Abnormal glucose counterregulation in insulindependent diabetes mellitus. This helps you give your presentation on diabetes mellitus in a conference, a school lecture, a business proposal, in a webinar and business and professional representations. The management of type 1 and 2 diabetes mellitus dm requires addressing multiple goals, with the primary goal being glycemic control. Glucose intolerance among the aged is frequent, and a prevalence rate of 5% is found among retired government and army officials above 60 years old, and. The major forms of diabetes are classified according to those caused by deficiency of insulin secretion due to pancreatic.
Management of type 2 diabetes mellitus michigan medicine. Pathophysiology and clinical guidelines the academy of dental learning and osha training, llc, designates this activity for 7 continuing education credits 7 ces. The management of diabetes mellitus year 1 four different types of diabetes. New guidelines for the diagnosis of diabetes mellitus. Diabetes mellitus dm is a common, chronic, metabolic syndrome characterized by hyperglycemia as a cardinal biochemical feature. Type 1 diabetes, also known as insulin dependent diabetes mellitus, iddm, accounts for approximately 10% of diabetes cases. Diabetes mellitus dm, also known as simply diabetes, is a group of metabolic diseases in which there are high blood sugar levels over a prolonged period. For these reasons, hba1c is suitable as a primary diagnostic tool for excluding diabetes with great certainty and for making a diagnosis of diabetes in some cases. Diabetes is known as a disorder of carbohydrates metabolized. Gestational diabetes mellitus monogenic diabetes syndromes cystic fibrosis related diabetes posttransplantation diabetes mellitus s25 3. This form of diabetes, which accounts for only 510% of all diabetes, is a juvenileonset.
Your veterinarian probably became suspicious of diabetes mellitus because you the owner noticed that your pet exhibited some or all of the following symptoms. Type 2 dm or noninsulin dependent dm or adult onset dm 3. Chapter 49 nursing management diabetes mellitus janice lazear what happens is not as important as how you react to what happens. The epidemiology and management of diabetes mellitus in.
Free download diabetes mellitus powerpoint presentation slides. Factors favouring a diagnosis of noninsulindependent diabetes mellitus. Management of diabetes mellitus linkedin slideshare. Complete or near total insulin deficiency is found in type i while type ii diabetes mellitus is characterized by variable degree of insulin resistance, impaired insulin secretion and increased glucose production. Longterm management requires a multidisciplinary approach that includes physicians, nurses, dietitians, and selected specialists. Michigan quality improvement consortium guideline november. 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. Most require 2 or more injections of insulin daily, with doses adjusted on the basis of selfmonitoring of blood glucose levels. Diabetes insipidus is an unrelated disease of the pituitary gland. Beverly thomassian, rn, bcadm, mph, cde revised and updated by health science editor. Management of diabetes mellitus in primary care 2017 the guideline describes the critical decision points in the management of diabetes mellitus dm and provides clear and. Insulin dependent dm or juvenile onset diabetic patients depend on insulin. Management of diabetes mellitus the following guideline applies to patients with type 1 and type 2 diabetes mellitus. Management of diabetes mellitus in primary care 2017 va.
Although the disease is seen less frequently in children, the. It is estimated that in 2010 there were globally 285 million. Use of carb counting in the dietary treatment of diabetes. Interaction of antiinsulin antibodies and impaired glucagon and epinephrine secretion. Sep 24, 2014 diabetes mellitus dm is a common, chronic, metabolic syndrome characterized by hyperglycemia as a cardinal biochemical feature.
Diabetes mellitus type 2, in contrast, is now thought to result from autoimmune attacks on the pancreas andor insulin resistance. National clinical guideline for management of diabetes mellitus kenya wdf09436 national clinical guidelines for management of diabetes melitus complete. There are a number of different causes of diabetes but by far the majority of cases are classified as either type 1 or type 2 diabetes. Diabetes mellitus is a chronic metabolic syndrome or disorder that prevent the body to utilize the glucose completely or partially. Type 2 diabetes guidelines national clinical guideline for management of diabetes mellitus kenya wdf 09436.
Definition, diagnosis and classification of diabetes. In africa, the prevalence of diabetes is expected to rise by 98%, from. Abstract diabetes mellitus type 2 is a disease that affect millions of people. Guidelines for prevention and management of diabetes. Targeting and monitoring glycemic control in nonpregnant adults with diabetes mellitus. Type 2 diabetes mellitus is, by far, the most prevalent type of diabetes, accounting for approximately 90% to 95% of patients with diabetes. People who have diabetes fall into one of two categories, referred to as type 1 and 2.
Primary treatment goals for diabetes patients include the achieving of blood glucose levels that are as close to normal. Euglycemia and prevention of complications individualized treatment plans appropriate goal setting diet exercise selfmonitoring of blood glucose smbg regular monitoring for complications laboratory assessment oral medsinsulin. Lifestyle management diabetes selfmanagement education and support nutrition therapy. Definition, diagnosis and classification of diabetes mellitus. Diabetes mellitus also recently approved new criteria for the diagnosis of dm.
Dental management considerations for the patient with. Type 1 diabetes, also known as insulin dependent diabetes mellitus, iddm, accounts for. It recommends specific interventions for periodic medical assessment, laboratory tests and education. Santiprabhob j, likitmaskul s, kiattisakthavee p, et al. She is certified in counseling, community health, stress. Diabetes mellitus is a chronic endocrine disorder, characterized by hyperglycaemia resulting from absolute or relative insulin deficiency.
The diagnosis of diabetes mellitus is usually extremely straightforward. Abstract diabetes mellitus type 2 is a disease that affect millions of people worl dwide. It recommends specific interventions for periodic medical assessment. Insulin therapy is recommended for patients with type 2 diabetes mellitus and an initial a1c level greater than 9 percent, or if diabetes is uncontrolled despite optimal oral glycemic therapy. Individualize all glycemic targets a1c, fpg, ppg 5. People with diabetes have mi risk levels comparable to people with prior mi 20% 19% 0 5 10 15 20 25 diabetes no prior mi prior mi no diabetes l patients with diabetes without previous. Classic symptoms of diabetes include polydipsia, polyuria and unexplained weight loss.
The prevalence of diabetes mellitus is declining in recent years due to improved management of cases. In patients diagnosed with diabetes mellitus dm, the therapeutic focus is on preventing complications caused by hyperglycemia. Some of these complications begin within months of the onset of diabetes, although most tend to. 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 insulinproducing beta cells of the pancreas. Diabetes mellitus type one diabetes mellitus type two diabetes mellitus type one and a half gestational. Maturity onset diabetes of youth mody is a rare type of diabetes that may be inherited as an autosomal dominant condition. Aaceace clinical practice guidelines for developing a diabetes mellitus. This algorithm for the comprehensive management of persons with type 2 diabetes t2d was developed to provide clinicians with a practical guide that considers the whole patient, his or her spectrum of risks and complications, and evidencebased approaches to treatment. People with diabetes have mi risk levels comparable to people with prior mi 20% 19% 0 5 10 15 20 25 diabetes no prior mi prior mi no diabetes l patients with diabetes without previous mi have as high of a risk of mi as nondiabetic patients with previous mi. Type 1 dm or insulin dependent dm or juvenile onset dm 2. Diabetes mellitus diabetes diagnosed during pregnancy immediately after pregnancy.
Guidelines american association of clinical endocrinologists. It has a less favorable outcome after surgical decompression, as diabetes slows nerve regeneration. Management of diabetes mellitus in primary care 2017. National clinical guideline for management of diabetes. Powerpoint is the worlds most popular presentation software which can let you create professional diabetes mellitus powerpoint presentation easily and in no time. Diabetes mellitus dm is a rapidly growing chronic and multifactorial disease with a worldwide projection of 324 million diabetics by the year 2025. Diabetes mellitus is a general term for heterogeneous disturbances of metabolism for which the main finding is chronic hyperglycaemia. She is certified in counseling, community health, stress management education, holistic nursing, healing touch, as a diabetes educator, and holds advanced status as a diabetes nurse practitioner and as a holistic nurse. People with diabetes mellitus may experience many serious, longterm complications. It recommends specific interventions for periodic medical assessment, laboratory tests and education to guide effective patient self management. It is particularly suited for providers who work with medicare beneficiaries. Improved glycemic control in adolescents with type 1 diabetes mellitus who attend diabetes camp. Medical treatment of diabetes mellitus cleveland clinic.
Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp. Development of the 2010 diabetes mellitus guideline update version 4. These data provide a rationale for treating cardiovascular risk. Patients with type 1 diabetes mellitus dm require lifelong insulin therapy. Type 1, type 2, lada or since onfusion abounds, isnt it time for a new classification schema for the diagnosis and treatment of diabetes mellitus. She has been involved in the field of diabetes since 1969 as a diabetes educator, consultant, specialist, and nurse practitioner. Type i diabetes is usually diagnosed during childhood or young adulthood, which is why. Maintaining glycemic control in patients with diabetes prevents many of the microvascular and macrovascular complications associated with diabetes.
This directory will help the care team identify resources to improve diabetes management by promoting medication adherence. Prevention is based on diet and life style interventions that should continue during treatment with oral antidiabetic agents or insulin. Comprehensive medical evaluation and assessment of comorbidities patientcentered collaborative care comprehensive medical evaluation assessment of comorbidities s33 4. Apr 29, 2020 patients with type 1 diabetes mellitus dm require lifelong insulin therapy. Your veterinarian probably became suspicious of diabetes mellitus. Diabetes mellitus type one diabetes mellitus type two diabetes mellitus type one and a half gestational diabetes diabetic ketoacidosis is the most serious complication of diabetes. Primary treatment goals for diabetes patients include the achieving of blood glucose levels that are as close to normal as possible and the prevention of diabetic complications. The chronic metabolic disorder diabetes mellitus is a fastgrowing global problem with huge social, health, and economic consequences.
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