Diabetes Mellitus Lora Stowitzky Statistics Affects 23.6 million people in the U.S. - Diagnosed: 17.9 million people - Undiagnosed: 5.7 million people 7th leading cause of death in the U.S (2006) What is Diabetes? A chronic disease in which the body can not properly use or make insulin. Insulin- a hormone made in the pancrease that turns sugar (glucose) into energy for the body to use What happens without insulin? Lack of insulin Build up of glucose in the blood (hyperglycemia) Symptoms of Diabetes Mellitus Symptoms Frequent urination Excessive thirst Extreme hunger - Cells are starved for energy Unexplained weight loss - Insulin can not trigger the storage of fat Fatigue Delayed wound healing Type I Diabetes Mellitus Juvenile diabetes Insulin-dependent diabetes mellitus Autoimmune disorder The body destroys the cells that make the insulin Thus, the body can no longer produce insulin Type I Diabetes Mellitus Usually diagnosed in children & young adults ( <30 years old) 5-10% of diabetics Type I Diabetes Mellitus RISK factors: - Genetics - Autoimmune history Type I is not preventable Type I Treatment Glucose monitoring often Insulin injections Exercise Diet Follow up with doctor Educate yourself! Type II Diabetes Mellitus Non-insulin dependent diabetes mellitus Body makes insulin but most cells do not use insulin properly Insulin resistance Slowly, the pancreas stops making insulin. Type II Diabetes Mellitus 90-95 % of diabetics RISK factors - Older age - Family history - Obesity - Physical Inactivity - Race and Ethnicity Type II Risk Factors Obesity & Inactivity - Studies find a relationship between weight/activity level and Type II - Seeing an increase in Type II diabetes in children Type II Diabetes Mellitus Race & Ethnicity - African Americans - Hispanic/Latino Americans - American Indians - Asian Americans - Pacific Islanders Type II Prevention If you have risk factors, prevent or delay the onset of Type II by… - Healthy diet - Moderately intense exercise (walking 2 1/2 hours each week) Type II Treatment Goal: Control blood sugar (glucose) - Glucose monitoring often - Oral medicine / Insulin injections - Diet - Exercise / Weight management - Follow up with doctor - Educate yourself! Diet - Carb Counting Carbohydrates raise blood glucose levels Count your carbs for each meal Limit depends on your activity level and medications Talk to your doctor about determining carbs per meal Diet - Create your plate Divide plate into 3 sections - Large section - non-starch veggies (spinach, cabbage, mushrooms) - Small section - starch (potatoes, whole grain breads) - Small section - meat (turkey, tuna, lean pork) Diet - Individualized No one diet is appropriate for every diabetic person Work with your doctor to come up with a diet that is right for your situation Complications of Diabetes Heart disease Blindness Kidney damage Diabetic neuropathy / nerve damage Prevent complications by managing your glucose level, diet, and activity! Diabetes Awareness November is American Diabetes Month November 14 is World Diabetes Day For more information: www.cdc.gov www.diabetes.org www.ndep.nih.gov Websites http://www.cdc.gov/diabetes/consu mer/index.htm http://www.emedicinehealth.com/dia betes/article_em.htm#Diabetes%20O verview http://www.diabetes.org/