Diabetes Prevention and Management


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Diabetes Prevention and Management

  1. 1. Diabetes Prevention<br />Alexander Khodenko<br />
  2. 2. What is diabetes?<br />Autoimmune disorder in which the body does not use and/or produce insulin properly. <br />Insulin is a hormone that is vital for the absorption of glucose. <br />
  3. 3. Diabetes and its consequences<br /><ul><li>Diabetes is the 7th leading cause of death </li></ul>in the United States.<br /><ul><li>Major cause of heart Disease and stroke
  4. 4. Uncontrolled Diabetes can lead to serious health complications such as: </li></ul>heart diseases, hypertension, blindness, kidney failure, amputations of lower <br />extremities.<br />
  5. 5. Data Facts<br />Diabetes affects 25.8 million people<br />8.3 % of the US population<br />18.8 million people diagnosed<br />7.0 million people undiagnosed<br />
  6. 6. Data Facts<br />
  7. 7. Trend<br />
  8. 8. 2050 Projection<br />one in three adults will have diabetes in 2050 <br /><ul><li>An aging population is more likely to develop the disease.
  9. 9. Ethnic populations are at high risk for type 2 diabetes. The prevalence of diabetes in ethnic populations is increasing.
  10. 10. Better treatment allows diabetics to live longer.</li></li></ul><li> Types of Diabetes and Causes<br />Type 1 – insulin dependent or juvenile onset diabetes (body immune system destroys pancreatic beta cells (need insulin)<br />Type 2 – non-insulin dependent or adult onset diabetes (the most common type when insulin is no longer used properly)<br />Gestational diabetes (occurs during pregnancy as a result of glucose intolerance)<br />Other types (genetic conditions, surgeries, pancreatic disease, other illnesses).<br />
  11. 11. Barriers to Diabetes Prevention <br />Primary Barriers:<br />Socio – economic disparities  DM, HTN, other illnesses.<br />Nutrition DM, HTN<br />Genetics DM,HTN<br />Environmental stress (poor conditions, neighborhood crime)  DM, HTN<br />
  12. 12. Other Barriers<br />Lack of Knowledge ( fear, anxiety, incorrect self-testing, and medication dosages).<br /> Cultural Beliefs and/or misconceptions (preferred dietary choices, mistrust of healthcare system, self interpretation of disease).<br /> Income<br /> Mood disorders<br /> Ethnicity<br />
  13. 13. Type 1 and type 2 diabetes have different causes. Yet two factors are important in both.<br />1) one must inherit a predisposition. <br />2) something in one’s environment must trigger diabetes. <br />Genes alone are not enough. <br />
  14. 14. Diabetes prevention (small scale) <br />What can be done? <br />Lifestyle modification<br />↑ physical activity<br />↓weight<br />Consider dietary changes<br />
  15. 15. Diabetes prevention (large scale)<br />Prolong life expectancy by expanding knowledge of population<br /> awareness<br />medical costs (prevention is the key)<br />Healthcare Education of target populations (ex. Healthy diets, mobile educational units, workshops, etc.)<br />Equal access to health care basing <br /> onneeds, and not one’s ability to pay! <br />(Social Justice)<br />
  16. 16. Something to think about:<br />1) Are there unrecognized financial and social costs to the adaptation of healthy behaviors?<br />2) How might neighborhood characteristics (environmental stress) be altered to improve health and health care for persons with/without diabetes?<br />3) How to eliminate/reduce socio-economic disparities? <br />
  17. 17. Management of Diabetes <br />