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Global Issues of Taking Control of Your Diabetes

This presentation was created for delivery on a Macintosh laptop using Power Point for Mac 2008. It may not play correctly in Power Point 2004 or earlier versions!. Prevention of diabetes in the first place!. Global Issues of Taking Control of Your Diabetes.

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Global Issues of Taking Control of Your Diabetes

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  1. This presentation was created fordelivery on a Macintosh laptop usingPower Point for Mac 2008.It may not play correctly inPower Point 2004 or earlier versions!

  2. Prevention of diabetes in the first place! Global Issues of Taking Control of Your Diabetes Early detection of diabetes and the complications of diabetes Prevention of diabetes in the first place! Early detection of diabetes and the complications of diabetes Aggressive treatment of diabetes and the complications of diabetes Aggressive treatment of diabetes and the complications of diabetes

  3. Global Prevalence of Diabetes2000 - 2025 2000 300 2025 200 Persons with Diabetes (Millions) 100 0 World Developed Countries Developing Countries King H. Diabetes Care 21:1414-31, 1998

  4. Prevalence of Diabetes in the U.S.As the Population Gets Older 45 Impaired Glucose Tolerance or “pre diabetes” 40 Undiagnosed Diabetes 35 Diabetes 30 25 % of Population 20 15 10 5 22 million people with “pre-diabetes” 0 0 20–44 45–54 55–64 65–74 Age Kenny SJ et al. In: Diabetes in America. 2nd ed. 1995;chap 4.

  5. Exercise!Do Whatever You ENJOY!

  6. Exercise!Do Whatever You ENJOY!

  7. Exercise!Do Whatever You ENJOY!

  8. Diabetes Warranty ProgramHealth Maintenance 1. Eyes 2. Kidneys 3. Nerves (feet) 4. Heart and Brain (atherosclerosis)

  9. Diabetes Warranty ProgramHealth MaintenanceFor Your Eyes Only Get a yearly eye exam from an ophthalmologist who specializes in diabetic eye disease Screening is important: Diabetic eye disease has no symptoms until there are advanced problems

  10. Diabetes Warranty ProgramHealth MaintenanceTake Care of Your Feet! Follow some simple foot care rules... Like don’t walk on ahot bed of coals! Don’t do bathroomsurgery Get good shoes Don’t wait to see afoot specialist

  11. Causes of Death in PeopleWith Diabetes 50 40 % of Deaths 30 20 10 0 Ischemic Heart Disease Other Heart Disease Diabetes Cancer Stroke Infection Other Geiss LS, et al. In: Diabetes in America, 2nd ed. 1995. Bethesda, MD: National Institutes of Health; 1995:Chapter 11.

  12. GLUCOSE CONTROL MATTERS

  13. What Should Your BloodSugar Levels Be? * Assuming the normal range is between 4 and 6

  14. What Should Your BloodSugar Levels Be? * Assuming the normal range is between 4 and 6

  15. What Should Your BloodSugar Levels Be? * Assuming the normal range is between 4 and 6

  16. Glucose A1C Measures Glucose LevelsOver 2- 3 Month Period Red Blood Cell High Blood Glucose Normal Blood Glucose

  17. A1C and Self Monitoring Results 7% 150 8% 180 9% 210 10% 240 11% 270 12% 300 13% 330 4% 60 5% 90 6% 120 A1C Blood Glucose (mg/dl)

  18. We Now Have ChoicesPills for Type 2 Diabetes Stop over-production of glucose by the liver Reduce insulin resistance in the muscles (insulin sensitizers) Glucophage Avandia Actos Precose Glyset Sulfonylureas Prandin Starlix Slow down the absorption of carbohydrates in the stomach Stimulate the Pancreas to make More insulin Reduce High Blood Sugar

  19. Ted Ryder Age 5 years,5 months later after starting insulin Ted Ryder Age 5 years,1923

  20. Rapid acting (Humalog, Novolog) Short acting (Regular) Intermediate (NPH, Lente, UltraL) Long acting (Lantus) Insulin Therapy Must Be Custom Fit For You: We now have choices! 140 120 100 80 Insulin Level (U/ml) 60 40 20 0 0 2 4 6 8 10 12 14 16 Hours

  21. Holy Cow! Another 300? Home Glucose MonitoringIs Not Just MeasuringAnd Recording YourBlood Sugar Values IT IS ALSO KNOWING WHAT TO DO WITH THAT NUMBER AND ACTINGON IT!

  22. Daily Patient Log Testing 4X/day 400 350 300 250 Glucose (mg/dl) 200 150 TARGET RANGE 100 50 0 Insulin Bolus Fingerstick Measurement

  23. Daily Log and Sensor Data (24 hrs) 400 350 300 250 Glucose (mg/dl) 200 150 TARGET RANGE 100 50 0 Insulin Bolus Fingerstick Measurement Sensor Measurement

  24. Take Control of Your Diabetes You owe it to yourself and your family

  25. END

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