Real-Time Continuous Glucose Monitoring (rtCGM) provides numerous advantages over traditional Self-Monitoring of Blood Glucose (SMBG) such as frequent glucose readings without pain, accurate trends over time, and alerts for low and high glucose values. While rtCGM has improved glycemic control and reduced hypoglycemia, limitations include sensor inaccuracy particularly during times of rapid glucose change and sensor interference from certain substances. Newer rtCGM systems have increased accuracy and usability with features like longer wear time and lack of calibration, but individual devices differ in approved age range and indications. RtCGM is especially beneficial for patients with hypoglycemia unawareness or frequent hypoglycemic episodes and can help
This document discusses the management of diabetes in patients with concomitant liver disease. It notes that about half of patients with cirrhosis have diabetes due to insulin resistance caused by the liver disease. Lifestyle changes and metformin are recommended initially if liver disease is mild. Insulin, sulfonylureas, meglitinides, alpha-glucosidase inhibitors, and thiazolidinediones may be used, with monitoring needed due to potential side effects or altered drug metabolism in liver disease. Insulin requirements can vary depending on the stage of liver disease.
Diabetes is fast gaining the status of a potential epidemic in India with more than 65 million diabetic individuals currently diagnosed with the disease. Ranked second in the world, the burden of the disease is expected to compound in the years to come. Worryingly, diabetes is now being shown to be associated with a spectrum of complications and to be occurring at a relatively younger age within the country.
It is a known fact that most of the diabetes cases in our country is managed by primary care Physicians(PCP) who have a pivotal role to play in ensuring that diabetes patients receive effective care by practicing evidence based management. This said, the sad fact is that health care providers-primary care and specialists alike are not managing our patients with diabetes as well as we should be.
The complexities of the disease and its association with lot of other medical conditions make the management of diabetes more challenging to the PCPs. Patients feeling of frustration and denial about having the chronic condition often are a challenge to the practitioners in convincing the patients for initiation of treatment. With no clear cut national policy guidelines for management of diabetes, we rely on western guidelines which have certain pitfalls and fallacies in our setting.
Real-Time Continuous Glucose Monitoring (rtCGM) provides numerous advantages over traditional Self-Monitoring of Blood Glucose (SMBG) such as frequent glucose readings without pain, accurate trends over time, and alerts for low and high glucose values. While rtCGM has improved glycemic control and reduced hypoglycemia, limitations include sensor inaccuracy particularly during times of rapid glucose change and sensor interference from certain substances. Newer rtCGM systems have increased accuracy and usability with features like longer wear time and lack of calibration, but individual devices differ in approved age range and indications. RtCGM is especially beneficial for patients with hypoglycemia unawareness or frequent hypoglycemic episodes and can help
This document discusses the management of diabetes in patients with concomitant liver disease. It notes that about half of patients with cirrhosis have diabetes due to insulin resistance caused by the liver disease. Lifestyle changes and metformin are recommended initially if liver disease is mild. Insulin, sulfonylureas, meglitinides, alpha-glucosidase inhibitors, and thiazolidinediones may be used, with monitoring needed due to potential side effects or altered drug metabolism in liver disease. Insulin requirements can vary depending on the stage of liver disease.
Diabetes is fast gaining the status of a potential epidemic in India with more than 65 million diabetic individuals currently diagnosed with the disease. Ranked second in the world, the burden of the disease is expected to compound in the years to come. Worryingly, diabetes is now being shown to be associated with a spectrum of complications and to be occurring at a relatively younger age within the country.
It is a known fact that most of the diabetes cases in our country is managed by primary care Physicians(PCP) who have a pivotal role to play in ensuring that diabetes patients receive effective care by practicing evidence based management. This said, the sad fact is that health care providers-primary care and specialists alike are not managing our patients with diabetes as well as we should be.
The complexities of the disease and its association with lot of other medical conditions make the management of diabetes more challenging to the PCPs. Patients feeling of frustration and denial about having the chronic condition often are a challenge to the practitioners in convincing the patients for initiation of treatment. With no clear cut national policy guidelines for management of diabetes, we rely on western guidelines which have certain pitfalls and fallacies in our setting.
A 42-year-old male presented with excessive urination and fatigue over the past 8 months. Laboratory tests showed elevated fasting blood glucose, post-prandial blood glucose, HbA1c, and ketones in the urine. Further testing found low C-peptide levels and positive GAD antibodies, confirming a diagnosis of latent autoimmune diabetes in adults (LADA), a type of diabetes that shares characteristics of both type 1 and type 2 diabetes. LADA is characterized by autoimmune destruction of the pancreatic beta cells and low insulin production in adults, treated primarily with insulin therapy.
فى اليوم العالمى للصحة والذى يتم تنظيمه بواسطة منظمة اصحة العالمية - وفى المملكة العربية السعودية
هذا تقديم للتوعية بمرض السكر - أسبابه وأنواعه وكيفية التحكم فى المضاعفات
Discussion will be on the demographics, risk factors, signs and symptoms and basic treatment plans of diabetes with emphasis on lifestyle modifications regarding diet and exercise for famlies of troops.
Themes of previous World Diabetes Day campaigns have focused on different factors that influence the risk of diabetes and its complications. The theme for 2021–2023 is Access to Diabetes Care. Taking charge of your diabetic care with knowledge of informed decisions.
Kate, a 21-year old beauty queen, was recently diagnosed with type 1 diabetes mellitus. She had been doing well managing her condition for the first year, but began neglecting her self-care routines when socializing with friends. Her endocrinologist is concerned about her elevated blood glucose levels and other health issues. The educator administered the Patient Activation Measure and determined Kate is at level 3 activation, meaning she is ready to take action. The educator will work with Kate to develop a self-management tool including an action plan, goals, and resources to help Kate improve her diabetes control.
Diabetes and chronic liver disease (CLD) commonly coexist and interact with each other. CLD can cause abnormalities in glucose metabolism, while diabetes accelerates progression of CLD. For compensated CLD, anti-diabetic treatment is similar to those without liver disease. In decompensated CLD, tight glycemic control is not the goal and insulin therapy requires careful monitoring to avoid hypoglycemia due to altered liver function and insulin metabolism.
Dr. Shahjada Selim discusses the importance and implementation of self monitoring of blood glucose (SMBG) for diabetes patients. The document presents three case studies of patients - Mr. Quamrujjaman, Raihan, and Hosne Ara - and their average blood glucose levels, instances of hypoglycemia and hyperglycemia, and necessary therapeutic options. Dr. Selim expresses thanks at the conclusion.
هذه هى سلسلة من المحاضرات للتوعية الصحية لأجل العناية بأفضل مما يمكن لإنسان أن يحصل عليه - الصحة الجيدة - وأرجو منكم أن ننشر الخير سويا عبر الاصدقاء والعائلات والجيران وحتى الاطفال - فهذا واجب لمجتمعاتنا العربية فى زمن نحتاج فيه للوحدة والتكاتف والاعتدال والايجابية
Avian influenza, or bird flu, is caused by influenza A viruses that infect birds. The H5N1 subtype has infected humans in rare cases. Symptoms in birds include coughing, sneezing, and diarrhea, while humans experience fever, fatigue, and pneumonia. The virus can survive outside hosts for long periods and spreads through contact with infected bird droppings. Prevention focuses on limiting contact between domestic and wild birds. There is no vaccine for birds, but the antiviral drug Tamiflu may help treat humans. Your odds of catching bird flu are estimated at 1 in 100 million.
Diabetic drugs is a very important topic for pg entrance.....so all about it has been discussed in detail as required for pg entrance....do make use of it...
Many have troubles choosing the proper insulin type and dosing for their patients.. Here is a quick presentation that introduce you to different studies in that matter.
This presentation is intended for healthcare prfessionals
Lec 2 estimated energy requirement among diabetic patientsSiham Gritly
The document discusses dietary recommendations for diabetics, including calorie requirements based on weight and age. It outlines that carbohydrates should provide 50-60% of calories from mostly complex sources, protein 12-20% of calories, and total fat 20-30% of calories. The glycemic index and glycemic load of foods are explained as ways to measure the impact of carbohydrates on blood glucose levels. Hormones like insulin, glucagon, growth hormone, adrenaline, and cortisol help regulate blood glucose levels in response to hypothalamic signals.
Antidiabetic drugs are used to treat type 2 diabetes when lifestyle changes are not enough to control blood sugar levels. They are classified based on their mechanism of action and include biguanides, sulfonylureas, meglitinides, DPP-4 inhibitors, SGLT-2 inhibitors, GLP-1 agonists, and alpha-glucosidase inhibitors. The document outlines the mechanism of action and side effects of different drug classes like metformin, glitazones, glipizide, repaglinide, linagliptin, dapagliflozin, exenatide, and acarbose.
Diabetes is a chronic metabolic disorder characterized by high blood glucose due to defective insulin production or action. There are two main types - type 1 involves little insulin production requiring injections, while type 2 involves ineffective insulin typically affecting overweight adults. Diabetes prevalence is increasing worldwide including 9.3% of Americans and 7.1% of Indians, with complications including damage to eyes, kidneys, nerves, heart, and blood vessels if not controlled. Diagnosis involves tests of blood glucose levels after fasting and meals.
A 42-year-old male presented with excessive urination and fatigue over the past 8 months. Laboratory tests showed elevated fasting blood glucose, post-prandial blood glucose, HbA1c, and ketones in the urine. Further testing found low C-peptide levels and positive GAD antibodies, confirming a diagnosis of latent autoimmune diabetes in adults (LADA), a type of diabetes that shares characteristics of both type 1 and type 2 diabetes. LADA is characterized by autoimmune destruction of the pancreatic beta cells and low insulin production in adults, treated primarily with insulin therapy.
فى اليوم العالمى للصحة والذى يتم تنظيمه بواسطة منظمة اصحة العالمية - وفى المملكة العربية السعودية
هذا تقديم للتوعية بمرض السكر - أسبابه وأنواعه وكيفية التحكم فى المضاعفات
Discussion will be on the demographics, risk factors, signs and symptoms and basic treatment plans of diabetes with emphasis on lifestyle modifications regarding diet and exercise for famlies of troops.
Themes of previous World Diabetes Day campaigns have focused on different factors that influence the risk of diabetes and its complications. The theme for 2021–2023 is Access to Diabetes Care. Taking charge of your diabetic care with knowledge of informed decisions.
Kate, a 21-year old beauty queen, was recently diagnosed with type 1 diabetes mellitus. She had been doing well managing her condition for the first year, but began neglecting her self-care routines when socializing with friends. Her endocrinologist is concerned about her elevated blood glucose levels and other health issues. The educator administered the Patient Activation Measure and determined Kate is at level 3 activation, meaning she is ready to take action. The educator will work with Kate to develop a self-management tool including an action plan, goals, and resources to help Kate improve her diabetes control.
Diabetes and chronic liver disease (CLD) commonly coexist and interact with each other. CLD can cause abnormalities in glucose metabolism, while diabetes accelerates progression of CLD. For compensated CLD, anti-diabetic treatment is similar to those without liver disease. In decompensated CLD, tight glycemic control is not the goal and insulin therapy requires careful monitoring to avoid hypoglycemia due to altered liver function and insulin metabolism.
Dr. Shahjada Selim discusses the importance and implementation of self monitoring of blood glucose (SMBG) for diabetes patients. The document presents three case studies of patients - Mr. Quamrujjaman, Raihan, and Hosne Ara - and their average blood glucose levels, instances of hypoglycemia and hyperglycemia, and necessary therapeutic options. Dr. Selim expresses thanks at the conclusion.
هذه هى سلسلة من المحاضرات للتوعية الصحية لأجل العناية بأفضل مما يمكن لإنسان أن يحصل عليه - الصحة الجيدة - وأرجو منكم أن ننشر الخير سويا عبر الاصدقاء والعائلات والجيران وحتى الاطفال - فهذا واجب لمجتمعاتنا العربية فى زمن نحتاج فيه للوحدة والتكاتف والاعتدال والايجابية
Avian influenza, or bird flu, is caused by influenza A viruses that infect birds. The H5N1 subtype has infected humans in rare cases. Symptoms in birds include coughing, sneezing, and diarrhea, while humans experience fever, fatigue, and pneumonia. The virus can survive outside hosts for long periods and spreads through contact with infected bird droppings. Prevention focuses on limiting contact between domestic and wild birds. There is no vaccine for birds, but the antiviral drug Tamiflu may help treat humans. Your odds of catching bird flu are estimated at 1 in 100 million.
Diabetic drugs is a very important topic for pg entrance.....so all about it has been discussed in detail as required for pg entrance....do make use of it...
Many have troubles choosing the proper insulin type and dosing for their patients.. Here is a quick presentation that introduce you to different studies in that matter.
This presentation is intended for healthcare prfessionals
Lec 2 estimated energy requirement among diabetic patientsSiham Gritly
The document discusses dietary recommendations for diabetics, including calorie requirements based on weight and age. It outlines that carbohydrates should provide 50-60% of calories from mostly complex sources, protein 12-20% of calories, and total fat 20-30% of calories. The glycemic index and glycemic load of foods are explained as ways to measure the impact of carbohydrates on blood glucose levels. Hormones like insulin, glucagon, growth hormone, adrenaline, and cortisol help regulate blood glucose levels in response to hypothalamic signals.
Antidiabetic drugs are used to treat type 2 diabetes when lifestyle changes are not enough to control blood sugar levels. They are classified based on their mechanism of action and include biguanides, sulfonylureas, meglitinides, DPP-4 inhibitors, SGLT-2 inhibitors, GLP-1 agonists, and alpha-glucosidase inhibitors. The document outlines the mechanism of action and side effects of different drug classes like metformin, glitazones, glipizide, repaglinide, linagliptin, dapagliflozin, exenatide, and acarbose.
Diabetes is a chronic metabolic disorder characterized by high blood glucose due to defective insulin production or action. There are two main types - type 1 involves little insulin production requiring injections, while type 2 involves ineffective insulin typically affecting overweight adults. Diabetes prevalence is increasing worldwide including 9.3% of Americans and 7.1% of Indians, with complications including damage to eyes, kidneys, nerves, heart, and blood vessels if not controlled. Diagnosis involves tests of blood glucose levels after fasting and meals.
This document provides links to two websites - one called "Mao's Library for Arabs" with a URL and the other called "The Communist Voice" with its URL and email contact. Both websites seem to be related to sharing communist or Maoist ideas and materials with an Arabic-speaking audience. That is the essential information provided in this short document.