The term “Diabetes Mellitus” describes a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances […] 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. The annual incidence of foot ulcers in diabetes is approximately 2% in most Western countries, although higher rates have been reported 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. Management ofDiabetes mellitus Dr. Kartik Doshi 25.1.2012. OUTPATIENT MANAGEMENT OF ADULT DIABETES MELLITUS AUGUST 2018 Why Focus ON DIABETES? *DO NOT EDIT* Note: this slide is animatedInsulin degludec tends to exist as dihexamers in the formulation (in pen). Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The last 90 years have seen considerable advances in the management of type 1 and type 2 diabetes. Bolli G, de Feo P, Compagnucci P, Cartechini MG, Angeletti G, Santeusanio F, Brunetti P, Gerich JE. In the United States, 57.9% of patients with diabetes have 1 or more diabetes-related complications and 14.3% have 3 or more. 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. 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. Chapter Highlights. Taking medication, if prescribed, and closely following the … 3 principles in management of DM – eliminate symptoms, microvascular and macrovascular complication should be avoided, and achieve normal lifestyle as possible…. 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. 1 unit rabbit decrease the glucose 45mg/dl after 30 min…. 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. 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. 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. most amputations in diabetes are preceded by foot ulceration, a thorough understanding of the causes and management of ulceration is essential. Gestational Diabetes Mellitus (GDM) is defined as Impaired Glucose Tolerance (IGT) with onset or first recognition during pregnancy2. Chapter 4: The Diagnosis and management of monogenic diabetes in children and adolescents View Notes - DIABETES MELLITUS.ppt from PHARM 300 at McGill University. 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 Also quantified by hypoglycemic convulsion in mice …… now purified form… chemcal assay…. 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. This disorder is often 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. Management ofDiabetes mellitus Dr. Kartik Doshi 25.1.2012 2. 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. See our User Agreement and Privacy Policy. Weight loss, Exenetide – reduce hypoglucemia episodes, asso. Education of the person with diabetes and his/her Compromise and taking long acting agents…… other s/e agranulocytosis, rash. At the injection site, as phenol is rapidly diffuses away, insulin degludec quickly forms multihexamers. 28 units/1mg…..glargine 2 arg. Ongoing patient self-management education and support are critical to preventing acute complications and reducing the risk of long-term complications. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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). We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Inhaled insulin – not yet commercially available. 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. –High-quality diabetes self-management education and support (DSMES) •Clinical content & skills •Behavioral strategies (goal setting, problem solving, etc.) This preview shows page 1 - 7 out of 25 pages. 1 Although the majority of patients affected by diabetes receive a proper diagnosis, 23.8% of affected adults remain undiagnosed. Necessary lifestyle changes, the complexities and possible side effects of therapy make patient education and self-management important aspects of diabetes care. Exercising regularly. You can change your ad preferences anytime. Now customize the name of a clipboard to store your clips. Why dietary management matters but is difficult to implement. Download Chapter. Clipping is a handy way to collect important slides you want to go back to later. Significant evidence exists that supports a range of interventions to improve diabetes outcomes. 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 , … 1983 Feb; 32 (2):134–141. 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 & • Diabetes is a growing problem . CDC2 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. Course Hero is not sponsored or endorsed by any college or university. Methods We condu… 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. The multihexamers form a depot at the site of injection and represents the primary mechanism of protraction. 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. Effects of therapy make patient education and self-management important aspects of diabetes mellitus, diabetes with... Is a handy way to collect important slides you want to go back to.. Therapy make patient education and support ( DSMES ) •Clinical content & skills •Behavioral strategies ( setting... 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