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Diabetes Are you at risk?.

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Presentation on theme: "Diabetes Are you at risk?."— Presentation transcript:

1 Diabetes Are you at risk?

2 What is diabetes? Insulin is a chemical, naturally produced in the pancreas, that helps the body process and use sugar for energy Energy to sustain normal body processes – breathing, blood circulation, digestion Energy for us to move, exercise and otherwise function through the day

3 What is diabetes? Diabetes means that the pancreas doesn’t…
…produce any insulin (Type I Diabetes ) …produce enough insulin (Type II Diabetes) There are other types of diabetes that we diagnose and treat, but the most common are Type I and II.

4 Type I Diabetes Usually starts before age 40
Usually very abrupt onset of disease Because the pancreas produces virtually no insulin, the only treatment is insulin replacement Much less common that Type II

5 Type II Diabetes Usually starts when people are older
Although the average age of onset is getting younger Does not usually start abruptly – this develops over years Many therapies to treat Diet and exercise Medications (oral) Medications (injectable), including insulin replacement New research – cell transplants, “the artificial pancreas,” new medications, etc.

6 Quick Stats from the American Diabetes Association
In 2012, 29.1 million Americans with Diabetes (9.3%) 8.1 million of those are NOT diagnosed yet Approximately 25% of people over 65 have diabetes 86 million (age 20+) have pre-diabetes 7th leading cause of death in the United States

7 Quick Stats from the American Diabetes Association
Diabetes causes many other problems in adulthood About 70% of diabetics have problems with blood pressure and cholesterol About 29% of diabetics (age 40+) have diabetic retinopathy (can lead to blindness) 1.8 times more likely to be hospitalized due to a heart attack 1.5 times more likely to be hospitalized due to a stroke 44% of new kidney failure cases are due to diabetes 60% of limb amputations (non-trauma) occur in diabetics

8 Quick Stats from the American Diabetes Association
Cost is incredible - $245 billion in 2012 – includes direct medical costs and the cost of lost productivity Medical expenditures for diabetics are 2.3 times higher than for non-diabetics

9 Increasing numbers of diabetic patients is putting a significant burden on the healthcare system
We need to recognize patients earlier We need to be better at treating patients and encouraging them to be compliant We need to work at prevention and education

10 Know the Risk Factors Age (over 45)
History of gestational diabetes when pregnant, or have a high birth-weight baby Heredity High blood pressure Sedentary lifestyle, lack of exercise Overweight/obese Polycystic ovarian syndrome Certain ethnicities – Latino, Native American, African American and others

11 Doing our part today… At the 2014 Women’s Expo we are offering a Blood Glucose Screening test Suggested to be fasting for 8 hours, but we can test if you have already eaten today

12 Screening test results
(fasting) Normal test. Likelihood of diabetes is low > 100 (fasting) Elevated test result. See your provider for further advice >200 (non-fasting) See your provider for further advice

13 Diagnosing Diabetes For those that have results 100-125
May be considered a “pre-diabetic” Your provider will be watching your numbers more frequently May start some medications to delay onset of disease Will discuss strategies for prevention or how to delay onset

14 Prevention for PreDiabetics
Does not mean that you will automatically develop diabetes Early recognition and treatment can restore blood sugar levels to normal Lower your risk 58% Losing 7% of body weight (15 pounds for 200 pound person) Exercising moderately (30 minutes/day x 5 days per week)

15 Diagnosing Diabetes Usually diagnosed when someone has 2 or more fasting blood sugars over 126 Or if you have one high blood sugar and signs and symptoms of diabetes Frequently thirsty or urinating often Unexplained fatigue Blurry vision Slow healing wounds Numbness or tingling in the feet or hands

16 Diagnosing Diabetes Your provider may do some additional lab tests
Hemoglobin A1C – looks at blood sugar control over the past few months Glucose Tolerance Test – checks how your body processes a large amount of sugar Treatment and diagnosis is determined by looking at each patient individually Not everyone will have the same tests or get the same treatment plan

17 Diabetes Prevention Cannot control several things – heredity, age, ethnicity Control the things you can Weight Diet Blood pressure Activity

18 Living with Diabetes Early detection Early and effective treatment
Consultation with support staff – dietician, diabetes educator, etc. Education Follow-up with your provider for close monitoring Support

19 Living with Diabetes Well-controlled and monitored diabetes can prevent or significantly delay the onset of complications Despite your best efforts, sometimes the disease advances and the treatment plan needs to change Need to stay in communication with your clinic to have the best results!

20 Myth: eating too much sugar causes diabetes
Being overweight can contribute to diabetes Weight gain is typically not just from eating too much sugar However…sugared beverages are contributing to diabetes Regular soda, energy drinks, fruit juices, sweet tea, etc. Make lower sugar choices – water, flavored waters, diet sodas, low sugar juices

21 Myth: Diabetics need special foods
A diabetic diet can include anything that non-diabetics eat Healthy choices are suggested for everyone Low fat, moderate sugars, lean protein, whole grains, healthy fats, etc. Portion control is the key –whether you are diabetic or not

22 Myth: Diabetic can’t have sweets
You can have sweets! It’s all a part of balancing your diet for control of nutrients and carbohydrates Portion control Making choices

23 Resources American Diabetic Association
Medline/National Institutes of Health Ask us!



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