part 3: preventing complications from diabetes. preventing complications having pre-diabetes and...
TRANSCRIPT
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Part 3: Preventing Complications from Diabetes
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Preventing Complications
• Having pre-diabetes and diabetes puts you at a higher risk for developing other health problems
HOWEVER…
• If you understand the risks, you can take steps now to lower your chance of diabetes related complications
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Managing Diabetes
• What percentage of diabetes is managed by you vs. your healthcare provider?
• 20% of your diabetes control is managed by your healthcare provider
• 80% is managed by you
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Preventing progression of DM
• Healthy eating• Exercise• Monitoring BG • Taking medications • Stop smoking
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• Heart Disease and Stroke• Kidney Disease• Eye Complications• Nerve Damage• Foot Complications• Skin Complications• Depression • Sexual Dysfunction• Gum Disease
Long Term Complications of Poorly Controlled Diabetes
The good news is:
Better control = Less complications
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Heart Disease and Stroke
• People with diabetes are 2x more likely to have heart disease or stroke than people without diabetes
• How can we prevent long term complications? – Cut out sugary and fattening foods– Daily exercise – Get your lipid panel done 2x/year
http://www.diabetes.org/living-with-diabetes/complications/mens-health/serious-health-implications/heart-disease-and-stroke.html
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Kidney Disease
• The kidneys clean our blood • High blood sugar can put too much stress on the
kidneys and can cause damage over time
• How is the long term complication prevented?– Get your kidney function tests 2x/year
http://www.diabetes.org/living-with-diabetes/complications/kidney-disease-nephropathy.html
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Eye Complications
• Diabetes can damage the blood vessels of the eyes, potentially leading to blindness
• Diabetes can also cause glaucoma or cataracts
• How is the long term complication prevented?– Get a comprehensive eye exam by an optometrist
or ophthalmologist 1x/year
http://www.diabetes.org/living-with-diabetes/complications/mens-health/serious-health-implications/blindness-or-vision-problems.html
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Nerve Damage (Neuropathy)
• High sugar can harm the walls of the tiny blood vessels that connect to your nerves
• Described as a tingling, numbness, burning or pain in legs or fingers
• How is the long term complication prevented?– Get a foot exam by a physician 1x/year– Use proper foot care
http://www.diabetes.org/living-with-diabetes/complications/mens-health/serious-health-implications/nerve-damage.html
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Foot Care • Check your feet every day
– Look at your bare feet for red spots, cuts, swelling, and blisters• Wash your feet, dry, and moisturize every day
– Rub lotion over the tops and bottoms but not between your toes• If you can see and reach your toenails, trim them
– File the edges with a nail file• Protect your feet from hot and cold
– Never use hot water bottles, heating pads, or electric blankets• Never walk barefoot
– Wear comfortable shoes that protect your feet– Check inside your shoes before wearing them
• Keep the blood flowing to your feet– Don't cross your legs for long periods of time
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Depression • Studies show that people with diabetes have
an increased risk of depression• How is the long term complication prevented?
– Exercise and see your physician at least 1x/year, or as often as the two of you feel is appropriate
• Don’t be afraid to reach out for help– Employee Assistance Program (EAP)
1-800-822-4847 (24 hours a day)– 5 free sessions/year
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Gum Disease
• There is an increased risk for gum disease because diabetes decreases your ability to
fight bacteria that invade the gums• How is the long term complication prevented?
– Brush and floss regularly– Have a dental exam at least 2x/year
http://www.diabetes.org/living-with-diabetes/treatment-and-care/oral-health-and-hygiene/diabetes-and-oral.html
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• This is 1 risk factor YOU can control• IT IS NEVER TOO LATE TO QUIT• Smoking and diabetes have a lot of the same
complications• Talk to a health care professional if you are
interested in quitting• 1-800-Quit-Now
Reduce Risk: Quit Smoking
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Reduce Risk: Get Vaccinated
• Flu vaccine 1x/year – Free to all employees and dependents in Employee
Health! • Pneumonia vaccine 1x before 65, 1x after age 65• Hepatitis B vaccine 1 time series between age 19-59
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Target: Less than 7%
Target: Less than 140/90
Target: LDL “bad cholesterol” Less than 100
Know your ABC’s
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• A1C – your doctor will likely tell you how often to have this lab drawn
• For the DHP: 2x/year at Employee Health
As a general rule: A1C < 7% A1C > 7%
2x/year 4x/year
A1C
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• Blood pressure will be checked at every doctor visit and Employee Health & Clinic visit
Systolic (top number)
Diastolic(bottom number)
140 or less 90 or less
Blood Pressure
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• Cholesterol will be drawn at least 2x/year at Employee Health & Clinic
Sex TotalCholesterol
HDL LDL TG
Male < 200 > 40 < 100 < 150
Female < 200 > 50 < 100 < 150
Cholesterol
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Helps you see how food, physical activity and
medications affect your blood glucose level
Goal fasting BG before meals:
80-130 mg/dL
Goal 2 hours after the start of a meal:
Less than 180 mg/dL
Daily Monitoring
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• Discuss your sick day plan with your physician • Make sure you get an annual flu vaccine
www.jimchines.com
Sick Day Management
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S Is for Sugar testing more often
I Is for continue to take your Insulin or oral medications
C Is for Carbohydrate - keep intake as normal as possible
K Is for Keep well hydrated - drink at least 8 oz of calorie free fluids every hour
http://www.health.gov.sk.ca/Type-2-diabetes-on-insulin-sick-day-mgmt
S.I.C.K.
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Things To Do on a Daily Basis
• Eat healthy • Keep active• Check your sugar• Reduce risky behaviors – smoking, drinking alcohol • Practice proper foot care habits• Wear proper footwear • Brush your teeth and floss regularly• Manage daily stressors• Ask for help when necessary
AADE7 Self Care Behaviors – Reducing Risk
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http://diabeteshealth.com/
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For appointments with Dietitian or PharmacistContact Dee Freeman at 667-5183 or
For other questions related to the Diabetes Health Plan, contact the DHP
Administrator at 667-5959 [email protected]
DHP Hotline 667-7777
Contact Information
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• American Diabetes Association http://www.diabetes.org/
• Novo Nordisk http://www.cornerstones4care.com/
References
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Other Resources
• http://www.health.gov.sk.ca/Type-2-diabetes-on-insulin-sick-day-mgmt
• http://www.diabetes.org
• 1 -800-QUIT NOW- for smoking cessation