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PREVENTION AND CARE OF DIABETES MELLITUS

PREVENTION AND CARE OF DIABETES MELLITUS. BY , DR. REKHA DUTT Associate professor, Department of PSM Padmashree DR. D.Y.Patil Medical

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PREVENTION AND CARE OF DIABETES MELLITUS

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  1. PREVENTION AND CARE OF DIABETES MELLITUS BY, DR. REKHA DUTT Associate professor, Department of PSM Padmashree DR. D.Y.Patil Medical College, Nerul,Navi Mumbai

  2. Population Strategy Primordial Prevention Normal body weight Healthy nutritional habit Regular physical exercise Two Diabetics – discouraged to get into matrimony High Risk Strategy Obesity correction Avoid alcohol, diabetogenic drugs and smoking Maintain normal B.P, cholesterol & triglyceride level Avoid stress Primary Prevention

  3. Screening High risk cases Treatment Objectives Maintain normal blood glucose levels Maintain the ideal body weight Treat the symptoms Reduce serum lipids Provide adequate nutrition Avoid acute complications Modes Diet Daily exercise Drugs Health education Secondary Prevention

  4. Health education in a diabetic ensures • A longer life • Improves the quality of life • Prevents the complications • To be less costly to oneself, family & health system under which one lives WHO expert committee report 1980 states ‘Education is corner stone of diabetic therapy & vital to the integration of a diabetic in the society’

  5. Whoshouldbetaught • Patient – Has to adopt a ‘Self care’ • Adherence to diet • Drugs regimen • Urine examination • Blood glucose monitoring • Self administration of insulin – Dose, Technique & Care of syringe • Abstinence from alcohol • Maintenance of optimum weight • Care of feet • Recognition of symptoms associated with glycosuria & hypoglycemia • Attending periodic check ups • Carry I-Card

  6. People in close contacts – Family, Neighbours & Colleagues • Family doctor • Teacher in juvenile diabetic • Social worker

  7. Being diabetic requires constant Re-enforcement & Re-education as it achieves better compliance METHODS OF TEACHING • Mass educational programme • Books/ Pamphlets/ Magazines • Lectures & Seminars • Radio talks, Videotapes, T.V • Personal approach • Diabetic clinic • Camps • OPD & indoor patients

  8. EDUCATION OF YOUNGER PATIENT PRESENTS A MAJOR CHALLENGE AS • Longevity of life • Prone to complications • Need for self sufficiency • Needs differ according to ages

  9. EDUCATION OF OLDER PATIENT • Take illness lightly • Stress on foot care • Assistance needed i. Limited fund • ii. Loneliness EDUCATION OF ILLITERATE PERSONS • More complications • Hospital as last resort • Language barriers

  10. DIABETIC WHO KNOWS THE MOST LIVES THE LONGEST

  11. Tertiary prevention To limit the disabilities • By diabetic clinics- To provide diagnostic & management skill of high order • Rehabilitation i. Psychological ii. Vocational

  12. THANK YOU

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