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What Is Diabetes ?
Diabetes Mellitus - An Insight


Diabetes mellitus is a disorder
characterized by increased blood
sugar (hyperglycemia) due to
defective insulin secretion, insulin
action or both.
Types of Diabetes

Type 1 diabetes:- No Insulin present at all. Happens often
                  during childhood. Usually below 30 years of
                  age. Also called as Juvenile Diabetes.




         The cells responsible for making
                 Insulin are absent
Types of Diabetes

Type 2 diabetes:- Not enough insulin OR Insulin doesn’t work
                  (Insulin resistance)
                  Happens usually above 30 Years of age, also
                  known as Adult Onset Diabetes.




                                       Insulin resistance
Symptoms for Type 2 Diabetes
Complications of Diabetes
What Is Insulin ?
Insulin

Insulin is a substance that controls
the amount of glucose (sugar) in the
blood.
Insulin

If there isn’t enough insulin or if it doesn’t have the proper
effect, the level of glucose in the blood increases and this can
have harmful effects.



     Target for Diabetic patients

     PPBG : < 180 mg/dl
     FBG : 90 - 130 mg/dl
Diet


The Controls   Exercise


               Foot Care
Diet Control

  Limit your food intake during each meal
  or snack
  Divide your food intake into 3 evenly
  spaced meals with a small healthy
  snack between meals ,if needed
Diet Control

 Don’t skip meals
 Eat fibre rich foods such as fruits,
 vegetables, grains and beans
 Limit the amount of fat , sugar
 and salt in your meal
Diet Control

Points to be taken into consideration while planning the diet

  Avoid roots and tubers e.g.
                                       DO NOT EAT
  potato, sweet- potato, but carrot    US..WE ARE     Choose
  and radish can be consumed.          NOT GOOD         me
                                        FOR YOU

  Avoid sugar, glucose, jams,
  honey, sweets, nuts,
  Horlicks,Bournvita etc.
Diet Control

  Avoid fried food.

 Include salads but avoid
 salad dressing with fat

 Include plenty of green leafy
  vegetables.
Diet Control

 Quantity of oil should be restricted

 Dietary exchanges should be taken into consideration




                                        consume very less oil
Diet Control

 Include food rich in fibre

 Avoid fruits such as mango,
 banana, chickoo, custard apple etc
Exercise
Exercise

Losing weight can be:

      Difficult
          &
     Frustrating
Exercise

 But it is POSSIBLE to :

     Lose weight
           &
  Sustain weight loss
Exercise



Physical activity is an important part of

       Diabetes Management
Exercise

 Exercise can:
 Boost your metabolism
 Increase muscle mass, so you
  burn more calories
 Help improve the body’s response
  to insulin and naturally lowering
 glucose by burning extra calories.
Exercise

 The facts: For people having diabetes

 You need to exercise daily or at least five
 times a week

 The exercise duration should for
 45 to 55 minutes at a time
Exercise

 Since the muscles that use glucose
 appropriately are the long, thin
 muscles, you need to develop
 these muscles

 This requires exercise that is
 low-resistance and high-frequency
 such as walking
Exercise

With a daily low-resistance,
high-frequency exercise program
lasting 45 to 55 minutes, blood glucose
control for diabetes patients improves
and stabilizes, even before weight loss
is achieved.
Exercise

 Exercise has no long-term effect on glucose.
 Within 24 to 48 hours of cessation, the
 beneficial effects on diabetes and its control
 are lost.




Therefore, exercise is a life-long commitment
Exercise

Top Ten Benefits of Being Active
Improves Blood Glucose Management

Lowers Blood Pressure

Improves Blood Fats

Lesser intake of Insulin or Diabetes Pills
Exercise

 Lose weight and sustain it

 Lower risk of other health problems

 Gain more energy and sleep better
Exercise


  Relieves stress

  Builds stronger bones and muscles

  Enhances flexibility
Foot Care
Foot Care



            Check your Feet Every Day!
Foot Care


 Foot problems can literally
 develop overnight

 It is essential to check your
  feet daily
Foot Care
Check your feet daily for the following :

 Cuts, blisters or sores

 Change in temperature
 (hot or cold)

 Change in colour (pale, red, blue)
Foot Care

  Swelling

  Pain

  Dry, cracking skin

  Sweaty skin
Foot Care

  Athletes foot or other rashes

  Signs and symptoms of infection

  Corns and calluses
Foot Care

            How to take care of your feet ?
Foot Care

 Look at your feet every day.
 Make sure there are no cuts
 or red areas
 Use a mirror to see the bottom
 of your feet
 Don’t soak your feet. Wash
 them well with mild soap
 and water every day
Foot Care


 Dry them very well,
 including in between the
 toes

 Don’t walk barefoot
Foot Care
 Wear shoes that fit well

 Buy socks designed to keep
 your feet comfortable

 Use lotion on your feet, but
 not between the toes
Foot Care
  Meet your Foot doctor
 Do not cut your toenails. File them
  instead, or have them trimmed by
  a foot doctor
 If you have poor circulation, nerve
 damage, or very thick toenails,
 see a foot doctor regularly
 Also see a foot doctor, if you
  have corns, calluses, or bunions
Foot Care

  If you do get a cut or scratch, address
 it right away

 Wash with mild soap and warm water

 Use a mild ointment

                                            Make sure to change
 Cover with gauze and paper tape or
                                            this often
 a fabric bandage
Foot Care

            If the affected area does not heal
                           OR
                        Gets red
                           OR
                   Has any drainage



       Call your healthcare provider right away
Introduction to Diabetes

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Introduction to Diabetes

  • 1.
  • 3. Diabetes Mellitus - An Insight Diabetes mellitus is a disorder characterized by increased blood sugar (hyperglycemia) due to defective insulin secretion, insulin action or both.
  • 4. Types of Diabetes Type 1 diabetes:- No Insulin present at all. Happens often during childhood. Usually below 30 years of age. Also called as Juvenile Diabetes. The cells responsible for making Insulin are absent
  • 5. Types of Diabetes Type 2 diabetes:- Not enough insulin OR Insulin doesn’t work (Insulin resistance) Happens usually above 30 Years of age, also known as Adult Onset Diabetes. Insulin resistance
  • 6. Symptoms for Type 2 Diabetes
  • 9. Insulin Insulin is a substance that controls the amount of glucose (sugar) in the blood.
  • 10. Insulin If there isn’t enough insulin or if it doesn’t have the proper effect, the level of glucose in the blood increases and this can have harmful effects. Target for Diabetic patients PPBG : < 180 mg/dl FBG : 90 - 130 mg/dl
  • 11. Diet The Controls Exercise Foot Care
  • 12. Diet Control Limit your food intake during each meal or snack Divide your food intake into 3 evenly spaced meals with a small healthy snack between meals ,if needed
  • 13. Diet Control Don’t skip meals Eat fibre rich foods such as fruits, vegetables, grains and beans Limit the amount of fat , sugar and salt in your meal
  • 14. Diet Control Points to be taken into consideration while planning the diet Avoid roots and tubers e.g. DO NOT EAT potato, sweet- potato, but carrot US..WE ARE Choose and radish can be consumed. NOT GOOD me FOR YOU Avoid sugar, glucose, jams, honey, sweets, nuts, Horlicks,Bournvita etc.
  • 15. Diet Control Avoid fried food. Include salads but avoid salad dressing with fat Include plenty of green leafy vegetables.
  • 16. Diet Control Quantity of oil should be restricted Dietary exchanges should be taken into consideration consume very less oil
  • 17. Diet Control Include food rich in fibre Avoid fruits such as mango, banana, chickoo, custard apple etc
  • 19. Exercise Losing weight can be: Difficult & Frustrating
  • 20. Exercise But it is POSSIBLE to : Lose weight & Sustain weight loss
  • 21. Exercise Physical activity is an important part of Diabetes Management
  • 22. Exercise Exercise can: Boost your metabolism Increase muscle mass, so you burn more calories Help improve the body’s response to insulin and naturally lowering glucose by burning extra calories.
  • 23. Exercise The facts: For people having diabetes You need to exercise daily or at least five times a week The exercise duration should for 45 to 55 minutes at a time
  • 24. Exercise Since the muscles that use glucose appropriately are the long, thin muscles, you need to develop these muscles This requires exercise that is low-resistance and high-frequency such as walking
  • 25. Exercise With a daily low-resistance, high-frequency exercise program lasting 45 to 55 minutes, blood glucose control for diabetes patients improves and stabilizes, even before weight loss is achieved.
  • 26. Exercise Exercise has no long-term effect on glucose. Within 24 to 48 hours of cessation, the beneficial effects on diabetes and its control are lost. Therefore, exercise is a life-long commitment
  • 27. Exercise Top Ten Benefits of Being Active Improves Blood Glucose Management Lowers Blood Pressure Improves Blood Fats Lesser intake of Insulin or Diabetes Pills
  • 28. Exercise Lose weight and sustain it Lower risk of other health problems Gain more energy and sleep better
  • 29. Exercise Relieves stress Builds stronger bones and muscles Enhances flexibility
  • 31. Foot Care Check your Feet Every Day!
  • 32. Foot Care Foot problems can literally develop overnight It is essential to check your feet daily
  • 33. Foot Care Check your feet daily for the following : Cuts, blisters or sores Change in temperature (hot or cold) Change in colour (pale, red, blue)
  • 34. Foot Care Swelling Pain Dry, cracking skin Sweaty skin
  • 35. Foot Care Athletes foot or other rashes Signs and symptoms of infection Corns and calluses
  • 36. Foot Care How to take care of your feet ?
  • 37. Foot Care Look at your feet every day. Make sure there are no cuts or red areas Use a mirror to see the bottom of your feet Don’t soak your feet. Wash them well with mild soap and water every day
  • 38. Foot Care Dry them very well, including in between the toes Don’t walk barefoot
  • 39. Foot Care Wear shoes that fit well Buy socks designed to keep your feet comfortable Use lotion on your feet, but not between the toes
  • 40. Foot Care Meet your Foot doctor Do not cut your toenails. File them instead, or have them trimmed by a foot doctor If you have poor circulation, nerve damage, or very thick toenails, see a foot doctor regularly Also see a foot doctor, if you have corns, calluses, or bunions
  • 41. Foot Care If you do get a cut or scratch, address it right away Wash with mild soap and warm water Use a mild ointment Make sure to change Cover with gauze and paper tape or this often a fabric bandage
  • 42. Foot Care If the affected area does not heal OR Gets red OR Has any drainage Call your healthcare provider right away