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Chronic diseases account for _____% of all deaths in the U.S., |
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Chronic diseases—such as _________, _________, and __________are the leading causes of death and disability in the United States |
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heart disease, cancer, diabetes |
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chronic diseases also cause major limitations in daily living for almost 1 out of _______ Americans |
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The Center for Disease Control states that 12.5 million children suffer from |
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obesity, a condition which increases the risk of dangerous health problems such as |
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diabetes, cancer, and heart disease |
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Family history Ethnicity Age Gestational Diabetes Increased weight Decreased activity |
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Etiology of Diabetes : Ethnicity |
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African American Native American Hispanic Asian Americans Pacific Islanders |
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Etiology of Diabetes:Gestational Diabetes or |
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Etiology of Diabetes: BMI: overweight = |
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Etiology of Diabetes: BMI obese > |
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Etiology of Diabetes: Increased central (i.e., visceral) obesity Waist circumference: Men |
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Etiology of Diabetes: Increased central (i.e., visceral) obesity Waist circumference: Women |
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Lifestyle changes Changes in eating habits and Increases in physical activity can reduce type 2 diabetes by |
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weight per week should be around |
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Decrease of 300 to 500 kcal/day = |
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1/2 to 1 lb weight loss/week |
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Benefits of physical activity |
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Increases insulin sensitivity Decreases weight Decreases blood pressure and cholesterol Decreases stress DECREASES risk of type 2 diabetes |
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Physical Activity Recommendations: for a normal weight person |
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30 minutes/day for 5 to 7 days a week 10 minutes of activity 3 times/day |
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Screening for Type 2 Diabetes |
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Positive family history Ethnic group Increased weight and/or central obesity Gestational diabetes or big babies Decreased activity |
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Increased thirst, increased urination & weight loss |
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Diagnostic Criteria for Type 2 Diabetes Fasting blood sugar |
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Diagnostic Criteria for Type 2 Diabetes 2 hour glucose tolerance |
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Diagnostic Criteria for Type 2 Diabetes Acute symptoms plus random glucose |
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Impaired Glucose Tolerance “Pre-diabetes”: Impaired glucose: During 2 hour glucose tolerance test Level between |
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Impaired Glucose Tolerance “Pre-diabetes”: Impaired Fasting: Level between |
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>100 mg/dl and <126 mg/dl |
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Levels of prevention in Type 2 diabetes- Primary: |
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Includes activities aimed at preventing diabetes from occurring in susceptible populations or individuals |
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Levels of prevention in Type 2 diabetes- Secondary: |
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Early diagnosis and effective control of diabetes in order to avoid or at least delay the progress of the disease. |
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Levels of prevention in Type 2 diabetes- Tertiary: |
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Includes measures taken to prevent complications and disabilities due to diabetes. |
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The purpose of secondary prevention activities such as screening is to |
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identify asymptomatic people with diabetes. |
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Examples of socio-cultural barriers: |
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Obesity is not considered negatively. No value given to physical exercise. Changing diet is very difficult. No time is granted to do physical exercise at work. Fatalism |
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Pre-diabetes is a medical condition where blood glucose is higher than normal but not high enough to be called |
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Pre-diabetes increases the risk for type 2 diabetes and |
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Most people have ________ before they develop type 2 diabetes |
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Most people with pre-diabetes develop type 2 diabetes within |
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People with pre-diabetes are identified by having a screening test which shows they have IFG, IGT or an A1C of |
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Progression to diabetes is NOT |
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Signs of insulin resistance |
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PCOS acanthosis nigricans |
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Consider testing for diabetes if the person is: |
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Age 45 or older An overweight adult with another risk factor |
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to test a patient for diabetes obtain a |
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A1C or FPG or 2-hour plasma glucose post 75-g oral glucose challenge |
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Testing for diabetes should be repeated every |
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Fasting blood glucose: Normal |
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Fasting blood glucose: Pre-Diabetes |
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Fasting blood glucose: Diabetes |
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Pre-Diabetes oral glucose tolerance test range |
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