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Diabetes And Sugar

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Transcript

  • 1. Diabetes: Beyond Sugar
  • 2. CHAOS
    • C - Coronary artery disease
    • H - Hyper-tension, -glycaemia, -insulinaemia
    • A - Atherosclerosis
    • O - Obesity
    • S - Stroke
  • 3. Top 5 co-existing conditions Diabetes in Europe, 2000 Type 1 - 1531, Type 2 - 7911
  • 4. Top 5 co-existing conditions Diab Care Asia, 2000 Type 2 - 2238
  • 5. Management of T 2 DM Extends Beyond Glucose Control need to be addressed Issues like Obesity High Cholesterol Hypertension Smoking
  • 6. Therapeutic Lifestyle change
    • Healthy Eating,
    • Time management,
    • Regular exercise
      • 30 min daily brisk walking.
  • 7. Lipid control
    • DIFFICULT!
      • Target is changing
      • What level is safe?
      • Multifactorial
      • (Hyperglycaemia leads to hyperlipidaemia )
  • 8. Hypertension Complications HT Peripheral vascular disease Coronary Heart Disease 43% End Stage Renal Failure Stroke 18% Congestive Heart Failure
  • 9. 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
  • 10. 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.
  • 11. Clinical and Experimental Studies Treatment -Target Organ Protection Antiatherosclerosis CNS protection Cardioprotection Renoprotection
  • 12. Recommended Treatment Goals for Hypertension <140/80 mm Hg <130/80 mm Hg Without Diabetes With Diabetes
  • 13. SMOKING
  • 14. How to manage all? PATIENT Dietitian Pr. Nurse Govt. Sp. Doctor Pharms. Fm. Doctor Sp. Nurse Podiatrist

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