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DIABETES AWARENESS PROGRAMME ROTARY DISTRICT 3220 / DASL PRESENTED BY RTN PP PHF RANJAN ALLES

DIABETES AWARENESS PROGRAMME ROTARY DISTRICT 3220 / DASL PRESENTED BY RTN PP PHF RANJAN ALLES. THE PISS MANNEQUIN IN BRUSSELS. HISTORY OF DIABETES. DIABETES WAS DISCOVERED IN ANCIENT EGYPT IN THE 16 TH CENTURY BC.

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DIABETES AWARENESS PROGRAMME ROTARY DISTRICT 3220 / DASL PRESENTED BY RTN PP PHF RANJAN ALLES

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  1. DIABETES AWARENESS PROGRAMME ROTARY DISTRICT 3220 / DASL PRESENTED BY RTN PP PHF RANJAN ALLES

  2. THE PISS MANNEQUIN IN BRUSSELS

  3. HISTORY OF DIABETES • DIABETES WAS DISCOVERED IN ANCIENT EGYPT IN THE 16TH CENTURY BC. • IT IS DERIVED FROM THE GREEK WORD “DIABEINEIN” WHICH MEANS TO PASS THROUGH OR SIPHON. • MELLITUS MEANS SWEET AS HONEY IN LATIN. • ANCIENT HINDUS USED TO REFER TO IT AS “MADHU MEHA” WHICH MEANS SWEET WATER.

  4. WHAT IS IS A CONDITION WHERE YOUR BLOOD SUGAR LEVEL IS TOO HIGH AND IS CAUSED BY THE LACK OF OR INSUFFICENT PRODUCTION OF INSULIN. THIS CONDITION IS DETRIMENTAL TO HEALTH AND IF LEFT UNTREATED CAN LEAD TO MANY COMPLICATIONS INVOLVING THE KIDNEYS, LIVER, EYES, HEART, NERVES, GUMS ETC AND EVEN DEATH. (A fasting blood sugar level of 75 - 100 mg/dl is considered normal)

  5. Diagnosis

  6. Main Types of Diabetes • Type 1 Diabetes (T1DM) • Type 2 Diabetes (T2DM) • Gestational Diabetes (GDM)

  7. HOW WOULD YOU GET HIGH BLOOD SUGAR? The food you eat provides the cells with the sugar necessary to Generate the energy required by you. The body converts most of the food you eat into sugar and the blood carries this sugar to the cells. Sugar needs the insulin( a hormone) produced by the “Islets of Langerhann” which is in the pancreas to be absorbed by the cells. If your body does not produce any or enough insulin or if the Insulin you produce does not work right the sugar cannot get absorbed into the cells. At this point the sugar remains in the blood and causes an elevation of the sugar level causing DIABETES.

  8. Complications • Heart disease & stroke 50% diabetics die of heart disease • Kidney failure 20% diabetics die of kidney failure • Blindness 2.5 million diabetics go blind annually • Amputation 1 million amputations annually

  9. Global Prevalence - >20yrs 2011 2030 Population 7.0 b 8.3 b DM 366 m (8.3%) 552 m (9.9%) IGT(IMPAIRED GLUCOSE) 280 m (6.4%) 398 m (7.1%) 50% undiagnosed Diabetes Atlas – 5th Edition – Nov 2011

  10. Prevalence - Sri Lankan >20yrs Urban Rural 1990 5% 2% 2000 12% 7% 2010 16.4% 8.7% • Diabetes - 10.3% - 2 million • Pre-diabetes - 11.5% - 2.3 million Katulanda et.al.

  11. Prevalence of Risk Factors in 22,507 – Diabrisk-SL

  12. WHAT ARE THE SYMPTOMS OF DIABETES? HIGH THIRST FREQUENT URINATION WEIGHT LOSS FOR NO APPARENT REASON FEELING VERY HUNGRY/ TIRED OFTEN SLOW HEALING WOUNDS BLURRY VISION LOSS OF SENSATION OR TINGLING IN THE FEET

  13. Causes of T2 Diabetes Interaction of • Genetics • Foetal Origins • Lifestyles-Obesity • Stress

  14. Obesity Trends* Among U.S. AdultsBRFSS, 1989 Body mass index Weight in KGS- - Height in metre squared 18.5 - 24.9 Normal 25 - 29.9 Overweight 30 - 34.9 Obese 35 - 39.9 Severely Obese 40 - < Morbidly Obese Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  15. Obesity Trends* Among U.S. AdultsBRFSS, 1990 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  16. Obesity Trends* Among U.S. AdultsBRFSS, 1991 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  17. Obesity Trends* Among U.S. AdultsBRFSS, 1992 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  18. Obesity Trends* Among U.S. AdultsBRFSS, 1993 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  19. Obesity Trends* Among U.S. AdultsBRFSS, 1994 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  20. Obesity Trends* Among U.S. AdultsBRFSS, 1995 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  21. Obesity Trends* Among U.S. AdultsBRFSS, 1996 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  22. Obesity Trends* Among U.S. AdultsBRFSS, 1997 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  23. Obesity Trends* Among U.S. AdultsBRFSS, 1998 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  24. Obesity Trends* Among U.S. AdultsBRFSS, 1999 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  25. Obesity Trends* Among U.S. AdultsBRFSS, 2000 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  26. Obesity Trends* Among U.S. AdultsBRFSS, 2001 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  27. Obesity Trends* Among U.S. AdultsBRFSS, 2002 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  28. Obesity Trends* Among U.S. AdultsBRFSS, 2003 Montana Colorado Arizona Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  29. Obesity Trends* Among U.S. AdultsBRFSS, 2004 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  30. Obesity Trends* Among U.S. AdultsBRFSS, 2005 Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  31. Obesity Trends* Among U.S. AdultsBRFSS, 2006 colorado Source: Mokdad A H, et al. J Am Med Assoc1999;282:16, 2001;286:10.

  32. Obesity* Trends Among U.S. AdultsBRFSS, 2007 (*BMI 30, or about 30 lbs overweight for 5’4” person) No Data <10% 10%–14% 15%–19% 20%-24% 25% Source: Behavioral Risk Factor Surveillance System, CDC

  33. Obesity* Trends Among U.S. AdultsBRFSS, 2008 (*BMI 30, or about 30 lbs overweight for 5’4” person) Montana Kansas Texas No Data <10% 10%–14% 15%–19% 20%-24% 25% Source: Behavioral Risk Factor Surveillance System, CDC

  34. Sri Lanka –Obesity in Urban School Children • 7 schools in Colombo • 8-12 years old • 50 students in each Yr 4 -7 (1224) • Obesity 4.3% boys, 3.1% girls • 66% obese from high income Wickramasinghe VP, Lamabadusuriya SP, Atapattu N, Sathyadas G, Kurunarathne P. Nutritional status of schoolchildren in an urban area of Sri Lanka. Ceylon Med J. 2004 Dec;49(4):114-8.

  35. How do you Prevent Diabetes • 1.Identification of risk factors • a. Physical - early • Increased BMI • Increased waist • Low physical activity • Family history • b. Biochemical - late • FBC/ IGT/DM

  36. How do you prevent Diabetes • 2. Lifestyle Modification • Correct Nutrition • Adequate exercise • Stress Control

  37. Correct Nutrition What is good for a diabetic is good for all Golden rule:Quality, Quantity & Timing • Quality- Healthy, balanced diet - high fiber natural foods - low in calorie • Quantity– To ensure ideal body weight • Timing - Do not delay or skip meals – 4 small meals recommended for school kids

  38. What is Adequate Exercise • Exercise is essential for all persons of all ages on a regular basis • Golden rule: It should be continuous and regular and of your choice • Try to exercise with family and friends to minimizes boredom • Sedentary activities (e.g. sleeping, reading, playing computer games, watching TV) should be minimized

  39. Exercise Regimes • 30 min x 5 times a week or more – Good • 30 min x 3 times a week – minimum required • <30 min and/or <3 times a week – Inadequate • Children should play daily at least for 1 hour • To burn fat - continuous exercise 45-60 min 3-5 times a week essential

  40. How do you reduce stress? Stress is common in modern lifestyle • Be calm and positive – avoid negative thoughts • Avoid extreme responses – middle path • Meditation – Yoga • Set realistic goals / expectations • Adapt to changing situations • Do not fear to fail – Success is always round the corner

  41. ROTARY CLUB OF MEMPHIS CENTRAL TYPE ONE DIABETES INITIATIVE Dream Factory-wish for Skylar Bolton- 9 years with diabetes sniffing Black labrador Denali - Rotarian magazine aug 2009

  42. Lets save our children

  43. CHECK LIST • SeeniMeanie Campaign Check list for Rotarians • Appoint a SeeniMeanie (SM) co-ordinator and inform the contact details i.e name, address and mobile number to secretariat by email: seenimeanie@sltnet.lk or 0777703707 (contact persons: Laksha / Dhanya)Immediately • Read the details in the file given on the day of the briefing or the file sent to you. The big SM sticker in the President’s file is for you to fix same on your Rotary flag! Confirm acceptance of the 2 Action Kits to the SM secretariat – Immediately • Identify 2 (two) foster schools – Inform the secretariat of the names and addresses of the school – Immediately

  44. CHECK LIST CONTINUED • Once the Secretariat has registered the schools, you are advised to contact the Medical Officer of Health as well as the Zonal Educational Director of the respective area (Please take a copy of the Education Ministry letter from the Director Nutrition) and inform them of the Diabetes Awareness and Prevention Campaign you hope to conduct in the respective schools- Before31st July 2012. • Meet with the Principal to obtain his or her support. Hand over the letter in the chosen language along with the Education Ministry letter and request the Principal to appoint the SM team (up to 12) including the team leader – Before 3rd August 2012

  45. CHECK LIST CONTINUED • If your foster school has an Interact club, they can spearhead the campaign. If your club is supervising an Interact club, they may assist you in the implementation of the project. • Rotary club to get the SM team to conduct pre evaluation by photocopying 50 questionnaires (in the preferred language) and return the completed forms to the Secretariat – Before 14th August 2012 • Rotary club to get the SM team to formulate Campaign Ideas and submit the proposal to the Secretariat in the preferred language. This should be done as per the prescribed format in action kits. - Before 14th August 2012 • Rotary club will receive the screened proposal with the approval and recommendations from the Secretariat – 15th to 31st August 2012

  46. CHECK LIST CONTINUED • Implementation of SeeniMeanie Campaign – 1st September 2012 – 28th February 2013 • Rotary club to get the SM team to conduct post evaluation questionnaire and return same to the Secretariat – 14th -28th February 2013 • Assistant Governor’s to evaluate and judge regional cluster campaigns and choose regional winners – • 1st March 2013 – 14th March 2013 • Final evaluation and judging of the Regional winners to choose the National winner and the 1st and the 2nd runner up – 15th March 2012 – 31st March 2013. Awards Nights – Date, Time and Venue to be informed.

  47. THANK YOU FOR YOUR ATTENTION

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