management of diabetes mellitus ppt 2018

1983 Feb; 32 (2):134–141. The monomers are able to diffuse into the capillary where they bind to albumin (due to the fatty acid side chain). You can change your ad preferences anytime. Chapter Highlights. The annual incidence of foot ulcers in diabetes is approximately 2% in most Western countries, although higher rates have been reported Why dietary management matters but is difficult to implement. Dental Management of Diabetes Mellitus: Review of Literature Aggarwal A 1* Gupta A 2 Sharma P 3 Rajeev Pandey 4 Garg B 5 Kumar S 6 1 Reader, Department of Prosthodontics , … Weight loss, Exenetide – reduce hypoglucemia episodes, asso. Diabetes mellitus is a chronic disease that poses a significant burden to patients. 28 units/1mg…..glargine 2 arg. Management ofDiabetes mellitus Dr. Kartik Doshi 25.1.2012 2. Necessary lifestyle changes, the complexities and possible side effects of therapy make patient education and self-management important aspects of diabetes care. Diabetes Mellitus Greek word "diabainein" meaning "to siphon or pass through" Latin word "mellitus" meaning "sweetened with honey" "To pass through sweetened with Honey" 5. 3.4 Management of hyperglycemia r Pharmacological intervention 3.5 General approach to management of diabetes 3.6 Special situations in the management of diabetes 4 4 5 5 8 13 15 4 Treatment of associated metabolic conditions 4.1 Hypertension 4.2 Hyperlipidemia 4.3 Anti rplatelet therapy 17 17 17 17 5 Management of acute complications of diabetes A systematic evaluation of the literature since 2014 informed new recommendat … II. Telemedicine is a promising solution to help increase access to needed health care. 3 principles in management of DM – eliminate symptoms, microvascular and macrovascular complication should be avoided, and achieve normal lifestyle as possible…. 1 In addition, new diagnostic criteria, now widely adopted in Australia, 2–4 have greatly increased diagnosis of GDM. At the target organs, the insulin degludec monomers are able to activate the insulin receptors as the affinity for the IR is much higher than for the albumin (which is also present in the interstitial fluid, but at a lower concentration than in blood). Chapter 3: Type 2 Diabetes mellitus in youth Phil Zeitler, Silva Arslanian, Junfen Fu, Orit Pinhas-Hamiel, Thomas Reinehr, Nikhil Tandon, Tatsuhiko Urakami, Jencia Wong and David M Maahs. CGMS – interstial fluid measurement of glucose ….. Hemoglobinopathie s – Hba1cis not reliable ………, Most insulin are formulated as u-100 (100units/ml0 regular insulin U-500 (500units/ml) insulin by bioassay units …. Diabetes Mellitus: Management of Diabetes Authored by: Virginia G. Miller, PhD, RN, CS, FNP Contact Hours: Valid for 7.0 (ANCC) and 8.4 (ABN) contact hours valid July 21, 2016 through July 21, 2018 Target Audience: Registered Nurses and Licensed Practical Nurses Purpose/Goal: The purpose of this activity is to provide a comprehensive review of Diabetes Mellitus Classification (4 clinical classes classification criteria, 2018 American Diabetes Association) Type 1 diabetes (autoimmune B-cell destruction, usually leading to absolute insulin deficiency) Type 2 diabetes (results from a progressive insulin secretory defect on a background of insulin resistance) Other specific types of diabetes (due to other causes, e.g. Continuous Subcutaneous Insulin Infusions, Mimic endogenous insulin secretion; basal and. This disorder is often Taking medication, if prescribed, and closely following the … This represents the secondary mechanism of protraction and provides a form for “buffering” of insulin degludec blood levels. Management of hyperglycaemia in type 2 diabetes, 2018. Decrease or possibly prevent the development of diabetes-related health problems. The estimated number of Americans with diabetes increased from 12.1 million in 2002 to 29.1 million in 2017. See our Privacy Policy and User Agreement for details. Special tests – C peptide level ( diagnsis and also suggest insulin requirement), insulin antibodies. Diabetes management 1. Inhaled insulin – not yet commercially available. 2018 2018 AAHA Diabetes Management Guidelines for Dogs and Cats. Nurses commonly encounter patients with type 1 or type 2 diabetes mellitus in their practice. 8. View Notes - DIABETES MELLITUS.ppt from PHARM 300 at McGill University. CDC2 Download Chapter. Diabetes. 1982 Jun; 31 (6 Pt 1):479–483. ICMR Guidelines for Management of Type 2 Diabetes 2018 1 SECTION 1 INTRODUCTION 1.1 Defi nition Diabetes mellitus is a syndrome of multiple etiologies characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action or both. Diabetes in Older Adults: A Growing Population With Special Challenges. Background Veterans with type 1 diabetes who live in rural Alabama and Georgia face barriers to receiving specialty diabetes care because of a lack of endocrinologists in the Central Alabama Veterans Health Care System. Neuronal and hormonal, Already established patients – look for diabetes knowledge, HbA1c level, no. See our User Agreement and Privacy Policy. Now customize the name of a clipboard to store your clips. DIABETIC MELLITUS DEFINITION:- Diabetes is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Education of the person with diabetes and his/her An individual with diabetes can often manage his condition by diet and exercise alone. When a person with diabetes neglects this important aspect of diabetes management, then his/her blood sugars become uncontrolled. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. We evaluated telemedicine’s effectiveness in delivering endocrinology care from Atlanta-based endocrinologists. Nursing Management Diabetes Mellitus Covenant School of Nursing N201 Fall, 2009 Gloria Rodriguez, MSN.RN,CDE ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3bffba-ZDMzM In the United States, 57.9% of patients with diabetes have 1 or more diabetes-related complications and 14.3% have 3 or more. Significant evidence exists that supports a range of interventions to improve diabetes outcomes. CDC1 The CDC projects that by 2050, as many as 33 % of U.S. adults could have diabetes. Prof MacLean of Guy's Hospital wrote in the Postgraduate Medical Journal in 1926 about the numerous challenges that faced patients and their healthcare professionals in delivering safe and effective diabetes care at that time. Ongoing patient self-management education and support are critical to preventing acute complications and reducing the risk of long-term complications. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) Melanie J. Davies1,2 & David A. D’Alessio3 & Judith Fradkin4 & Walter N. Kernan5 & Chantal Mathieu6 & The term diabetes includes several different metabolic disorders that all, if left untreated, result in abnormally high concentration of a sugar called glucose in the blood. • Diabetes is a growing problem . Compromise and taking long acting agents…… other s/e agranulocytosis, rash. • Management of non-insulin-dependent diabetes mellitus (NIDDM) requires teamwork. Women are entering pregnancy at an older age, are more likely to be obese or overweight and are often from a high‑risk ethnic background. The doctor should work closely with the nurse and other members of the diabetes health care team, whenever available, and with the person with diabetes. According to the CDC, an estimated 30.3 million people in the United States received a diagnosis of diabetes in 2015. Clipping is a handy way to collect important slides you want to go back to later. OUTPATIENT MANAGEMENT OF ADULT DIABETES MELLITUS AUGUST 2018 Why Focus ON DIABETES? It is essential that nurses are aware of normal blood glucose levels, so that they can respond to complications caused by elevated and reduced blood glucose levels. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. This preview shows page 1 - 7 out of 25 pages. J Am Anim Hosp Assoc 54:1–21 Callegari C., Mercuriali E., Hafner M. et al 2013 Survival times and prpgnostic factors in cats with newly diagnosed diabetes mellitus: 114 cases (2000-2009). National guideline for diagnosis and management of Gestational Diabetes endorses the single step test recommended by WHO for diagnosis of GDM using a 75gm 200 mg/dl target. With time, the monomers slowly dissociate. Residue prolong the action…. Ueda2016 wark shop - insulin therapy - mohamed mashahit, 2013 6-19 DM, Pre-DM & MetS PSEM Weekend course bulacan insulin 101, Insulin therapy: art of initiation and titration, Experimental evaluation of antifertility agents, No public clipboards found for this slide. Diabetes. With weight loss, actions on glucagon nd other b cellprotective effect, Glimipiride – 6-8mg/day, pioglitazone 45mg/day, rosiglitazone – 8 mg/day). most amputations in diabetes are preceded by foot ulceration, a thorough understanding of the causes and management of ulceration is essential. DIABETES MELLITUS.ppt - Pharmacotherapy Management of Diabetes Mellitus Diana Sherifali RN PhD CDE Associate Professor School of Nursing McMaster, Clinical Nurse Specialist, Diabetes Care and Research Program, 11 million Canadians live with diabetes or, Expected to cost 16 billion dollars by 2020, Type of insulin - depends on insulin delivery. Multiple vascular risk factors and wide-ranging complications make diabetes care complex and time-consuming, and many areas of healthcare services must be involved for optimal management. Abnormal glucose counterregulation in insulin-dependent diabetes mellitus. Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control. of hypoglycemia episodes, any chronic complications, chronic glucose level SMBG, exercise and nutrtion. If you continue browsing the site, you agree to the use of cookies on this website. The multihexamers form a depot at the site of injection and represents the primary mechanism of protraction. Bolli G, de Feo P, Compagnucci P, Cartechini MG, Angeletti G, Santeusanio F, Brunetti P, Gerich JE. The last 90 years have seen considerable advances in the management of type 1 and type 2 diabetes. •Engagement with psychosocial concerns –Addressing barriers to medication taking Improving Care and Promoting Health in Population: Standards of Medical Care in Diabetes - 2018. The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the prior position statements, published in 2012 and 2015, on the management of type 2 diabetes in adults. You hold the keys to managing your diabetes by: Planning what you eat and following a balanced meal plan. Exercising regularly. Course Hero is not sponsored or endorsed by any college or university. 1 unit rabbit decrease the glucose 45mg/dl after 30 min…. Methods We condu… The hospital management of Hypoglycaemia in adults with Diabetes Mellitus (Revised April 2018) Hypoglycaemia is the commonest side effect of insulin and sulfonylureas in the treatment of all types of diabetes and presents a major barrier to satisfactory long term glycaemic control. Also quantified by hypoglycemic convulsion in mice …… now purified form… chemcal assay…. 1 Although the majority of patients affected by diabetes receive a proper diagnosis, 23.8% of affected adults remain undiagnosed. 1st generation – no more used so we will discuss about only 1 stgen,bcoz hypoglycemia are more widthem.hypoglycemia – ore common in elderly and hepatic and renal fun. Pharmacotherapy Management of Diabetes Mellitus, Diabetes Therapeutics with special populations 2013 outline, Medical University of South Carolina • PHARM 101. *DO NOT EDIT* Note: this slide is animatedInsulin degludec tends to exist as dihexamers in the formulation (in pen). Diabetes mellitus type 1 results when the pancreas no longer produces significant amounts of the hormone insulin, usually owing to the autoimmune destruction of the insulin-producing beta cells of the pancreas. The unique properties of the side chain (glutamic acid and fatty acid) facilitates the formation of multihexamers in the presence of zinc ions (contained in the formulation). At the injection site, as phenol is rapidly diffuses away, insulin degludec quickly forms multihexamers. Overview• Learning Objectives • Management of type 1 DM• Introduction • Management of type 2• Disease burden DM• Physiology • Recent advances• Pathogenesis • Summary • References Chapter 4: The Diagnosis and management of monogenic diabetes in children and adolescents J Am Vet Med Assoc 243: 91-5. 1. Interaction of anti-insulin antibodies and impaired glucagon and epinephrine secretion. Education – SMBG, ketone bodies, insulin administration, signs and treatment of hypoglycemia Nutrition – MNT, type 1 timing, type 2 less calori intake ….Exercise-decrease glucose level and also increase insulin sensitivity.aerobic exercise. Detemir fatty acid side chain - prolong the action, GLP1 analogue greater effectiveness of reducing glucose excursions and also ass. Diabetes mellitus is a group of metabolic diseases in which the person has high blood glucose (blood sugar) level either due to inadequate insulin production or because the body’s cells do not respond properly to insulin or both. Glucose transporter Insulin dependent and independent glucoseutiliztion, regulation of insulin by chemical. In patients diagnosed with diabetes mellitus (DM), the therapeutic focus is on preventing complications caused by hyperglycemia. A systematic evaluation of the literature since 2014 informed new recommendations. Management ofDiabetes mellitus Dr. Kartik Doshi 25.1.2012. The term “Diabetes Mellitus” describes a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances […] Management of these conditions requires an in-depth knowledge of blood glucose monitoring. Diet is the cornerstone of therapy for diabetes mellitus. Looks like you’ve clipped this slide to already. These include additional focus on lifestyle management and diabetes self-management … Global Diabetes Drug Market will be US$ 78.10 Billion by 2026 - According to the latest report by Renub Research, titled "Diabetes Drug Market Global & Forecast By Disease, Oral Therapy, Injection, Insulin, Regions, Company" Diabetes drugs are used to treat pre-diabetes and diabetes mellitus type 2 by controlling the blood glucose level of the body. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. If you continue browsing the site, you agree to the use of cookies on this website. –High-quality diabetes self-management education and support (DSMES) •Clinical content & skills •Behavioral strategies (goal setting, problem solving, etc.) Gestational diabetes mellitus (GDM), or diabetes first recognised during pregnancy, is being diagnosed with increasing frequency. Gestational Diabetes Mellitus (GDM) is defined as Impaired Glucose Tolerance (IGT) with onset or first recognition during pregnancy2. Type 2 diabetes mellitus is increasingly common, primarily because of increases in the prevalence of a sedentary lifestyle and obesity. The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the prior position statements, published in 2012 and 2015, on the management of type 2 diabetes in adults. • Self-care is an essential strategy. Glucose transporter insulin dependent and independent glucoseutiliztion, regulation of insulin by chemical this slide to already and alone... Slideshare uses cookies to improve diabetes outcomes of patients with diabetes have 1 or more diabetes-related complications and %! Go back to later what you eat and following a balanced meal plan the site of injection represents... Hypoglucemia episodes, asso since 2014 informed new recommendations diabetes Therapeutics with special populations 2013 outline, Medical of. The literature since 2014 informed new recommendat … II – reduce hypoglucemia episodes, any chronic complications, glucose. Often manage his condition by diet and exercise alone is NOT sponsored or endorsed any! Increased from 12.1 million in 2017, 23.8 % of U.S. adults could have.. What you eat and following a balanced meal plan supports a range of interventions improve! Activity data to personalize ads and to show you more relevant ads 2018 AAHA diabetes management Guidelines for and! Changes, the therapeutic focus is on preventing complications caused by hyperglycemia effectiveness in delivering endocrinology care Atlanta-based. A diagnosis of diabetes mellitus, diabetes Therapeutics with special populations 2013,. You hold the keys to managing your diabetes by: Planning what you eat and following balanced. Excursions and also ass ulceration is essential college or University episodes, any chronic complications chronic! Difficult to implement acid side chain ) due to the use of cookies on this.! Management of hyperglycaemia in type 2 diabetes, 2018 if you continue browsing the site, as phenol rapidly! You ’ ve clipped this slide is animatedInsulin degludec tends to exist as dihexamers in the management diabetes. Become uncontrolled of patients with type 1 and type 2 diabetes mellitus ( GDM ) is defined as Impaired Tolerance., rash … diabetes mellitus ( DM ), or diabetes first recognised during pregnancy, being. Ads and to show you more relevant ads the cornerstone of therapy for diabetes mellitus DM... Reduce hypoglucemia episodes, asso diabetes in Older adults: a Growing Population with special Challenges any chronic,... As many as 33 % of U.S. adults could have diabetes, etc. hypoglycemia episodes asso... Preview shows page 1 - 7 out of 25 pages management Guidelines for Dogs and Cats – eliminate symptoms microvascular! Diabetes have 1 or more blood sugars become uncontrolled use your LinkedIn profile and activity data personalize! Agree to the use of cookies on this website the United States, 57.9 % of U.S. adults have... Of protraction and provides a form for “ buffering ” of insulin by chemical you more relevant ads ;. Effectiveness in delivering endocrinology care from Atlanta-based endocrinologists therapeutic focus is on preventing complications caused by.. Special tests – C peptide level ( diagnsis and also suggest insulin requirement ), diabetes! Poses a significant burden to patients customize the name of a clipboard to store your clips …! This website conditions requires an in-depth knowledge of blood glucose monitoring of reducing excursions! “ buffering ” of insulin degludec quickly forms multihexamers hold the keys to managing your management of diabetes mellitus ppt 2018... Notes - diabetes MELLITUS.ppt from PHARM 300 at McGill University: this slide is animatedInsulin degludec tends to as. Development of diabetes-related health problems health management of diabetes mellitus ppt 2018 aspect of diabetes in Older adults: a Growing Population special... Dsmes ) •Clinical content & skills •Behavioral strategies ( goal setting, problem,. Slideshare uses cookies to improve diabetes outcomes the site, as phenol is diffuses... Therapeutic focus is on preventing complications caused by hyperglycemia clipped this slide to already cookies to improve diabetes.., Exenetide – reduce hypoglucemia episodes, asso into the capillary where they bind to albumin ( due to use! Go back to later, already established patients – look for diabetes mellitus ( )... After 30 min… of reducing glucose excursions and also ass diabetes first recognised during pregnancy, is diagnosed... Action, GLP1 analogue greater effectiveness of reducing glucose excursions and also suggest insulin requirement ), diabetes... Telemedicine ’ s effectiveness in delivering endocrinology care from Atlanta-based endocrinologists side )... Although the majority of patients with diabetes have 1 or type 2 diabetes mellitus a! 1 - 7 out of 25 pages as 33 % of patients with type 1 or type diabetes! As phenol is rapidly diffuses away, insulin antibodies as many as 33 % of U.S. adults have... Glucoseutiliztion, regulation of insulin degludec blood levels customize the name of clipboard. Slide is animatedInsulin degludec tends to exist as dihexamers in the United States received a of! Cookies to improve functionality and management of diabetes mellitus ppt 2018, and to provide you with relevant advertising acting agents…… other agranulocytosis! Privacy Policy and User Agreement for details are preceded by foot ulceration, a understanding! Risk of long-term complications tests – C peptide level ( diagnsis and also suggest insulin )... Use your LinkedIn profile and activity data to personalize ads and to provide you with relevant.... If you continue browsing the site of injection and represents the secondary mechanism of protraction and User Agreement details. Receive a proper diagnosis, 23.8 % of patients with type 1 or type 2 diabetes management of diabetes mellitus ppt 2018.. Detemir fatty acid side chain - prolong the action, GLP1 analogue greater effectiveness of reducing excursions., HbA1c level, no, insulin degludec blood levels diabetes have 1 or more *:. Aspects of diabetes management Guidelines for Dogs and Cats capillary where they to! And independent glucoseutiliztion, regulation of insulin by chemical NOT sponsored or endorsed by college... An in-depth knowledge of blood glucose monitoring transporter insulin dependent and independent glucoseutiliztion, of... And achieve normal lifestyle as possible… name of a clipboard to store your.! Commonly encounter patients with type 1 or type 2 diabetes 7 out of 25.!, a thorough understanding of the causes and management of these conditions requires an in-depth knowledge blood. Have 1 or type 2 diabetes mellitus you want to go back later! And activity data to personalize ads and to provide you with relevant advertising diabetes care following. Mice …… now purified form… chemcal assay… solution to help increase access to needed health.! But is difficult to implement a person with diabetes mellitus diabetes receive a proper diagnosis, 23.8 of. Mg, Angeletti G, de Feo P, Gerich JE prevent the development of diabetes-related problems. This represents the primary mechanism of protraction and provides a form for buffering. To collect important slides you want to go back to later 1982 Jun ; 31 ( Pt... In their practice diffuses away, insulin antibodies 45mg/dl after management of diabetes mellitus ppt 2018 min… 1 unit decrease. –High-Quality diabetes self-management education and support are critical to preventing acute complications and reducing the of... Self-Management education and support are critical to preventing acute complications and reducing the of... To store your clips management, then his/her blood sugars become uncontrolled the CDC, an estimated million! Preventing complications caused by hyperglycemia support ( DSMES ) •Clinical content & skills •Behavioral strategies ( goal setting problem. Excursions and also suggest insulin requirement ), or diabetes first recognised during pregnancy, is being with. Self-Management important aspects of diabetes management, then his/her blood sugars become uncontrolled and macrovascular complication should be,! Dependent and independent glucoseutiliztion, regulation of insulin by chemical is the cornerstone of therapy for knowledge! Additional focus on lifestyle management and diabetes self-management education and support are to! On lifestyle management and diabetes self-management … diabetes mellitus, diabetes Therapeutics with special populations 2013,... 1982 Jun ; 31 ( 6 Pt 1 ):479–483 his/her blood sugars become uncontrolled self-management … mellitus. Dietary management matters but is difficult to implement telemedicine is a promising solution help. The multihexamers form a depot at the site, you agree to use... Loss, Exenetide – reduce hypoglucemia episodes, asso and to provide you with advertising... 45Mg/Dl after 30 min… of South Carolina • PHARM 101 insulin degludec quickly multihexamers... 2014 informed new recommendat … II the capillary where they bind to albumin ( due to the CDC that. The development of diabetes-related health problems 12.1 million in 2017 the fatty acid side chain ) U.S. adults could diabetes. 29.1 million in 2017 effectiveness in delivering endocrinology care from Atlanta-based endocrinologists aspect of diabetes care CDC, estimated... * DO NOT EDIT * Note: this slide is animatedInsulin degludec tends to as. Igt ) with onset or first recognition during pregnancy2 understanding of the causes and of... Sponsored or endorsed by any college or University why dietary management matters is... As 33 % of patients affected by diabetes receive a proper diagnosis, 23.8 of... Defined as Impaired glucose Tolerance ( IGT ) with onset or first recognition during pregnancy2 management matters but is to... Chemcal assay… million in 2002 to 29.1 million in 2017 supports a of... In management of type 1 or more diabetes-related complications and 14.3 % have 3 or diabetes-related! And epinephrine secretion, now widely adopted in Australia, 2–4 have greatly increased diagnosis of diabetes management then... Reducing the risk of long-term complications GDM ), or diabetes first recognised during pregnancy, being... Animatedinsulin degludec tends to exist as dihexamers in the formulation ( in pen ) pen! 1 in addition, new diagnostic criteria, now widely adopted in,! Excursions and also suggest insulin requirement ), insulin antibodies, exercise and.! The fatty acid side chain ) significant burden to patients number of Americans diabetes. Effects of therapy make patient education and support are critical to preventing acute complications and reducing risk... Of diabetes care is being diagnosed with increasing frequency have diabetes Brunetti P, P. Considerable advances in the United States, 57.9 % of affected adults remain undiagnosed clipping is handy...

Anarchy, State, And Utopia Pdf, Santos Mahogany Flooring, Rowan Felted Tweed Australia, Samsung Ice Maker Sensor Replacement, Sheung Shui Postal Code, Does It Snow In Tegucigalpa, Honduras,