non-pharmacological treatments for diabetes mellitus
TRANSCRIPT
Non-pharmacological treatments for Diabetes
Mellitus
ContentsDiabetes Mellitus (DM)Management of DM (non-
pharmacological treatments)• Dietary management• Physical activities• Stress management
Diabetes Mellitus (DM)
The collection of abnormalities characterized by hyperglycaemia due to absolute or relative insulin deficiency.
Management of DM
MedicationsLife style changes
Medical nutrition (Dietary)
Physical activities
InsulinAnti-
diabetic
Physical activities
Dietary management
Stress management
Non-pharmacological
Treatments
Dietary Management
Aims – • To achieve good glycaemic control &
adequate nutritional intake• To assist with weight management• To prevent/postpone complications of DM
Dietary recommendations• Individualized according to
patient’s ethnicity, cultural, religious & family backgrounds.• Timed according to patient’s daily
routine.• Flexible
Carbohydrates
Consumption of carbohydrates which have low Glycaemic Index (GI)
Glycaemic Index (GI)
Measure of the effects of carbohydrates on blood glucose level.
GI
digestion & absorption of foods
rate of glucose entering in to the circulation
Blood glucose level gradually increases
Sources of carbohydrates
Use – Cereals, mixed coarse grains, whole pulses, salads, red rice, fruits & vegetables (low GI),brown bread
- Foods containing dietary fibres (oats, pulses)
Avoid – sugar, honey, jaggery, sweets, white rice, white bread (high GI)
Sources of protein
Essential amino acids
Vegetable proteins, low fat milk & milk products, fish & lean meats
Sources of fat• Saturated fat (ghee, butter) -
<7% of total caloric intake• Dietary cholesterol intake -
<300mg/day.• Use more than one edible oil.
ω-6 & ω-3 fatty acids• Avoid hydrogenated fat.
Physical Activities (Exercises)
•Regular exercise is essential.
•Specially for patients with Type 2 DM.
•Brisk walk 30-60min/day & 5days/week.
•Exercise schedule must be suited for each individual according to his/her physical strength..
Benefits• Improvement in Insulin sensitivity.• Reduction of HT.•Weight management.• Improvement of lipid profile.• Improve the function of CVS.• Increase bone density• Improve the quality of life.•Mental and physical wellness.
Stress Management
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Stress ManagementBehavioral modification.Positive thinking.Meditation.Satisfactory treatment plans and
special attention.Optimal family support.Appropriate support and
counseling.Improve skills (reading, writing,
poetry…)
Acknowledgements
Special thanks to Madam A. Attanayake for her valuable guidance
to make this presentation successful.
Thank YouLIG