Diagnosed With Diabetes, Now What?

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BRAID Research, University of Alberta
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Diagnosed With Diabetes, Now What?

  1. 1. Diagnosed with Diabetes, Now What? Maskwacis Health Diabetes Conference, 2012
  2. 2. Plan for today  Now what?  Diabetes management  Diabetes complications?Maskwacis Health Diabetes Conference, 2012
  3. 3. NOW WHAT?  Shock  Denial  Relief  Fear  AcceptanceMaskwacis Health Diabetes Conference, 2012
  4. 4. Acceptance?  Management  Control blood sugar  Know your blood sugar (test / finger pokes)  Lifestyle balance  Medicine if necessary  Avoid complicationsMaskwacis Health Diabetes Conference, 2012
  5. 5. Know your ABC & D’s A is for A1C! < or = 7.0% B is for blood D is for diet! pressure Balance 5% weight loss < 130/80 C is for cholesterol LDL < or = 2.0 HDL > 1.3 for women, > 1.0 for menMaskwacis Health Diabetes Conference, 2012
  6. 6. You need a TEAM Family Nurse and Pharmacist YOU dietitian DoctorMaskwacis Health Diabetes Conference, 2012
  7. 7. You need to fight High Blood SugarToo much food Stress Not enough activity IllnessToo little insulin/medication Maskwacis Health Diabetes Conference, 2012
  8. 8. You need to avoid LOW Blood SugarToo LITTLE food Stress TOO MUCH activity IllnessToo MUCH insulin/medication Maskwacis Health Diabetes Conference, 2012
  9. 9. What is Type 2 Diabetes? How can it be managed? Leaky Liver Pooped out Cell Resistance The liver leaks Lifestyle Pancreas Lifestyle The cells don’t Lifestyle too much The pancreas is not allow insulin to sugar.mainly Pills, Blood making enough Pills, diabeta, bring the sugars Pills, mainly sugars rise metformin diamicron, the insulin. Or into the cell. metformin insulin is too tired gluconorm, januvia Blood sugars rise. and not able to Insulin, the work properly. Insulin, the Insulin, the needle needle sugars rise. Blood needleAcknowledgement Aboriginal Diabetes Wellness Program
  10. 10. Plan for today  Now what?  Diabetes management  Diabetes complications?Maskwacis Health Diabetes Conference, 2012
  11. 11. AVOID Complications High blood sugar can damage the Blood Vessels & Nerves This damage can cause problems in many parts of the body: heart, brain, kidneys, eyes, sex organs, legs and feet Blood Vessels NervesMaskwacis Health Diabetes Conference, 2012
  12. 12. Diabetes & Blood Vessel Disease High Blood Sugar can break down the blood vessel wallsPlaque build updecreasingcirculationBlood clot Build up ofblocking plaque,circulation cholesterol, fat Maskwacis Health Diabetes Conference, 2012
  13. 13. Diabetes & Cholesterol HDL (good cholesterol) LDL (bad cholesterol)Maskwacis Health Diabetes Conference, 2012
  14. 14. Diabetes & High Blood Pressure Top number = when the heart Blood Pressure is the measure of pumps blood into the vessels force on the artery walls Should be lower than 130 Bottom number = when the heart is at rest Should be lower than 80 IDEALLY: less than 130/80 Maskwacis Health Diabetes Conference, 2012
  15. 15. Diabetes & Heart Disease  Angina / chest pain - partial blockage to the arteries in heart  Heart Attack / chest pain - total blockage to arteries in heart  Peripheral Blood Vessel Damage - blockage to the small blood vessels in the legs and armsMaskwacis Health Diabetes Conference, 2012
  16. 16. Diabetes & Heart Attack Signs of Heart Attack •Shortness of breath •Cold sweat •Nausea •Light-headedness •Sensation of pressure, fullness, or pain. •Pain or discomfort in one or both arms, the back, neck, jaw, or stomach.Maskwacis Health Diabetes Conference, 2012
  17. 17. Diabetes and Stroke Stroke: Blocked blood flow to the brain Stroke Signs of Stroke Weakened/diseased Weakness: Sudden loss or sudden numbness blood vessels ruptured in the face, arm or leg, even temporary. Trouble speaking: Sudden difficulty speaking or understanding or sudden confusion, even temporary. Vision problems: Sudden trouble with vision, even temporary. Headache: Sudden severe and unusual headache. Blood leaks into brain Dizziness: Sudden loss of balance, especially with any of the above signs.Maskwacis Health Diabetes Conference, 2012
  18. 18. Diabetes Heart Disease and Stroke Prevention Staying Active and Eating Healthy  Balanced meals with regular exercise Blood Pressure monitoring  Below 130/80 Blood Work Cholesterol Levels  Blood fats: LDL, HDL, triglyceride & total cholesterol  LDL cholesterol can clog the artery walls but can be treated if caught early A1c:  Measures average blood sugar levels over 3 months  It should be measured 4 times a yearMaskwacis Health Diabetes Conference, 2012
  19. 19. Diabetes Heart Disease and Stroke Prevention A is for A1C! < or = 7.0% B is for blood D is for diet! pressure Balance 5% weight loss < 130/80 C is for cholesterol LDL < or = 2.0 HDL > 1.3 for women, > 1.0 for menMaskwacis Health Diabetes Conference, 2012
  20. 20. Diabetes Complications  Heart attacks and strokes, foot problems  Nerve damage, foot problems  Kidney damageMaskwacis Health Diabetes Conference, 2012
  21. 21. Diabetes and Nerve Damage Nerves transmit information to and from the brain to all parts of the body Nerves provide sensation such as pain, pressure, hot and cold. Nerves regulate our organs and sweat glands High blood sugars can damage nerves interrupting the flow of information to and from the brain Maskwacis Health Diabetes Conference, 2012
  22. 22. Diabetes and Nerve DamageNerve Damage can: Disrupt the sensation of pain and pressure causing numbness Mix up our feelings of hot/cold Affect nerves that control the heart, regulates blood pressure & controls blood sugar levels Maskwacis Health Diabetes Conference, 2012
  23. 23. Diabetes and Nerve DamageMaskwacis Health Diabetes Conference, 2012
  24. 24. Diabetes and Nerve DamageMaskwacis Health Diabetes Conference, 2012
  25. 25. Diabetes and Nerve Damage Prevention Foot Exam: •Remove your shoes & socks for a foot check at each appointment with your healthcare provider •Check your feet daily to prevent problems Monofilament: Testing for sensationMaskwacis Health Diabetes Conference, 2012
  26. 26. Diabetic Foot ExamMaskwacis Health Diabetes OverviewConference, 2012
  27. 27. Diabetes and Nerve Damage Prevention A is for A1C! < or = 7.0% B is for blood D is for diet! pressure Balance 5% weight loss < 130/80 C is for cholesterol LDL < or = 2.0 HDL > 1.3 for women, > 1.0 for menMaskwacis Health Diabetes Conference, 2012
  28. 28. Diabetes and Kidney Damage
  29. 29. Diabetes and Kidney Damage  Your kidneys are filters that clean your blood  High blood sugars can cause damage to the blood vessels that supply the kidneys  If they are damaged, waste and fluids build up in your blood instead of leaving your body  Protein can leak out into the urine  High blood pressure & smoking also contributeMaskwacis Health Diabetes Conference, 2012
  30. 30. Diabetes Kidney Disease Prevention Urine Test: Yearly Microalbumin:  Microalbumin measures small amounts of protein in the urine  If you catch the problems early, they can be treated  Goal < 2.0Maskwacis Health Diabetes Conference, 2012
  31. 31. Diabetes and Kidney Damage Treatments Treatments: Medication  Blood Pressure medications helps reduce damage to the kidneysMaskwacis Health Diabetes Conference, 2012
  32. 32. Diabetes and Kidney Disease management and treatment A is for A1C! < or = 7.0% B is for blood D is for diet! pressure Balance 5% weight loss < 130/80 C is for cholesterol LDL < or = 2.0 HDL > 1.3 for women, > 1.0 for menMaskwacis Health Diabetes Conference, 2012
  33. 33. Diabetes and Kidney Damage Treatment Treatments: Dialysis Peritoneal Dialysis HemodialysisMaskwacis Health Diabetes Conference, 2012
  34. 34. Diabetes and Kidney Damage Treatment Treatments: Transplant  The transplanted kidney takes over the work of the failed kidneys and you no longer need dialysis.  Kidneys can come from live donors (family) orMaskwacis Health Diabetes Conference, 2012
  35. 35. Management of Complications Honoring our 4 Bodies: Mind, Body, Spirit, Emotion Healthy Eating, Active Living Control blood sugar levels Control blood pressure (check BP with every visit) Weight loss Regular Dr’s visits for blood and urine tests and foot examinations Maskwacis Health Diabetes Conference, 2012
  36. 36. What is needed for health? Access to quality health care Self: genetics, health beliefs, self esteem, resources Family and friends Community leadership Social determinants of healthMaskwacis Health Diabetes Conference, 2012 Toth 2010
  37. 37. Questions?Maskwacis Health Diabetes Conference, 2012

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