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Diabetes 
The blue circle is the global symbol for diabetes, introduced by the International 
Diabetes Federation
Diabetes mellitus is a 
disease in which the body 
doesn’t produce insulin or 
properly use insulin, leading 
to hyperglycemia. 
Lets understand how it can happen
Body Cell:- needs glucose to 
produce Energy and glucose enter 
inside the cell by the help of INSULIN 
(key of your locked room)
CAR: Same as your car needs 
fuel to run and petrol pump boy 
switch the button and fuel enter 
inside the car tank & ready for 
producing ENERGY
How Food Becomes Glucose
How Glucose Becomes Energy 
Pancreas 
During digestion, food is broken 
down to sugar (glucose) 
Insulin, a hormone made by the pancreas, lowers 
blood sugar by helping sugar move from blood into 
cells 
The body’s cells use sugar for energy
GLUCOSE 
All carbohydrate in food that we eat (such as fruit, 
burgers, fish, rice etc.) will be broken down into sugar 
by our digestive system. 
The body then breaks down all of the sugars and 
starches (carbohydrates) into glucose, which is the 
basic energy fuel for all cells in the body. 
Glucose is a very simple sugar. It is transported to 
each cell in the whole body via the bloodstream.
Carbohydrate Metabolism 
Glycolysis - is the metabolic pathway that 
converts glucose, into pyruvate . 
The free energy released in this process is used to 
form the high-energy compounds ATP (adenosine 
triphosphate)
Glycogenesis is the process of 
glycogen synthesis, in which glucose 
molecules are added to chains of 
glycogen for storage. 
Glycogenolysis is the break down of 
glycogen to glucose-1-phosphate 
and glucose.
Gluconeogenesis is a metabolic pathway that 
results in the generation of glucose from non-carbohydrate 
carbon substrates such as 
lactate, glycerol, and glucogenic amino acids.
INSULIN 
Insulin is a hormone. 
Insulin is secreted by 
groups of cells within the 
pancreas called islet cells. 
The pancreas is an 
organ that sits behind the 
stomach
Pancreas
INSULIN
Not Producing 
INSULIN 
Producing 
INSULIN 
Pancreas 
INSULIN Receptor not Responding
Not Producing 
INSULIN 
Producing 
INSULIN 
Pancreas 
INSULIN Receptor 
not Responding 
CELL unable to utilize 
GLUCOSE 
Glucose level increases in blood (Hyperglycemia)
GLUCOSE IMBALANCE 
Hyperglycemia 
Hypoglycemia 
Glucose level 
increases in blood 
Glucose level 
decreases in blood
Diabetes 
Diabetes mellitus is a disease in which the body 
doesn’t produce insulin or properly use insulin, 
leading to hyperglycemia 
Hyperglycemia 
Glucose level increases 
in blood
Glucose level 
increases in blood
Diabetes 
Diabetes arises when the beta cells in the pancreas fail to produce 
enough of the hormone insulin - Type 1 diabetes 
Or 
When the body cannot effectively use the insulin produced - Type 2 
diabetes.. 
90% of people with diabetes have type 2 diabetes.
Type 1 diabetes 
In type 1 diabetes, the beta cells in the pancreas are 
destroyed or suppressed. 
It looks like my 
days of producing 
insulin are over!
Type 2 diabetes may be caused by: 
• Resistance to insulin action in target tissues 
• Abnormal insulin secretion 
• Inappropriate hepatic gluconeogenesis (overproduction 
of glucose).
Type 2 diabetes is also strongly linked with high 
blood pressure, high cholesterol and an 
“apple” body shape (where excess weight is 
carried around waist).
Open 
glucose 
portal 
Glucose 
converted 
to energy 
Closed 
glucose 
portal 
Diabetic body cell 
Diabetic body cell 
In type 2 diabetes, the body’s 
cells develop a resistance to 
insulin, making it more difficult 
for glucose to enter the cell. 
Normal body cell
As a result, cells don’t get enough Energy. This 
lack of Energy causes glucose to build up in the 
blood vessels,resulting in damage to all body 
organs.
Patients with type 1 or type 2 diabetes may report 
symptoms related to hyperglycemia, such as: 
Excessive urination (polyuria) 
Excessive thirst (polydipsia) 
Excessive eating (polyphagia) 
Weight loss 
Fatigue 
Weakness 
Vision changes 
Frequent skin infections 
Dry, itchy skin 
Vaginal discomfort.
Normal Blood GLUCOSE level 
80 -120 mg/dL
What tests tell us 
A diagnosis of diabetes mellitus may be 
confirmed by: 
•Symptoms of diabetes and a random blood 
glucose level equal to or above 200 mg/dl 
• A fasting plasma glucose level equal to or 
greater than 126 mg/dl on at least two 
occasions 
•A blood glucose level above 200 mg/dl on 
the second hour of the glucose tolerance test 
and on at least one other occasion during a 
glucose tolerance test.
Diabetes Can Cause Problems in Many Parts of the 
Eyes 
Body 
Blood Vessels: Heart 
Kidneys: Nerves:
Diabetes Can Cause Problems in Many 
Parts of the Body: What Problems Can 
You Look For? 
Eyes: 
•Blurred vision/ 
vision loss 
Nerves: 
•Unusual sensations: 
tingling, burning, 
numbness, 
or shooting pain 
•Problems with digestion 
•Sexual dysfunction 
Heart: 
•Chest pain 
•Shortness of breath 
• Fast heart beat 
•May not have any symptoms 
Kidneys: 
•Swelling in feet and legs 
• Increase in blood 
pressure 
Blood Vessels: 
• Slow healing of wounds
Diabetes, mainly type 2 diabetes is very 
common in India. By 2025, India is 
predicted to have the most number of 
diabetics in the world. Women are as 
equally affected by diabetes as men.
Daily exercising-to-control-diabetes
Plan your meal to control risk of Diabetes
Thanks to advances in medicine, 
diabetes can be successfully 
controlled. Our role is essential to 
making a diabetes management 
plan succeed.
Now I Know That 
Diabetes mellitus 
How Food Becomes Glucose 
How Glucose Becomes Energy 
Carbohydrate Metabolism
Now I Know That 
INSULIN & Pancreas 
GLUCOSE IMBALANCE
THANK 
YOU 
kammph@gmail.com

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DIABETES

  • 1. Diabetes The blue circle is the global symbol for diabetes, introduced by the International Diabetes Federation
  • 2. Diabetes mellitus is a disease in which the body doesn’t produce insulin or properly use insulin, leading to hyperglycemia. Lets understand how it can happen
  • 3. Body Cell:- needs glucose to produce Energy and glucose enter inside the cell by the help of INSULIN (key of your locked room)
  • 4. CAR: Same as your car needs fuel to run and petrol pump boy switch the button and fuel enter inside the car tank & ready for producing ENERGY
  • 6. How Glucose Becomes Energy Pancreas During digestion, food is broken down to sugar (glucose) Insulin, a hormone made by the pancreas, lowers blood sugar by helping sugar move from blood into cells The body’s cells use sugar for energy
  • 7.
  • 8. GLUCOSE All carbohydrate in food that we eat (such as fruit, burgers, fish, rice etc.) will be broken down into sugar by our digestive system. The body then breaks down all of the sugars and starches (carbohydrates) into glucose, which is the basic energy fuel for all cells in the body. Glucose is a very simple sugar. It is transported to each cell in the whole body via the bloodstream.
  • 9. Carbohydrate Metabolism Glycolysis - is the metabolic pathway that converts glucose, into pyruvate . The free energy released in this process is used to form the high-energy compounds ATP (adenosine triphosphate)
  • 10. Glycogenesis is the process of glycogen synthesis, in which glucose molecules are added to chains of glycogen for storage. Glycogenolysis is the break down of glycogen to glucose-1-phosphate and glucose.
  • 11. Gluconeogenesis is a metabolic pathway that results in the generation of glucose from non-carbohydrate carbon substrates such as lactate, glycerol, and glucogenic amino acids.
  • 12.
  • 13. INSULIN Insulin is a hormone. Insulin is secreted by groups of cells within the pancreas called islet cells. The pancreas is an organ that sits behind the stomach
  • 15.
  • 17. Not Producing INSULIN Producing INSULIN Pancreas INSULIN Receptor not Responding
  • 18. Not Producing INSULIN Producing INSULIN Pancreas INSULIN Receptor not Responding CELL unable to utilize GLUCOSE Glucose level increases in blood (Hyperglycemia)
  • 19. GLUCOSE IMBALANCE Hyperglycemia Hypoglycemia Glucose level increases in blood Glucose level decreases in blood
  • 20. Diabetes Diabetes mellitus is a disease in which the body doesn’t produce insulin or properly use insulin, leading to hyperglycemia Hyperglycemia Glucose level increases in blood
  • 22. Diabetes Diabetes arises when the beta cells in the pancreas fail to produce enough of the hormone insulin - Type 1 diabetes Or When the body cannot effectively use the insulin produced - Type 2 diabetes.. 90% of people with diabetes have type 2 diabetes.
  • 23. Type 1 diabetes In type 1 diabetes, the beta cells in the pancreas are destroyed or suppressed. It looks like my days of producing insulin are over!
  • 24. Type 2 diabetes may be caused by: • Resistance to insulin action in target tissues • Abnormal insulin secretion • Inappropriate hepatic gluconeogenesis (overproduction of glucose).
  • 25. Type 2 diabetes is also strongly linked with high blood pressure, high cholesterol and an “apple” body shape (where excess weight is carried around waist).
  • 26. Open glucose portal Glucose converted to energy Closed glucose portal Diabetic body cell Diabetic body cell In type 2 diabetes, the body’s cells develop a resistance to insulin, making it more difficult for glucose to enter the cell. Normal body cell
  • 27. As a result, cells don’t get enough Energy. This lack of Energy causes glucose to build up in the blood vessels,resulting in damage to all body organs.
  • 28.
  • 29. Patients with type 1 or type 2 diabetes may report symptoms related to hyperglycemia, such as: Excessive urination (polyuria) Excessive thirst (polydipsia) Excessive eating (polyphagia) Weight loss Fatigue Weakness Vision changes Frequent skin infections Dry, itchy skin Vaginal discomfort.
  • 30. Normal Blood GLUCOSE level 80 -120 mg/dL
  • 31.
  • 32. What tests tell us A diagnosis of diabetes mellitus may be confirmed by: •Symptoms of diabetes and a random blood glucose level equal to or above 200 mg/dl • A fasting plasma glucose level equal to or greater than 126 mg/dl on at least two occasions •A blood glucose level above 200 mg/dl on the second hour of the glucose tolerance test and on at least one other occasion during a glucose tolerance test.
  • 33. Diabetes Can Cause Problems in Many Parts of the Eyes Body Blood Vessels: Heart Kidneys: Nerves:
  • 34. Diabetes Can Cause Problems in Many Parts of the Body: What Problems Can You Look For? Eyes: •Blurred vision/ vision loss Nerves: •Unusual sensations: tingling, burning, numbness, or shooting pain •Problems with digestion •Sexual dysfunction Heart: •Chest pain •Shortness of breath • Fast heart beat •May not have any symptoms Kidneys: •Swelling in feet and legs • Increase in blood pressure Blood Vessels: • Slow healing of wounds
  • 35. Diabetes, mainly type 2 diabetes is very common in India. By 2025, India is predicted to have the most number of diabetics in the world. Women are as equally affected by diabetes as men.
  • 37. Plan your meal to control risk of Diabetes
  • 38. Thanks to advances in medicine, diabetes can be successfully controlled. Our role is essential to making a diabetes management plan succeed.
  • 39. Now I Know That Diabetes mellitus How Food Becomes Glucose How Glucose Becomes Energy Carbohydrate Metabolism
  • 40. Now I Know That INSULIN & Pancreas GLUCOSE IMBALANCE
  • 41.