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Diabetes Mellitus
    Lora Stowitzky
Statistics

๏‚ง Affects 23.6 million people in the
  U.S.
  - Diagnosed: 17.9 million people
  - Undiagnosed: 5.7 million people

๏‚ง 7th leading cause of death in the
  U.S
  (2006)
What is Diabetes?

๏‚ง A chronic disease in which the body
  can not properly use or make
  insulin.

๏‚ง Insulin- a hormone made in the
  pancrease that turns sugar
  (glucose) into energy for the body to
  use
What happens without insulin?

        Lack of insulin
               โ‡“
   Build up of glucose in the
     blood (hyperglycemia)
               โ‡“
    Symptoms of Diabetes
            Mellitus
Symptoms
๏‚ง Frequent urination
๏‚ง Excessive thirst
๏‚ง Extreme hunger
  - Cells are starved for energy
๏‚ง Unexplained weight loss
  - Insulin can not trigger the storage of fat
๏‚ง Fatigue
๏‚ง Delayed wound healing
Type I Diabetes Mellitus
๏‚ง Juvenile diabetes
๏‚ง Insulin-dependent diabetes mellitus

๏‚ง Autoimmune disorder
๏‚ง The body destroys the cells that
  make the insulin
๏‚ง Thus, the body can no longer
  produce insulin
Type I Diabetes Mellitus

๏‚ง Usually diagnosed in children &
  young adults ( <30 years old)

๏‚ง 5-10% of diabetics
Type I Diabetes Mellitus

๏‚ง RISK factors:
  - Genetics
  - Autoimmune history

๏‚ง Type I is not preventable
Type I Treatment

๏‚ง   Glucose monitoring often
๏‚ง   Insulin injections
๏‚ง   Exercise
๏‚ง   Diet
๏‚ง   Follow up with doctor
๏‚ง   Educate yourself!
Type II Diabetes Mellitus
๏‚ง Non-insulin dependent diabetes
  mellitus

๏‚ง Body makes insulin but most cells
  do not use insulin properly
๏‚ง Insulin resistance
๏‚ง Slowly, the pancreas stops making
  insulin.
Type II Diabetes Mellitus

๏‚ง 90-95 % of diabetics
๏‚ง RISK factors
  - Older age
  - Family history
  - Obesity
  - Physical Inactivity
  - Race and Ethnicity
Type II Risk Factors

๏‚ง Obesity & Inactivity
  - Studies find a relationship between
    weight/activity level and Type II
  - Seeing an increase in Type II
    diabetes in children
Type II Diabetes Mellitus

๏‚ง Race & Ethnicity
  - African Americans
  - Hispanic/Latino Americans
  - American Indians
  - Asian Americans
  - Pacific Islanders
Type II Prevention

๏‚ง If have risk factors, prevent or delay
  the onset of Type IIโ€ฆ
  - Healthy diet
  - Moderately intense exercise
    (walking 2 1/2 hours each week)
Type II Treatment

๏‚ง Goal: Control blood sugar (glucose)
  - Glucose monitoring often
  - Oral medicine / Insulin injections
  - Diet
  - Exercise / Weight management
  - Follow up with doctor
  - Educate yourself!
Diet - Carb Counting

๏‚ง Carbohydrates raise blood glucose
  levels
๏‚ง Keep track of how many carbs you
  eat and set a limit for yourself
๏‚ง Limit depends on your activity level
  and medications
๏‚ง Talk to your doctor!
Diet - Create your plate

๏‚ง Divide plate into 3 sections
  - Large section - non-starch veggies
    (spinach, cabbage, mushrooms)
  - Small section - starch
    (potatoes, whole grain breads)
  - Small section - meat
    (turkey, tuna, lean pork)
Diet - Individualized

๏‚ง No one diet is appropriate for every
  diabetic person
๏‚ง Work with your doctor to come up
  with a diet that is right for your
  situation
Complications of Diabetes
๏‚ง   Heart disease
๏‚ง   Blindness
๏‚ง   Kidney damage
๏‚ง   Diabetic neuropathy / nerve damage

๏‚ง Prevent complications by managing
  your glucose level, diet, and
  activity!
Diabetes Awareness

๏‚ง November is American Diabetes
  Month
๏‚ง November 14 is World Diabetes Day
For more information:
     www.cdc.gov
     www.diabetes.org
     www.ndep.nih.gov
Websites

๏‚ง http://www.cdc.gov/diabetes/consu
  mer/index.htm
๏‚ง http://www.emedicinehealth.com/dia
  betes/article_em.htm#Diabetes
  %20Overview
๏‚ง http://www.diabetes.org/

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Diabetes

  • 1. Diabetes Mellitus Lora Stowitzky
  • 2. Statistics ๏‚ง Affects 23.6 million people in the U.S. - Diagnosed: 17.9 million people - Undiagnosed: 5.7 million people ๏‚ง 7th leading cause of death in the U.S (2006)
  • 3. What is Diabetes? ๏‚ง A chronic disease in which the body can not properly use or make insulin. ๏‚ง Insulin- a hormone made in the pancrease that turns sugar (glucose) into energy for the body to use
  • 4. What happens without insulin? Lack of insulin โ‡“ Build up of glucose in the blood (hyperglycemia) โ‡“ Symptoms of Diabetes Mellitus
  • 5. Symptoms ๏‚ง Frequent urination ๏‚ง Excessive thirst ๏‚ง Extreme hunger - Cells are starved for energy ๏‚ง Unexplained weight loss - Insulin can not trigger the storage of fat ๏‚ง Fatigue ๏‚ง Delayed wound healing
  • 6. Type I Diabetes Mellitus ๏‚ง Juvenile diabetes ๏‚ง Insulin-dependent diabetes mellitus ๏‚ง Autoimmune disorder ๏‚ง The body destroys the cells that make the insulin ๏‚ง Thus, the body can no longer produce insulin
  • 7. Type I Diabetes Mellitus ๏‚ง Usually diagnosed in children & young adults ( <30 years old) ๏‚ง 5-10% of diabetics
  • 8. Type I Diabetes Mellitus ๏‚ง RISK factors: - Genetics - Autoimmune history ๏‚ง Type I is not preventable
  • 9. Type I Treatment ๏‚ง Glucose monitoring often ๏‚ง Insulin injections ๏‚ง Exercise ๏‚ง Diet ๏‚ง Follow up with doctor ๏‚ง Educate yourself!
  • 10. Type II Diabetes Mellitus ๏‚ง Non-insulin dependent diabetes mellitus ๏‚ง Body makes insulin but most cells do not use insulin properly ๏‚ง Insulin resistance ๏‚ง Slowly, the pancreas stops making insulin.
  • 11. Type II Diabetes Mellitus ๏‚ง 90-95 % of diabetics ๏‚ง RISK factors - Older age - Family history - Obesity - Physical Inactivity - Race and Ethnicity
  • 12. Type II Risk Factors ๏‚ง Obesity & Inactivity - Studies find a relationship between weight/activity level and Type II - Seeing an increase in Type II diabetes in children
  • 13. Type II Diabetes Mellitus ๏‚ง Race & Ethnicity - African Americans - Hispanic/Latino Americans - American Indians - Asian Americans - Pacific Islanders
  • 14. Type II Prevention ๏‚ง If have risk factors, prevent or delay the onset of Type IIโ€ฆ - Healthy diet - Moderately intense exercise (walking 2 1/2 hours each week)
  • 15. Type II Treatment ๏‚ง Goal: Control blood sugar (glucose) - Glucose monitoring often - Oral medicine / Insulin injections - Diet - Exercise / Weight management - Follow up with doctor - Educate yourself!
  • 16. Diet - Carb Counting ๏‚ง Carbohydrates raise blood glucose levels ๏‚ง Keep track of how many carbs you eat and set a limit for yourself ๏‚ง Limit depends on your activity level and medications ๏‚ง Talk to your doctor!
  • 17. Diet - Create your plate ๏‚ง Divide plate into 3 sections - Large section - non-starch veggies (spinach, cabbage, mushrooms) - Small section - starch (potatoes, whole grain breads) - Small section - meat (turkey, tuna, lean pork)
  • 18. Diet - Individualized ๏‚ง No one diet is appropriate for every diabetic person ๏‚ง Work with your doctor to come up with a diet that is right for your situation
  • 19. Complications of Diabetes ๏‚ง Heart disease ๏‚ง Blindness ๏‚ง Kidney damage ๏‚ง Diabetic neuropathy / nerve damage ๏‚ง Prevent complications by managing your glucose level, diet, and activity!
  • 20. Diabetes Awareness ๏‚ง November is American Diabetes Month ๏‚ง November 14 is World Diabetes Day For more information: www.cdc.gov www.diabetes.org www.ndep.nih.gov
  • 21. Websites ๏‚ง http://www.cdc.gov/diabetes/consu mer/index.htm ๏‚ง http://www.emedicinehealth.com/dia betes/article_em.htm#Diabetes %20Overview ๏‚ง http://www.diabetes.org/