1 / 21

Diabetes: The Modern Epidemic

Roy Buchinsky, MD Director of Wellness. Diabetes: The Modern Epidemic. Introduction. Disorder of glucose utilization. Insufficient or no insulin- Type 1- 10% Increased resistance to insulin- Type 2-90% Elevated blood sugar levels. Complications. Incidence. 11/4/2014.

griffin-le
Download Presentation

Diabetes: The Modern Epidemic

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Roy Buchinsky, MD Director of Wellness Diabetes: The Modern Epidemic

  2. Introduction • Disorder of glucose utilization. • Insufficient or no insulin- Type 1- 10% • Increased resistance to insulin- Type 2-90% • Elevated blood sugar levels. • Complications University Hospitals Ahuja Medical Center

  3. Incidence University Hospitals Ahuja Medical Center

  4. 11/4/2014 University Hospitals Ahuja Medical Center 4

  5. 11/4/2014 University Hospitals Ahuja Medical Center 5

  6. Type 1 Diabetes • Immune system destroys pancreatic beta cells. • Usually affects children and young adults. • Insulin delivered via injection or pump. • Risk factors includes genetic, autoimmune, or environmental. University Hospitals Ahuja Medical Center

  7. Type 2 Diabetes • Mainly occurs in adults. • 90-95% of all diabetes. • Characterized by insulin resistance. • Associated with obesity, family history, gestational diabetes, and race/ethnicity. University Hospitals Ahuja Medical Center

  8. Diagnosis: Clinical Asymptomatic Poly-dipsia, phagia, uria, Weight loss Visual disturbance Diabetic ketoacidosis 11/4/2014 University Hospitals Ahuja Medical Center 8

  9. 11/4/2014 University Hospitals Ahuja Medical Center 9

  10. Diagnosis: Labs Fasting bg > 126. Sxs plus random bg > 200. Abnormal GTT - bg > 200 2 hrs after load. HbA1c > 6.5. 11/4/2014 University Hospitals Ahuja Medical Center 10

  11. Impaired Glucose Tolerance FBG 100-125 A1c 5.9-6.4 79 million adults in USA Increased risk for development of DM. Annual re-screening. Intensive lifestyle intervention. 11/4/2014 University Hospitals Ahuja Medical Center 11

  12. Metabolic SyndromeThe Deadly Quartet Obesity Hypertension Increased blood sugar Elevated cholesterol 11/4/2014 University Hospitals Ahuja Medical Center 12

  13. Treatment Type 1- insulin delivered by pump or injection. Daily or with meals Type 2- improved eating habits, increased exercise, weight loss, oral agents. 11/4/2014 University Hospitals Ahuja Medical Center 13

  14. 11/4/2014 University Hospitals Ahuja Medical Center 14

  15. Complications Retinopathy Cardiovascular disease Peripheral neuropathy Nephropathy Peripheral vascular disease 11/4/2014 University Hospitals Ahuja Medical Center 15

  16. Prevention Increased exercise and a healthy diet. Treatment with metformin DPP- reduced risk of Type 2 DM by 58% over 3 years Greater benefit in patients over 60. 11/4/2014 University Hospitals Ahuja Medical Center 16

  17. 11/4/2014 University Hospitals Ahuja Medical Center 17

  18. Diet Recommendations Low glycemic index foods. 0 calorie or very low calorie drinks. Avoid sugary drinks like fruit punch and soda. Carbohydrate restriction 11/4/2014 University Hospitals Ahuja Medical Center 18

  19. Summary ↑incidence of diabetes 2 types of diabetes Prevention techniques Treatment options Complications 11/4/2014 University Hospitals Ahuja Medical Center 19

  20. Thank You 11/4/2014 University Hospitals Ahuja Medical Center 21

More Related