糖尿病全英文课件.ppt

单击此处编辑母版标题样式,*,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,DIABETES,Insulin:The Key to Turning Food,into,Energy,、,Definition and Types,、,Signs and symptoms,、,Diagnosis and Treatment,catalog,What Is Diabetes,a chronic metabolic disease,insufficient insulin,hyperglycemia,complications,Definition,Type,1,diabetes,Type,2,diabetes,Gestational diabetes,Other types,Types of diabetes,Types,、,Definition and Types,、,Signs and symptoms,、,Diagnosis and Treatment,catalog,Risk factors for developing diabetes,being age 45 or over,being overweight,being a member of a high-risk group,having close relatives with diabetes,having given birth to a baby that weighed over 4 kg birth,or have had gestational diabetes,having high cholesterol or other fats in the blood,having hypertension or heart disease,、,Signs and symptoms,Absence,of,insulin,High,Plsama,glucose,Protein,catabolism,Lipolysis,increase,Polydipsia,Polyuria,polyphgia,ketonemia,osmotic,diuresis,Weight,loss,FFA,Augment,、,Signs and symptoms,pathophysiology,About type1 diabetes,autoimmune disease,presence of antibodies,connected with viruses and environmental toxins,absence of insulin,life depends on insulin.,LADA(Latent Autoimmune Diabetes in Adults),、,Signs and symptoms,insufficient,insulin,Insulin resistance/,hyperinsulinemia,X Syndrome,、,Signs and symptoms,insulin resistance,hyperlipidimia,hypertension,obesity(apple,figure),coronary heart disease,About Type 2 diabetes,insufficient,insulin,Insulin resistance/,hyperinsulinemia,X Syndrome,、,Signs and symptoms,About Type 2 diabetes,Western lifestyle,Use of alcohol,Smoking,Sedentary ways,Gaining more than normal weight,Eating fewer than three meals a day,A diet high in fat,Differences between type1 and type2,feature,Type 1,Type 2,Insulin production,absent,normal or abnormal,Age at onset,usually before 40if after 40 usually slow onset,usually after 40,although increasing in younger people,Physical appearance,often thin,often overweight,especially apple figure,Symptoms,sudden,onset:greater,thirst,urination,hunger,weight loss,blurred vision,infections,gradual,subtle onset,of similar symptoms,Treatment,insulin,diet,exercise,diet,exercise,oral agents and/or insulin,Diabetes,complications,Acute,decompensation,chronic,complications,Macrovascular,disease,nerve,damage,microvascular,disease,foot,disease,ketoacidosis,Hyperosmolar,coma,infection,nephropathy,retinopathy,neuropathy,Motor,neuropathy,Sensory,neuropathy,Bladder,neuropathy,Autonomic,neuropathy,Diarrhea or,Constipation,Gastroparesis,tachycardia,Postural,hypotension,Impotence,、,Definition and Types,、,Signs and symptoms,、,Diagnosis and Treatment,catalog,Time of Check,Plasma blood glucose,Range(,mmol/l,),diagnose,radom,11.1 accompanied with symptoms,diabetes,Fasting,7.0,Diabetes,6.1,and,7.0,IFG,6.0,normal,oral glucose tolerance test,11.1,Diabetes,7.8,and,11.1,IGT,7.8,normal,Diagnose of diabetes,Diabetes,treated,Education,Meal,planning,Exercise,Medication,Oral Medications,Sulfonylureas,Alpha-,Glucosidase,Inhibitors,Biguanides,Thiazolidinediones,Sulfonylureas,Oral Medications,tolbutamide,glipizide,gliquidone,gliclazide,glibenclamide,Glimepiride,stimulating the pancreas produce more insulin,Oral Medications,Sulfonylureas,Biguanide,shuting,off the livers excess glucose production,possibly contributing to minor weight loss,Metformin,Oral Medications,Sulfonylureas,Alpha-,Glucosidase,Inhibitors,delaying the absorption of carbohydrate in the small intestine,Acarbose,Biguanide,Oral Medications,increasing the bodys sensitivity to insulin,rosiglitazone,troglitazone,Thiazolidinediones,Sulfonylureas,Biguanides,Alpha-,Glucosidase,Inhibitors,Thank you,