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Diabetes: Beyond Sugar - PowerPoint PPT Presentation

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Diabetes: Beyond Sugar

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  1. Diabetes: Beyond Sugar

  2. CHAOS • C - Coronary artery disease • H - Hyper-tension, -glycaemia, -insulinaemia • A - Atherosclerosis • O - Obesity • S - Stroke

  3. Top 5 co-existing conditionsDiabetes in Europe, 2000 Type 1 - 1531, Type 2 - 7911

  4. Top 5 co-existing conditionsDiab Care Asia, 2000 Type 2 - 2238

  5. Issues like Obesity High Cholesterol Hypertension Smoking need to be addressed Management of T2DM Extends Beyond Glucose Control

  6. Therapeutic Lifestyle change • Healthy Eating, • Time management, • Regular exercise • 30 min daily brisk walking.

  7. Lipid control • DIFFICULT! • Target is changing • What level is safe? • Multifactorial (Hyperglycaemia leads to hyperlipidaemia )

  8. Hypertension Complications End Stage Renal Failure Peripheral vascular disease HT Congestive Heart Failure Coronary Heart Disease 43% Stroke 18%

  9. Hypertension-Interesting Facts • 5-6 mm reduction in DBP lowers stroke risk by 33% and CHD risk by 15% • Hypertension Optimal Study (HOT) Study- DBP 85 mm Hg associated with lower risk of CVSevents than reduction to  90 mm Hg

  10. Hypertension in India • CODI Study • BP was measured in 54.5% of patients with DM, • In 40% BP was found to be high, • 10% were on treatment • BUD Study • 24% of people with high BP were currently checking.

  11. Clinical and Experimental Studies Treatment -Target Organ Protection CNS protection Cardioprotection Renoprotection Antiatherosclerosis

  12. Recommended Treatment Goals for Hypertension

  13. SMOKING

  14. How to manage all? Sp. Doctor Dietitian Govt. PATIENT Sp. Nurse Podiatrist Pr. Nurse Pharms. Fm. Doctor