOOT CARE - whom to provide? Everybody? Previous or present ulcer Poor circulation Abnormal sensation Impaired vision Poor Diabetes control Deformity Prosthesis

Everybody?

Previous or present ulcer

Poor circulation

Abnormal sensation

Impaired vision

Poor Diabetes control

Deformity

Prosthesis

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

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