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HI STOP Hi ghland S chools Diabe t es Preventi o n P rogramme

HI STOP Hi ghland S chools Diabe t es Preventi o n P rogramme. Sandra MacRury Dept of Diabetes & Cardiovascular Science UHI Millennium Institute Inverness. “ Diabetes is the greatest health challenge facing the UK today ”. Diabetes UK 2007. Diabetes epidemic. Brain. Pancreas. ISLET.

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HI STOP Hi ghland S chools Diabe t es Preventi o n P rogramme

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  1. HI STOPHighland SchoolsDiabetesPreventionProgramme Sandra MacRury Dept of Diabetes & Cardiovascular Science UHI Millennium Institute Inverness

  2. “Diabetes is the greatest health challenge facing the UK today” Diabetes UK 2007

  3. Diabetes epidemic

  4. Brain Pancreas ISLET Liver  Cell Stomach Pancreas INSULIN Intestines

  5. Types of Diabetes • Type 1 15% • Type 2 85% World Health Organisation 2005

  6. Type 1 Diabetes • Destruction of insulin producing cells (b cells in pancreas) • Children, young people up to 35-40 years • Late onset Type 1 > 40 years • 10-15% occurs in families • Treated with insulin

  7. What is diabetes • The body cannot effectively use the insulin it produces • Middle aged or older 40+ years • Young onset type 2 < 35 years • 40% occurs in families • Treated with diet, tablets and sometimes insulin World Health Organisation 2006

  8. Type 2 diabetes • Weight • Family history • Age • Ethnicity

  9. Type 2 diabetes • Weight • Waist • circumference • Family history • Age • Ethnicity +

  10. What Diabetes Epidemic?

  11. BMI

  12. T2DM and weight Body Mass Index BMI Weight/height Kg/m2

  13. Vascular problems in diabetes LIFE EXPECTANCY SHORTENED 7-8 YEARS IN T2DM

  14. Progression of Type 2 diabetes Insulin resistance Diagnosis Blood glucose Insulin production Normal Pre diabetes Type 2 diabetes Adapted from Bailey. Br J Cardiol 2000; 7: 350–360DeFronzo & Ferrannini. Diabetes Care 1991; 14: 173–194

  15. What can we do?

  16. Watch what you eat

  17. Get active!

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