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دكتور  /  موسى العنزي ,[object Object]
Definition, Classification and Diagnosis of Diabetes
[object Object],[object Object],Definition
Classification of diabetes Type 1 diabetes*  is diabetes that is primarily a result of pancreatic beta cell destruction and is prone  to ketoacidosis. This form includes cases due to an auto- immune process and those for which the etiology of beta cell destruction is unknown. Type 2 diabetes  may range from predominant insulin resistance with relative insulin deficiency to a predominant secretory defect with insulin resistance. Gestational diabetes mellitus  refers to glucose intolerance with onset or first recognition during pregnancy. Other specific types  include a wide variety of relatively uncommon conditions, primarily specific genetically defined forms of diabetes or diabetes associated with other diseases or drug use. * Includes latent autoimmune diabetes in adults (LADA), and includes the  small number of people with apparent type 2 diabetes who appear to have immune-mediated loss of pancreatic beta cells
[object Object],[object Object],[object Object]
The typical patient with  type 1 diabetes ,[object Object],[object Object],[object Object]
Type 2 diabetes ,[object Object],[object Object]
The typical patient with  type 2 diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Criteria for the diagnosis of  diabetes ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],ADA 2010
Criteria for testing for pre-diabetes and diabetes in asymptomatic adult ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Glycemic Control ,[object Object]
[object Object]
SELF-MONITORING OF BLOOD GLUCOSE ,[object Object]
[object Object]
Self-management education   ,[object Object]
[object Object],[object Object],ADA 2010
[object Object]
ELEMENTS OF SME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Involvement of medical providers in providing the intervention . ,[object Object],[object Object],[object Object]
RECOMMENDATIONS   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Self –management education Incorporate cognitive, behavioral and social interventions that include  Goal – setting Problem solving Other motivational strategies Psychological mediators Motivation (beliefs, attitudes) Coping skills Knowledge Psychomotor skills Healthy self –management behaviors Diet SMBG Medications Physical activity Smoking cessation. Long term outcomes Morbidity Mortality Quality of life. Short –term outcomes Glycemic , BP and lipid control Weight Quality of life Attendance at health care process of self management education for people with diabetes
15/06/10 Riyadh PHC / HPTD

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Classification & Diagnosis Of Diabetes

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  • 2. Definition, Classification and Diagnosis of Diabetes
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  • 4. Classification of diabetes Type 1 diabetes* is diabetes that is primarily a result of pancreatic beta cell destruction and is prone to ketoacidosis. This form includes cases due to an auto- immune process and those for which the etiology of beta cell destruction is unknown. Type 2 diabetes may range from predominant insulin resistance with relative insulin deficiency to a predominant secretory defect with insulin resistance. Gestational diabetes mellitus refers to glucose intolerance with onset or first recognition during pregnancy. Other specific types include a wide variety of relatively uncommon conditions, primarily specific genetically defined forms of diabetes or diabetes associated with other diseases or drug use. * Includes latent autoimmune diabetes in adults (LADA), and includes the small number of people with apparent type 2 diabetes who appear to have immune-mediated loss of pancreatic beta cells
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  • 24. Self –management education Incorporate cognitive, behavioral and social interventions that include Goal – setting Problem solving Other motivational strategies Psychological mediators Motivation (beliefs, attitudes) Coping skills Knowledge Psychomotor skills Healthy self –management behaviors Diet SMBG Medications Physical activity Smoking cessation. Long term outcomes Morbidity Mortality Quality of life. Short –term outcomes Glycemic , BP and lipid control Weight Quality of life Attendance at health care process of self management education for people with diabetes