Diabetes with a focus on prevention

1. Diabetes with a focus on prevention Dr. Bichara Sahely Consultant Physician 29th October, 2010 International University of Nursing, Basseterre, St. Kitts

2. What is diabetes? • Inability of the body to regulate and utilize energy properly • Due to not producing enough insulin or insulin not acting properly • Resulting in elevated glucose in our blood • Which leads to many preventable complications and early death

3. Food broken down to smaller pieces by chewing Pancreas Liver Fat Digestion occurs by enzymes Muscle Absorption of glucose, fatty acids and amino acids

4. Pancreas Liver Fat High glucose -> increased insulin Muscle

5. Insulin Signaling Pathways That Regulate Glucose Metabolism in Muscle Cells and Adipocytes Shepherd P and Kahn B. N Engl J Med 1999;341:248-257

9. Do I have diabetes?

11. Your Body Mass Index tells you if you are overweight or obese!!

12. What is normal weight? or (Pre-Obesity)

13. Source: CAREC, based on mortality reports from countries

19. Exercise, Exercise !!!!!