Diabetes
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Diabetes. Are you at risk?. What is diabetes?. Insulin is a chemical, naturally produced in the pancreas, that helps the body process and use sugar for energy Energy to sustain normal body processes – breathing, blood circulation, digestion

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Diabetes

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Diabetes

Diabetes

Are you at risk?


What is diabetes

What is diabetes?

  • Insulin is a chemical, naturally produced in the pancreas, that helps the body process and use sugar for energy

    • Energy to sustain normal body processes – breathing, blood circulation, digestion

    • Energy for us to move, exercise and otherwise function through the day


What is diabetes1

What is diabetes?

  • Diabetes means that the pancreas doesn’t…

    • …produce any insulin (Type I Diabetes )

    • …produce enough insulin (Type II Diabetes)

    • There are other types of diabetes that we diagnose and treat, but the most common are Type I and II.


Type i diabetes

Type I Diabetes

  • Usually starts before age 40

  • Usually very abrupt onset of disease

  • Because the pancreas produces virtually no insulin, the only treatment is insulin replacement

  • Much less common that Type II


Type ii diabetes

Type II Diabetes

  • Usually starts when people are older

    • Although the average age of onset is getting younger

  • Does not usually start abruptly – this develops over years

  • Many therapies to treat

    • Diet and exercise

    • Medications (oral)

    • Medications (injectable), including insulin replacement

    • New research – cell transplants, “the artificial pancreas,” new medications, etc.


Quick stats from the american diabetes association

Quick Statsfrom the American Diabetes Association

  • In 2012, 29.1 million Americans with Diabetes (9.3%)

  • 8.1 million of those are NOT diagnosed yet

  • Approximately 25% of people over 65 have diabetes

  • 86 million (age 20+) have pre-diabetes

  • 7th leading cause of death in the United States


Quick stats from the american diabetes association1

Quick Statsfrom the American Diabetes Association

  • Diabetes causes many other problems in adulthood

    • About 70% of diabetics have problems with blood pressure and cholesterol

    • About 29% of diabetics (age 40+) have diabetic retinopathy (can lead to blindness)

    • 1.8 times more likely to be hospitalized due to a heart attack

    • 1.5 times more likely to be hospitalized due to a stroke

    • 44% of new kidney failure cases are due to diabetes

    • 60% of limb amputations (non-trauma) occur in diabetics


Quick stats from the american diabetes association2

Quick Statsfrom the American Diabetes Association

  • Cost is incredible - $245 billion in 2012 – includes direct medical costs and the cost of lost productivity

  • Medical expenditures for diabetics are 2.3 times higher than for non-diabetics


Diabetes

  • Increasing numbers of diabetic patients is putting a significant burden on the healthcare system

    • We need to recognize patients earlier

    • We need to be better at treating patients and encouraging them to be compliant

    • We need to work at prevention and education


Know the risk factors

Know the Risk Factors

  • Age (over 45)

  • History of gestational diabetes when pregnant, or have a high birth-weight baby

  • Heredity

  • High blood pressure

  • Sedentary lifestyle, lack of exercise

  • Overweight/obese

  • Polycystic ovarian syndrome

  • Certain ethnicities – Latino, Native American, African American and others


Doing our part today

Doing our part today…

  • At the 2014 Women’s Expo we are offering a Blood Glucose Screening test

  • Suggested to be fasting for 8 hours, but we can test if you have already eaten today


Screening test results

Screening test results

  • 70 -100 (fasting)Normal test. Likelihood of diabetes is low

  • > 100 (fasting)Elevated test result. See your provider for further advice

  • >200 (non-fasting)See your provider for further advice


Diagnosing diabetes

Diagnosing Diabetes

  • For those that have results 100-125

    • May be considered a “pre-diabetic”

    • Your provider will be watching your numbers more frequently

    • May start some medications to delay onset of disease

    • Will discuss strategies for prevention or how to delay onset


Prevention for prediabetics

Prevention for PreDiabetics

  • Does not mean that you will automatically develop diabetes

    • Early recognition and treatment can restore blood sugar levels to normal

  • Lower your risk 58%

    • Losing 7% of body weight (15 pounds for 200 pound person)

    • Exercising moderately (30 minutes/day x 5 days per week)


Diagnosing diabetes1

Diagnosing Diabetes

  • Usually diagnosed when someone has 2 or more fasting blood sugars over 126

    • Or if you have one high blood sugar and signs and symptoms of diabetes

      • Frequently thirsty or urinating often

      • Unexplained fatigue

      • Blurry vision

      • Slow healing wounds

      • Numbness or tingling in the feet or hands


Diagnosing diabetes2

Diagnosing Diabetes

  • Your provider may do some additional lab tests

    • Hemoglobin A1C – looks at blood sugar control over the past few months

    • Glucose Tolerance Test – checks how your body processes a large amount of sugar

  • Treatment and diagnosis is determined by looking at each patient individually

    • Not everyone will have the same tests or get the same treatment plan


Diabetes prevention

Diabetes Prevention

  • Cannot control several things – heredity, age, ethnicity

  • Control the things you can

    • Weight

    • Diet

    • Blood pressure

    • Activity


Living with diabetes

Living with Diabetes

  • Early detection

  • Early and effective treatment

    • Consultation with support staff – dietician, diabetes educator, etc.

  • Education

  • Follow-up with your provider for close monitoring

  • Support


Living with diabetes1

Living with Diabetes

  • Well-controlled and monitored diabetes can prevent or significantly delay the onset of complications

  • Despite your best efforts, sometimes the disease advances and the treatment plan needs to change

  • Need to stay in communication with your clinic to have the best results!


Myth eating too much sugar causes diabetes

Myth: eating too much sugar causes diabetes

  • Being overweight can contribute to diabetes

    • Weight gain is typically not just from eating too much sugar

  • However…sugared beverages are contributing to diabetes

    • Regular soda, energy drinks, fruit juices, sweet tea, etc.

    • Make lower sugar choices – water, flavored waters, diet sodas, low sugar juices


Myth diabetics need special foods

Myth: Diabetics need special foods

  • A diabetic diet can include anything that non-diabetics eat

  • Healthy choices are suggested for everyone

    • Low fat, moderate sugars, lean protein, whole grains, healthy fats, etc.

    • Portion control is the key –whether you are diabetic or not


Myth diabetic can t have sweets

Myth: Diabetic can’t have sweets

  • You can have sweets! It’s all a part of balancing your diet for control of nutrients and carbohydrates

    • Portion control

    • Making choices


Resources

Resources

  • American Diabetic Association

    • www.diabetes.org

  • Medline/National Institutes of Health

    • www.nlm.nih.gov/medlineplus/diabetes.html

  • Ask us!


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