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Diabetes Care  Management
What is Diabetes? ,[object Object],[object Object]
What is Insulin? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diabetes “ Mild Disease”  Serious consequences
Diabetes Mellitus  A Serious Disease Leading cause of new cases of blindness  25 times more prone to  eye problems 6 times higher risk for Paralysis (stroke) 5 times more prone to Kidney failure  20 times more prone to lower limb amputation Nerve damage causes  loss of sensation  2-3 times higher risk for heart attack
Diabetes Indian context ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differences between Type 1 & Type 2 Low risk to develop Ketoacidosis High risk to develop Ketoacidosis Insulin may be required for achieving good diabetes control Dependant on insulin for life Illness develops slowly Illness develops rapidly Often over weight and have an apple shape Patient are young, lean, and thin  Develops later in life after >30 years Develops at an early age <30 years Type 2 Type 1
  Insulin Monitoring Diet Education Exercise   Treatment of Type 1 Diabetes
  Insulin Monitoring Diet Education Exercise   Treatment of Type 2 Diabetes  Oral Agents
How You Manage Your Diabetes Follow a Healthy  Meal Plan Take your  Medication Regular Exercise Test blood sugar Regularly
Self Management
Self Management ,[object Object],[object Object]
Taking Charge of your Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benefits of Normal Blood Sugar ,[object Object],[object Object]
Learning   Self   Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
How to do Self- Management? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Setting your blood Sugar targets Optimal blood sugar levels are : > 180 145-180 80-144 Post Prandial mg/dl > 140 111-140 80-110 Fasting mg/dl Poor Borderline Good  Blood  Sugar
Setting your blood Sugar targets Keeping your blood sugar in this range help you to prevent the long term complications of the Diabetes i.e. eye, kidney and nerve damage. Use Insulin, if advised.
Diabetes and Emergencies
Hypoglycemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypoglycemia ,[object Object],[object Object],[object Object],[object Object],HYPERGLYCEMIA NORMAL HYPOGLYCEMIA
Causes Of Hypoglycemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Mild  Hypoglycemia ,[object Object],[object Object],[object Object],[object Object],[object Object],JUICE COKE
Diabetic Ketoacidosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management Goal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management Goal ,[object Object],[object Object],[object Object]
Diabetes   and   Diet
Importance   of   Nutrition   Advice ,[object Object],[object Object],[object Object],[object Object],[object Object]
Food Groups Food Exchange ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cereals
Pulses ,[object Object],[object Object],[object Object],[object Object]
Milk and Milk Products  ,[object Object],[object Object]
Vegetables  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fruits   ,[object Object],[object Object],[object Object],[object Object]
Fat,Oils & Nuts  ,[object Object],[object Object],[object Object],[object Object]
Meat, Fish & Egg   ,[object Object],[object Object]
Food   Exchanges ,[object Object],[object Object],[object Object]
Food   Exchanges ,[object Object],[object Object]
Dietary Recommendations Diabetes Food Pyramid Cereals & Pulses 8-12 Units 10-14 units (veg) Fruits 2-3 Units Vegetables 3-4 Units Milk & Milk Products 2-3 Units Meat & Fish 1-2 Units Fats, Oils & Nuts 2-3 Units
Dietary Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Free   Foods ,[object Object],[object Object],[object Object],[object Object],[object Object]
Practical Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foods   to   be   Avoided /  Restricted   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary  Diabetic diet ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Good Management of Diabetes Requires Balancing Food intake, Exercise and Medication

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Diabetes Care Management

  • 1. Diabetes Care Management
  • 2.
  • 3.
  • 4. Diabetes “ Mild Disease” Serious consequences
  • 5. Diabetes Mellitus A Serious Disease Leading cause of new cases of blindness 25 times more prone to eye problems 6 times higher risk for Paralysis (stroke) 5 times more prone to Kidney failure 20 times more prone to lower limb amputation Nerve damage causes loss of sensation 2-3 times higher risk for heart attack
  • 6.
  • 7. Differences between Type 1 & Type 2 Low risk to develop Ketoacidosis High risk to develop Ketoacidosis Insulin may be required for achieving good diabetes control Dependant on insulin for life Illness develops slowly Illness develops rapidly Often over weight and have an apple shape Patient are young, lean, and thin Develops later in life after >30 years Develops at an early age <30 years Type 2 Type 1
  • 8. Insulin Monitoring Diet Education Exercise Treatment of Type 1 Diabetes
  • 9. Insulin Monitoring Diet Education Exercise Treatment of Type 2 Diabetes Oral Agents
  • 10. How You Manage Your Diabetes Follow a Healthy Meal Plan Take your Medication Regular Exercise Test blood sugar Regularly
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. Setting your blood Sugar targets Optimal blood sugar levels are : > 180 145-180 80-144 Post Prandial mg/dl > 140 111-140 80-110 Fasting mg/dl Poor Borderline Good Blood Sugar
  • 18. Setting your blood Sugar targets Keeping your blood sugar in this range help you to prevent the long term complications of the Diabetes i.e. eye, kidney and nerve damage. Use Insulin, if advised.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Diabetes and Diet
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39. Dietary Recommendations Diabetes Food Pyramid Cereals & Pulses 8-12 Units 10-14 units (veg) Fruits 2-3 Units Vegetables 3-4 Units Milk & Milk Products 2-3 Units Meat & Fish 1-2 Units Fats, Oils & Nuts 2-3 Units
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45. Good Management of Diabetes Requires Balancing Food intake, Exercise and Medication