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Non-pharmacological treatments for Diabetes Mellitus

Non-pharmacological treatments for Diabetes Mellitus. Contents. Diabetes Mellitus (DM) Management of DM (non-pharmacological treatments) Dietary management Physical activities Stress management. Diabetes Mellitus (DM).

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Non-pharmacological treatments for Diabetes Mellitus

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  1. Non-pharmacological treatments for Diabetes Mellitus

  2. Contents • Diabetes Mellitus (DM) • Management of DM (non-pharmacological treatments) • Dietary management • Physical activities • Stress management

  3. Diabetes Mellitus (DM) The collection of abnormalities characterized by hyperglycaemia due to absolute or relative insulin deficiency.

  4. Management of DM Life style changes Medications Medical nutrition (Dietary) Physical activities Insulin Anti-diabetic

  5. Dietary management Physical activities Non-pharmacological Treatments Stress management

  6. Dietary Management Aims – • To achieve good glycaemic control & adequate nutritional intake • To assist with weight management • To prevent/postpone complications of DM

  7. Dietary recommendations • Individualized according to patient’s ethnicity, cultural, religious & family backgrounds. • Timed according to patient’s daily routine. • Flexible

  8. Carbohydrates • Consumption of carbohydrates which have low Glycaemic Index (GI)

  9. Glycaemic Index (GI) Measure of the effects of carbohydrates on blood glucose level. GI digestion & absorption of foods rate of glucose entering in to the circulation Blood glucose level gradually increases

  10. Sources of carbohydrates Use – Cereals, mixed coarse grains, whole pulses, salads, red rice, fruits & vegetables (low GI),brown bread - Foods containing dietary fibres (oats, pulses) Avoid – sugar, honey, jaggery, sweets, white rice, white bread (high GI)

  11. Sources of protein Essential amino acids Vegetable proteins, low fat milk & milk products, fish & lean meats

  12. Sources of fat • Saturated fat (ghee, butter) - <7% of total caloric intake • Dietary cholesterol intake - <300mg/day. • Use more than one edible oil. ω-6 & ω-3 fatty acids • Avoid hydrogenated fat.

  13. Physical Activities (Exercises) • Regular exercise is essential. • Specially for patients with Type 2 DM. • Brisk walk 30-60min/day & 5days/week. • Exercise schedule must be suited for each individual according to his/her physical strength. • .

  14. Benefits • Improvement in Insulin sensitivity. • Reduction of HT. • Weight management. • Improvement of lipid profile. • Improve the function of CVS. • Increase bone density • Improve the quality of life. • Mental and physical wellness.

  15. Stress Management +

  16. Stress Management • Behavioral modification. • Positive thinking. • Meditation. • Satisfactory treatment plans and special attention. • Optimal family support. • Appropriate support and counseling. • Improve skills (reading, writing, poetry…)

  17. Acknowledgements Special thanks to Madam A. Attanayake for her valuable guidance to make this presentation successful.

  18. Thank YouLIG

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