2. Learning Objectives-
At the end of the session, learners will be able to-
Define the Diabetes mellitus.
Describe the types of DM
Explain the Signs & Symptoms
Enlist risk factors of DM
Describe complications of DM
Understand the diagnosis of DM & assessment of Diabetic clients at
SHC-HWC level.
Describe the role of CHO.
3.
4.
5.
6.
7.
8. 2. Type 2 DM
It is a combined insulin resistance and relative deficiency in
insulin secretion and is frequently known as.
Type II -Noninsulin Dependent DM (NIDDM)
Adult onset DM
9. 3. Gestational Diabetes Mellitus (GDM):
It occurs in about 2-10% pf all pregnancies & usually
disappears after delivery.
it is fully treatable but require careful medical supervision
throughout pregnancy.
10.
11.
12.
13.
14.
15.
16.
17.
18. Oral Anti-Diabetic agents
A. Sulfonylureas- (e.g., Glimepiride)
B. Biguanides (e.g., Metformin) is the drug of choice and
mostly treatment is started with initial dose of metformin.
20. Physical Examination
Non Pharmacological Management
Provide counselling
Refer to PHC/CHC
Facilitate Teleconsultation
Provide follow up care
21. B. PUBLIC HEALTH ROLE OF CHO
General awareness among population
Collection of population-based data
Coordinate IEC activities in SHC-HWC.
Discuss for various options, advice and encourage community
people for regular exercise and balance diet.
follow the schedule for lab tests.
22. C. MANAGERIAL ROLE OF CHO
Documentation and reporting to higher authorities/ levels.
levels.
Review the screening process in the field
Check all record and reports.
Supportive supervision.
Indent, stock and dispense the required medicines to
individual as advised by the MO.
23. SUMMARY-
Topic discussed :-
Definition of D.M.
Types of D.M.
Sign & Symptoms of DM.
Risk Factors of D.M.
Complications of D.M.
Diagnosis & Management of D.M.
Role of CHO.