Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Preventing diabetes
1. Preventing DiabetesPreventing Diabetes
Dany Zayour, MDDany Zayour, MD
Via Christi ClinicVia Christi Clinic
Diabetes and Endocrinology CenterDiabetes and Endocrinology Center
2. Why talk about Diabetes?Why talk about Diabetes?
26 million americans (11.3%) have diabetes26 million americans (11.3%) have diabetes
7 million do not know it7 million do not know it
2 new million cases diagnosed each year2 new million cases diagnosed each year
79 million americans have prediabetes79 million americans have prediabetes
37 million (15%) will have diabetes in 201537 million (15%) will have diabetes in 2015
1 in 3 adults will have diabetes in 20501 in 3 adults will have diabetes in 2050
5. What is prediabetes?What is prediabetes?
Blood sugar is higher than normal but not asBlood sugar is higher than normal but not as
high as diabeteshigh as diabetes
Touch of sugarTouch of sugar
Mild diabetesMild diabetes
Prediabetes is likely to progress to diabetes in 10Prediabetes is likely to progress to diabetes in 10
years or lessyears or less
Already started complicationsAlready started complications
6. How do I know if I have prediabetes?How do I know if I have prediabetes?
7. SymptomsSymptoms
No signs or symptomsNo signs or symptoms
Darkened areas of skin called acanthosis nigricansDarkened areas of skin called acanthosis nigricans
Signs of diabetesSigns of diabetes
Increased thirstIncreased thirst
Frequent urinationFrequent urination
FatigueFatigue
Blurred visionBlurred vision
Recurrent infectionRecurrent infection
Tingling and numbnessTingling and numbness
Cuts and bruises that are slow to healCuts and bruises that are slow to heal
8.
9.
10. What increases my risk for diabetesWhat increases my risk for diabetes
and should I get tested?and should I get tested?
11. What increases the risk of diabetes?What increases the risk of diabetes?
Overweight or obese (BMI above 25)Overweight or obese (BMI above 25)
Extra weight in your bellyExtra weight in your belly
Not physically activeNot physically active
SmokingSmoking
Family history of type 2 diabetesFamily history of type 2 diabetes
Gestational diabetes or baby more than 9 lbsGestational diabetes or baby more than 9 lbs
PCOSPCOS
Sleep fewer than 6 hrs or more than 9 hrs per daySleep fewer than 6 hrs or more than 9 hrs per day
Race: african american, asian, HispanicRace: african american, asian, Hispanic
12. Are there any blood tests to diagnose prediabetes?Are there any blood tests to diagnose prediabetes?
13. Blood tests to diagnose prediabetesBlood tests to diagnose prediabetes
Fasting glucoseFasting glucose
8 hrs fast8 hrs fast
BS 100-125 mg/dlBS 100-125 mg/dl
Glucose tolerance testGlucose tolerance test
Drink sugary solutionDrink sugary solution
BS 2 hrs after that 140-199BS 2 hrs after that 140-199
Hemoglobin A1c or HbA1cHemoglobin A1c or HbA1c
HbA1c 5.7-6.4%HbA1c 5.7-6.4%
15. ADA Diagnostic Criteria:ADA Diagnostic Criteria:
Normal, Diabetes, and Pre-diabetesNormal, Diabetes, and Pre-diabetes
Clinical Practice Recommendations 2010Clinical Practice Recommendations 2010
ParameterParameter NormalNormal DiabetesDiabetes Pre-diabetesPre-diabetes MethodMethod
11 Fasting PlasmaFasting Plasma
GlucoseGlucose
(mg/dl)(mg/dl)
<100<100 ≥≥126126 100–125100–125 No caloric intakeNo caloric intake
for at least 8 hfor at least 8 h
22 2-h plasma2-h plasma
glucose onglucose on
OGTT (mg/dl)OGTT (mg/dl)
<140<140 ≥≥200200 140–199140–199 WHO method: 75WHO method: 75
g glucose loadg glucose load
33 RandomRandom
plasma glucoseplasma glucose
(mg/dl)(mg/dl)
<140<140 ≥≥200200 -- with classicwith classic
symptomssymptoms
of hyperglycemiaof hyperglycemia
or crisisor crisis
44 A1CA1C
%%
<5.7<5.7 ≥≥6.56.5 5.7 – 6.45.7 – 6.4 NGSP certifiedNGSP certified
methodmethod
standardized tostandardized to
the DCCT assaythe DCCT assay
16. What is the treatment of prediabetes?What is the treatment of prediabetes?
17. Reducing risk of DiabetesReducing risk of Diabetes
Losing 7% (5-10%) of body weightLosing 7% (5-10%) of body weight
Decrease risk by 58%Decrease risk by 58%
11% per year of prediabetes develop diabetes in11% per year of prediabetes develop diabetes in
the first 3 yearsthe first 3 years
18. DietDiet
DietDiet
Low in fatLow in fat
High in fibersHigh in fibers
Focus on fruits, vegetables and whole grainsFocus on fruits, vegetables and whole grains
VarietyVariety
19. Physical activityPhysical activity
30-60 minutes daily 5 days a week ( there are 1440 min in a day)30-60 minutes daily 5 days a week ( there are 1440 min in a day)
Brisk daily walkingBrisk daily walking
Ride your bikeRide your bike
DancingDancing
Low impact aerobic classLow impact aerobic class
SwimmingSwimming
Exercise while sittingExercise while sitting
Use stairsUse stairs
Park away from entrancePark away from entrance
To facilitate patient-doctor communication regarding glucose levels, the A1c values are now being reported as eAG,
After standardization of A1c in the ADAG trial using CGMs for 6 months, and determining an accurate correlation with average glucose levels..
All labs now report…