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Join the Highland Schools Diabetes Prevention Programme to learn about diabetes prevention through healthy eating and physical activity. Help combat the diabetes epidemic affecting our community.
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HI STOPHighland SchoolsDiabetesPreventionProgramme Sandra MacRury Dept of Diabetes & Cardiovascular Science UHI Millennium Institute Inverness
“Diabetes is the greatest health challenge facing the UK today” Diabetes UK 2007
Brain Pancreas ISLET Liver Cell Stomach Pancreas INSULIN Intestines
Types of Diabetes • Type 1 15% • Type 2 85% World Health Organisation 2005
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
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
Type 2 diabetes • Weight • Family history • Age • Ethnicity
Type 2 diabetes • Weight • Waist • circumference • Family history • Age • Ethnicity +
T2DM and weight Body Mass Index BMI Weight/height Kg/m2
Vascular problems in diabetes LIFE EXPECTANCY SHORTENED 7-8 YEARS IN T2DM
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