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Diabetes

Dr. Dr Kalyan K Gangopadhyay K. Consultant Endocrinologist Peerless Hospital

Common diseases which lead to death


Hypertension Diabetes Cancer
Stroke,heartattack , Heartfailure Kidneyfailure y

Common diseases which lead to death


Hypertension Diabetes Cancer
Canbeprevented Can be prevented Canbeeasilydiagnosed Canbetreatedeffectively Can be treated effectively Stroke,heartattack , Heartfailure Kidneyfailure y

How to prevent damage to our body

Weight Exercise

Check for diabetes

Quit smoking Alcohol in mod

Check b.p Ch k b

What is diabetes?
=

INSULIN

Who should check for diabetes?


Family history Overweight History of heart attack, stroke Gestational diabetes (Diabetes in p eg a cy) pregnancy) High cholesterol History of polycystic ovarian disease Excessive thirst/urination. Weight loss

How to check for diabetes


Fasting glucose Diabetic if more than 126 mg/dl Glucose level 2 hours after taking 75 g a s glucose orally grams g ucose o a y (post p a d a prandial glucose or PP glucose) Diabetic if more than 200 mg/dl

How to prevent myself from developing diabetes ?


Diet Exercise Weight control

Weight management

What is overweight?
Body Mass Index (BMI) Weight in kilograms Height (m) x height (m) 19 25 = normal 25 30 = overweight > 30 = obese

What is overweight?
BMI Weight in kilograms Height (m) x height (m) 19 25 = normal 25 30 = overweight > 30 = obese
78 ------------- = 25.5 25 5 1.75 x 1.75

What to do if I am overweight?
Diet Exercise

Diet Food Pyramid


Fats & Oils
USE SPARINGLY

Milk, Yogurt & Cheese Group


23 2-3 Servings

Meat, Poultry, Fish, Eggs


2-3 2 3 Servings

Vegetable Group. g p
3-5 Servings

Fruit Group.
2-4 Servings

Bread, Cereal, Rice, Pasta Group.


6-11 Servings
Adaptedfromhttp://www.nal.usda.gov/fnic/Fpyr/pyramid.gif

Exercise
30 minutes a day day. Incorporate exercise in your daily routine.

How to know that diabetes is well controlled ?

How to know that diabetes is well controlled ?

HbA1C < 6.5 %

How to prevent diabetes from damaging our body

HbA1C 6.5 %

Cholesterol <150 150

Smoking 00

BP <140/80 140/80

Complications of diabetes
Retinopathy Cerebrovascular and Coronary Disease

Nephropathy

Erectile Dysfunction

Foot Problems

18 The Audit Commission. Testing Times. A Review of Diabetes Services in England and Wales, 2000.

How to know that diabetes has affected your organs?


Eyes Kidneys Nerves

Foot problems in diabetes

Kidney damage

Normal

Dialysis

Kidney damage

Normal

Creatinine

Dialysis

Kidney damage

Normal

Protein in urine

Creatinine

Dialysis

Kidney damage

Normal

Protein in urine

Creatinine

Dialysis

Urine albumin creatinine ratio

You can prevent diabetes You can prevent kidney damage from diabetes. di b t If you have kidney damage from diabetes you can pre ent it from progressing f rther o prevent further.

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