Diabetes

1
Diabetes

• Tim Seawright MS, RD/LD,CDE

2
Statistics

• Uncontrolled diabetes is the 7th leading cause of
  death in the U.S.
• Leading cause of
• Adult blindness
• End-stage renal disease
• Non-traumatic lower-limb amputations
• 2X the risk of stroke and heart disease.
• Increased risk for neurological symptoms,
  cardio-vascular disease and other complications.

3
Prevalence

• 23.6 million people have diabetes
• 17.9 million are diagnosed.
• 5.7 million are undiagnosed.

4
Expenditures

• The overall economic cost in 2007 174 billion.
• Direct medical costs 116 billion.
• Reduced national productivity has been estimated
  to account for 58 to 105 billion.
• Type 2 accounts for nearly all of the expenditure

5
Types

• Type 1
• Autoimmune
• Type 2
• Insulin resistance
• Gestational

6
Risk Factors

• Overweight
• Poor Diet
• Age over 45
• Sedentary lifestyle
• History of gestational diabetes
• Giving birth of baby weighting over 9 lbs.
• Family history of diabetes
• Ethnic Ancestry
• Low HDL cholesterol
• High triglycerides
• High blood pressure
• Impaired glucose tolerance

7
TreatmentType 1

• Insulin
• Rapid Acting
• Fast Acting
• Long Acting
• Symlin

8
TreatmentType 2

• Diet
• Exercise
• Medications
• Oral Medications
• Insulin

9
Self Care

• Healthy Eating
• Being Active
• Monitoring
• Medications
• Problem Solving
• Reducing Risks
• Healthy Coping

10
Team Approach

• Endocrinologist
• Primary Care Provider
• Dietitian
• Diabetes Nurse
• Certified Diabetes Educator
• Pharmacist
• Ophthalmologist
• Dentist

11
Conclusion

• Diabetic complications can be reduced by 50-80
• Type 2 diabetes can be prevented

12
References

• Side by Side A partner approach to diabetes
  self-care (2008). American Association of
  Diabetes Educators.
• American Diabetes Association. Economic costs of
  diabetes in the U.S. in 2007. Diabetes Care.
  200831(3)1-20
• CDC, Fact Sheet. http//www.cdc.gov/diabetes/pubs/
  pdf/ndfs_2007.pdf