Meducation Part II Diabetes.

Sanket Shah
Sanket ShahMedical Intern at BYL Nair Charitable Hospital and T.N Medical college
Diabetes Mellitus
What Is Diabetes Mellitus?
   Most of the food we eat is turned into glucose (sugar) for our bodies to
    use for energy. The pancreas, an organ near the stomach, makes a
    hormone called insulin to help glucose get into our body cells. When
    you have diabetes, your body either doesn’t make enough insulin or
    can’t use its own insulin very well. This problem causes glucose to build
    up in your blood(HYPERGLYCEMIA in medical terms).


   Diabetes means that a person’s blood sugar is too high. Your blood
    always has some sugar in it because the body needs sugar for energy
    to keep you going. But too much sugar in the blood can cause serious
    damage to the eyes, kidneys, nerves, and heart.
TYPES OF DIABETES
Broadly there are three main types of diabetes:

   Diabetes Type 1 - You produce no insulin at
    all.

   Diabetes Type 2 - You don't produce enough
    insulin, or your insulin is not working properly.

   Gestational Diabetes - You develop diabetes
    just during your pregnancy.
How do I even suspect I have it?
    You may recall having some of
    these signs before you found out
            you had diabetes:

 Being very thirsty.
 Urinating a lot—often at night.
 Having blurry vision from time to
  time.
 Feeling very tired much of the
  time.
 Losing weight without trying.
 Having very dry skin.
 Having sores that are slow to
  heal.
 Getting more infections than
  usual.
 Losing feeling or getting a
  tingling feeling in the feet.
 Vomiting.
How can I be sure ?




Urine Sugar test                      Random blood sugar test

Both these can also be done at home to monitor the patient’s progress
Its always advisable to see your doctor
             at the earliest




 Oral Glucose Tolerance   Speak to your doctor
 test                     without any hesitation
ARE YOU THE ONLY ONE
SUFFERING FROM
DIABETES????
NO !!!!!!!!! YOU HAVE THE FOLLOWING
 PRIVILEDGED COMPANY:

Elizabeth Taylor - Actress
Jim Turner - Actor
"Smokin' Joe" Frazier - Boxer
King Fahd - King of Saudi Arabia
Crap! The doc told me I have
      Diabetes..my life is finished!
 The story is far from
  over my friend
 Millions of diabetics
  are well controlled with
  drugs,insulin,exercise,
  Yoga and lead a
  healthy joyful life
 They go to work,see
  their kids grow up and
  do what everybody
  else does normally!
Meducation Part II Diabetes.
Alright it’s all good! So how do I
           manage my life now?
First and foremost, you must take responsibility
for your own day-to-day care and not anyone else.

                         How??!
   Healthy eating
   Physical activity / exercise / Yoga / Aerobics
   Regular blood glucose testing and maintaining a diary
   Take your pills as prescribed
   Follow your diet religiously
   Follow up with your doctor as instructed on a regular
    basis
Home based care
   Monitoring your own
    glucose is done with a
    Glucose Meter. Self-
    monitoring is often called
    SMBG (self-monitoring of
    blood glucose). Glucose
    meters today are small,
    battery-operated devices.
USING A GLUCOMETER
   When you want to test for
    glucose with a glucose meter you
    need to place a small sample of
    your blood on a test strip. Your
    skin is pricked with a lancet - like
    a very fast pin-prick.

   These test strips are disposable.
    You then place the strip in the
    monitor. The strips are coated
    with enzymes that combine with
    glucose in blood.

   Based on the glucose level in
    blood,they flash the appropriate
    values on the screen.
Prevention is better than cure…if it
can’t be prevented,it can surely be
            controlled.
Be more physically active !!
 Go for a walk with a friend,
  a neighbour, your family
 Don’t take the elevator..
  Use the stairs
 Park further away, walk a
  few more steps
 Play with your children,
  grandchildren or friends
 Clean around the house
 Run errands
 Join an Aerobics or Tai-Chi
  class
 Go for weekend Yoga
  lessons
Eat
healthy
   !!
Who gives a damn! I think the doctor is just
 scaring me unecessarily.. I’m just fine!!
   If your Diabetes is
    undiagnosed,you are
    just unlucky
   If you have been
    informed about your
    ailment and yet
    choose not to do
    anything,YOU ARE A
    FOOL and are
    gambling with your
    life!
   Why should you
    control it 
REMEMBER!!
Diabetes is serious yet controllable!
   1.   Learn about diabetes - what you can do to control your
    diabetes
   2 . Be physically active every day– dance or walk !
   3 . Learn what you should eat. A registered
dietician can help you plan your meals
   4 . Make wise food choices – less fat, low salt.
More fiber (fruits and vegetables)
   5 . Visit your doctor or health care provider
 Spread   the word
  !!
 Educate your
  friends, family
  and loved ones
 Care for those
  who need it the
  most
 Be responsible..
  Health is a gift !!
Meducation Part II Diabetes.
1 of 19

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Meducation Part II Diabetes.

  • 2. What Is Diabetes Mellitus?  Most of the food we eat is turned into glucose (sugar) for our bodies to use for energy. The pancreas, an organ near the stomach, makes a hormone called insulin to help glucose get into our body cells. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin very well. This problem causes glucose to build up in your blood(HYPERGLYCEMIA in medical terms).  Diabetes means that a person’s blood sugar is too high. Your blood always has some sugar in it because the body needs sugar for energy to keep you going. But too much sugar in the blood can cause serious damage to the eyes, kidneys, nerves, and heart.
  • 3. TYPES OF DIABETES Broadly there are three main types of diabetes:  Diabetes Type 1 - You produce no insulin at all.  Diabetes Type 2 - You don't produce enough insulin, or your insulin is not working properly.  Gestational Diabetes - You develop diabetes just during your pregnancy.
  • 4. How do I even suspect I have it? You may recall having some of these signs before you found out you had diabetes:  Being very thirsty.  Urinating a lot—often at night.  Having blurry vision from time to time.  Feeling very tired much of the time.  Losing weight without trying.  Having very dry skin.  Having sores that are slow to heal.  Getting more infections than usual.  Losing feeling or getting a tingling feeling in the feet.  Vomiting.
  • 5. How can I be sure ? Urine Sugar test Random blood sugar test Both these can also be done at home to monitor the patient’s progress
  • 6. Its always advisable to see your doctor at the earliest Oral Glucose Tolerance Speak to your doctor test without any hesitation
  • 7. ARE YOU THE ONLY ONE SUFFERING FROM DIABETES???? NO !!!!!!!!! YOU HAVE THE FOLLOWING PRIVILEDGED COMPANY: Elizabeth Taylor - Actress Jim Turner - Actor "Smokin' Joe" Frazier - Boxer King Fahd - King of Saudi Arabia
  • 8. Crap! The doc told me I have Diabetes..my life is finished!  The story is far from over my friend  Millions of diabetics are well controlled with drugs,insulin,exercise, Yoga and lead a healthy joyful life  They go to work,see their kids grow up and do what everybody else does normally!
  • 10. Alright it’s all good! So how do I manage my life now? First and foremost, you must take responsibility for your own day-to-day care and not anyone else. How??!  Healthy eating  Physical activity / exercise / Yoga / Aerobics  Regular blood glucose testing and maintaining a diary  Take your pills as prescribed  Follow your diet religiously  Follow up with your doctor as instructed on a regular basis
  • 11. Home based care  Monitoring your own glucose is done with a Glucose Meter. Self- monitoring is often called SMBG (self-monitoring of blood glucose). Glucose meters today are small, battery-operated devices.
  • 12. USING A GLUCOMETER  When you want to test for glucose with a glucose meter you need to place a small sample of your blood on a test strip. Your skin is pricked with a lancet - like a very fast pin-prick.  These test strips are disposable. You then place the strip in the monitor. The strips are coated with enzymes that combine with glucose in blood.  Based on the glucose level in blood,they flash the appropriate values on the screen.
  • 13. Prevention is better than cure…if it can’t be prevented,it can surely be controlled.
  • 14. Be more physically active !!  Go for a walk with a friend, a neighbour, your family  Don’t take the elevator.. Use the stairs  Park further away, walk a few more steps  Play with your children, grandchildren or friends  Clean around the house  Run errands  Join an Aerobics or Tai-Chi class  Go for weekend Yoga lessons
  • 16. Who gives a damn! I think the doctor is just scaring me unecessarily.. I’m just fine!!  If your Diabetes is undiagnosed,you are just unlucky  If you have been informed about your ailment and yet choose not to do anything,YOU ARE A FOOL and are gambling with your life!  Why should you control it 
  • 17. REMEMBER!! Diabetes is serious yet controllable!  1. Learn about diabetes - what you can do to control your diabetes  2 . Be physically active every day– dance or walk !  3 . Learn what you should eat. A registered dietician can help you plan your meals  4 . Make wise food choices – less fat, low salt. More fiber (fruits and vegetables)  5 . Visit your doctor or health care provider
  • 18.  Spread the word !!  Educate your friends, family and loved ones  Care for those who need it the most  Be responsible.. Health is a gift !!