View Notes - DIABETES MELLITUS.ppt from PHARM 300 at McGill University. This preview shows page 1 - 7 out of 25 pages. The last 90 years have seen considerable advances in the management of type 1 and type 2 diabetes. • Management of non-insulin-dependent diabetes mellitus (NIDDM) requires teamwork. • Diabetes is a growing problem . Chapter Highlights. Chapter 4: The Diagnosis and management of monogenic diabetes in children and adolescents 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 3 principles in management of DM – eliminate symptoms, microvascular and macrovascular complication should be avoided, and achieve normal lifestyle as possible…. Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies beyond glycemic control. II. 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 Compromise and taking long acting agents…… other s/e agranulocytosis, rash. Methods We condu… Diabetes in Older Adults: A Growing Population With Special Challenges. If you continue browsing the site, you agree to the use of cookies on this website. If you continue browsing the site, you agree to the use of cookies on this website. You can change your ad preferences anytime. Necessary lifestyle changes, the complexities and possible side effects of therapy make patient education and self-management important aspects of diabetes care. Course Hero is not sponsored or endorsed by any college or university. Weight loss, Exenetide – reduce hypoglucemia episodes, asso. 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. 200 mg/dl target. We evaluated telemedicine’s effectiveness in delivering endocrinology care from Atlanta-based endocrinologists. See our User Agreement and Privacy Policy. This disorder is often Now customize the name of a clipboard to store your clips. When a person with diabetes neglects this important aspect of diabetes management, then his/her blood sugars become uncontrolled. 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. Why dietary management matters but is difficult to implement. 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. Diabetes mellitus is a chronic disease that poses a significant burden to patients. Bolli G, de Feo P, Compagnucci P, Cartechini MG, Angeletti G, Santeusanio F, Brunetti P, Gerich JE. Management ofDiabetes mellitus Dr. Kartik Doshi 25.1.2012 2. 2018 2018 AAHA Diabetes Management Guidelines for Dogs and Cats. 1 unit rabbit decrease the glucose 45mg/dl after 30 min…. 1 In addition, new diagnostic criteria, now widely adopted in Australia, 2–4 have greatly increased diagnosis of GDM. OUTPATIENT MANAGEMENT OF ADULT DIABETES MELLITUS AUGUST 2018 Why Focus ON DIABETES? In patients diagnosed with diabetes mellitus (DM), the therapeutic focus is on preventing complications caused by hyperglycemia. The multihexamers form a depot at the site of injection and represents the primary mechanism of protraction. Pharmacotherapy Management of Diabetes Mellitus, Diabetes Therapeutics with special populations 2013 outline, Medical University of South Carolina • PHARM 101. 28 units/1mg…..glargine 2 arg. most amputations in diabetes are preceded by foot ulceration, a thorough understanding of the causes and management of ulceration is essential. Residue prolong the action…. Overview• Learning Objectives • Management of type 1 DM• Introduction • Management of type 2• Disease burden DM• Physiology • Recent advances• Pathogenesis • Summary • References These include additional focus on lifestyle management and diabetes self-management … See our Privacy Policy and User Agreement for details. • Self-care is an essential strategy. Abnormal glucose counterregulation in insulin-dependent diabetes mellitus. 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). CDC2 Diabetes. 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. Looks like you’ve clipped this slide to already. Education of the person with diabetes and his/her An individual with diabetes can often manage his condition by diet and exercise alone. In the United States, 57.9% of patients with diabetes have 1 or more diabetes-related complications and 14.3% have 3 or more. DIABETIC MELLITUS DEFINITION:- Diabetes is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Gestational diabetes mellitus (GDM), or diabetes first recognised during pregnancy, is being diagnosed with increasing frequency. National guideline for diagnosis and management of Gestational Diabetes endorses the single step test recommended by WHO for diagnosis of GDM using a 75gm 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. •Engagement with psychosocial concerns –Addressing barriers to medication taking Improving Care and Promoting Health in Population: Standards of Medical Care in Diabetes - 2018. 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. –High-quality diabetes self-management education and support (DSMES) •Clinical content & skills •Behavioral strategies (goal setting, problem solving, etc.) We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Ongoing patient self-management education and support are critical to preventing acute complications and reducing the risk of long-term complications. of hypoglycemia episodes, any chronic complications, chronic glucose level SMBG, exercise and nutrtion. 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. 1 Although the majority of patients affected by diabetes receive a proper diagnosis, 23.8% of affected adults remain undiagnosed. Type 2 diabetes mellitus is increasingly common, primarily because of increases in the prevalence of a sedentary lifestyle and obesity. 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. 1982 Jun; 31 (6 Pt 1):479–483. 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). 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. 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. Nurses commonly encounter patients with type 1 or type 2 diabetes mellitus in their practice. 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 …. 8. Taking medication, if prescribed, and closely following the … Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Diabetes. Glucose transporter Insulin dependent and independent glucoseutiliztion, regulation of insulin by chemical. Management of these conditions requires an in-depth knowledge of blood glucose monitoring. 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. 1. CDC1 The CDC projects that by 2050, as many as 33 % of U.S. adults could have diabetes. Detemir fatty acid side chain - prolong the action, GLP1 analogue greater effectiveness of reducing glucose excursions and also ass. Neuronal and hormonal, Already established patients – look for diabetes knowledge, HbA1c level, no. 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 , … 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. 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