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DIABETES GUIDELINES AND TREATMENT PCOMMEDNET FAMILY MEDICINE RESIDENCY INTENSIVE BOARD REVIEW RICHARD P. PREDIABETES ? Those patients with impaired fasting glucose(100- 125) or impaired glucose tolerance(2hr between 140-199) ? Both are risk factors for future DM and cardiovascular disease.
Initial Evaluation Medical History ? DKA frequency? Hypoglycemic frequency? Hx of complications: microvascular- retinopathy, nephropathy, neuropathy. Summary ? Think Diabetes- Who to screen!? Good History and Physical? Educate, educate, educate!? Monitor? Be aggressive- don’t be afraid to use insulin!
When you start showing signs of Type 2 diabetes, you will need your doctor to send you to see a registered dietician to come up with a healthy eating plan.
In Type 2 diabetes, excessive amounts of calories and fat intake can increase blood sugar levels.
The purpose of a Type 2 diabetes diet is eating the right foods to help keep your blood sugar levels stable, maintain a healthy weight and prevent long-term complications.
A recent diagnosis of Type 2 diabetes or if you have been told you are at risk for diabetes means you should see a registered dietician early in the game. Since diabetes puts you at higher risk for heart disease, you will want to keep your diet very heart friendly. Cholesterol is found in high-fat foods from animal products, egg yolks, liver, shellfish and organ meat. When it comes to carbohydrates, anything made from white flour, white rice, and white flesh potatoes are simple carbohydrates and tend to spike the blood sugar the most.
This range is for small statured women or women who would like to lose weight,and for medium statured women who do not exercise.
Low Glycemic Index Foods:Complex carbohydrates includes high fiber fruits and vegetables, sweet potatoes, cherries, whole grain breads, and brown rice. High Glycemic Index Foods:These are foods that have more simple carbohydrates and should be eaten sparingly like white flour, white rice, low-fiber fruits and vegetables and red potatoes. Stroke remains a leading cause of severe disability and premature death in the United States and other Western countries. The epidemiological studies have indicated that hypertension and type 2 diabetes are commonly associated conditions and their concordance is increased in populations. We evaluated prospectively the joint association of history of hypertension and type 2 diabetes on the incidence of stroke and stroke mortality among 49,582 Finnish participants, who were aged between 25 and 74 years and who were free of stroke and coronary heart disease at baseline (18). The result from our study shows that hypertension and type 2 diabetes are independently linked to increased risk of stroke incidence and stroke-related mortality; these risks are greatly increased in patients with both conditions. If you interesting in "DIABETES GUIDELINES AND TREATMENT" powerpoint themes, you can download to use this powerpoint template for your own presentation template.


It is important to come up with a sensible plan for eating to stabilize blood sugars and prevent complications from the disease. Often this can reduce symptoms of pre-diabetes or bring blood sugars under control if you already have diabetes. If this is not brought under control, you may experience severe complications and even long-term damage to the body's vital organs, nerves and blood vessels. They will help you compose a meal plan best suited to your needs; lifestyle, weight, and health goals. High fiber foods are also good for the heart and help to maintain healthy blood sugar levels. Eat modest amounts of avocado, pecans, almonds, walnuts, olive and olive oils but not too often because of the calories.
Your dietician knows best and always consult your doctor before starting a new eating plan. If you find something affects your blood sugar adversely, probably a good idea is to avoid it altogether.
This is the calorie range for small men of healthy weight and size or men of medium stature who do not exercise.
If the foods are registered high on the glycemic index, they are more likely to cause blood sugar spikes.
If you are seeing this message, it is likely that the Javascript option in your browser is disabled.
To get the best experience using our website we recommend that you upgrade to a newer version. High blood pressure has been found as the most important determinant of stroke risk in all ethnic groups (1-4).
During a mean follow-up of 19.1 years, 2978 incident stroke events were recorded, of which 924 were fatal. Patients with diabetes had an increased HR of 2.50 compared with those who did not have the condition. Because hypertension and type 2 diabetes often occur concomitantly, it is possible that a large proportion of stroke cases thought to be related to hypertension might also be attributable to unrecognized type 2 diabetes.
Hazard ratios for stroke incidence according to the history of hypertension and diabetes at baseline. Hazard ratios for stroke mortality according to the history of hypertension and diabetes at baseline. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.


For viewing only, you can play with our flash based presentation viewer instead of downloading the ppt file. The Type 2 diabetes diet focuses on getting out of the fast food and carbohydrate "rut." It focuses on introducing more whole and healthy foods that your body will need to manage this condition. These includenuts, beans, whole-wheat flour, wheat bran, fruits and vegetables that are high in fiber. For an added benefit, eat fish high in Omega-3 fatty acids like salmon, mackerel and bluefish. Stay away from Trans fats like stick margarine, shortening, commercial baked goods and processed snack foods. For optimal viewing of this site, please ensure that Javascript is enabled for your browser. The association between blood pressure and stroke mortality is strong and direct, and the absolute risk of stroke mortality associated with high blood pressure increases with age (4). However, the independent effect of type 2 diabetes or hyperglycemia on stroke risk has been found inconsistent; some (7-14), but not all studies (15-17) have identified type 2 diabetes or hyperglycemia as an independent risk factor for stroke.
The association between hypertension and increased risk of stroke incidence and stroke-related mortality was consistent among diabetic and nondiabetic patients. Although there are few studies (12, 14) concerning the joint prognostic effect of hypertension and type 2 diabetes on stroke risk in the general population, it is not well known whether the increasing risk of stroke comes from the effect of hypertension or type 2 diabetes alone, or from the combined effect of both hypertension and type 2 diabetes. Part 1, Prolonged differences in blood pressure: prospective observational studies corrected for the regression dilution bias.
Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies.
Physical activity, cardiovascular risk factors, and mortality among Finnish adults with diabetes. Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial.
Risk profile and prediction of long-term ischemic stroke mortality: a 21-year follow-up in the Israeli Ischemic Heart Disease (IIHD) Project.
Prospective associations of fasting insulin, body fat distribution, and diabetes with risk of ischemic stroke.
The impact of history of hypertension and type 2 diabetes at baseline on the incidence of stroke and stroke mortality.



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