American Academy of Periodontology, “Prevention of Periodontal Diseases in Diabetes”, 1999, American Association of Diabetes Educators, www.diabeteseducator.org …
HSW-PAR815
Diabetes in Kentucky Pre-diabetes
In 2005, approximately 89 percent of Kentuckys adult population had been diagnosed with diabetes Diabetes is the number one cause of disability for Kentuckians and the fifth leading cause of death by disease Among the 50 states, Kentucky ranks seventh for having the highest number in the adult population diagnosed with diabetes The cost of diabetes in both life and medical care is alarming In 2002 approximately 29 billion dollars was spent on treating diabetes in Kentucky Preventing this catastrophic disease is a priority An estimated 401 percent of Kentuckians adults aged 40 to 74 have pre-diabetes and may develop type 2 diabetes within 10 years if they do not change lifestyle habits Identifying those at risk for diabetes is one of the keys to reducing both the disease and cost of this disease in Kentucky What are the signs and symptoms of diabetes? Frequent urination having to go to the bathroom more often than usual for no apparent reason Excessive thirst even after drinking an adequate amount Fatigue feeling tired Extreme hunger when you normally should not be hungry Unusual weight loss not explained by dieting or increased
physical activity Blurred vision resulting from fluid leaking into the lens of the eye from elevated blood glucose This condition causes the lens of the eye to swell making it unable to focus properly This condition may occur at the onset of diabetes or during periods when blood glucose fluctuates It passes with time or when blood glucose levels decrease Dry, itchy skin Tingling or numbness in feet may be a sign of damage to the blood vessels or nerves in your feet due to undiagnosed or untreated diabetes These signs and symptoms may indicate diabetes although you may have no signs and symptoms Your health care provider is the ONLY ONE who can make the diagnosis DO NOT rely on symptoms only What is pre-diabetes? Pre-diabetes occurs when blood glucose levels are higher than normal but not high enough to be diagnosed as type 2 diabetes Pre-diabetes is a major risk factor for developing type 2 diabetes Approximately 54 million people in the United States have been diagnosed with pre-diabetes With this diagnosis, changing lifestyle habits becomes important By changing diet and physical activity patterns, further progression of this deadly disease may be stopped Who is at risk for
having pre-diabetes? Those who are: Overweight Over 45 years of age
Physically inactive A member of high risk ethnic group African-American, American Indian, Hispanic, Asian-American, or Pacific Islander Those who have: A family history of diabetes mother, father, brother, sister, or grandparents Been diagnosed with or have had gestational diabetes diabetes while being pregnant An HDL good cholesterol less than 35 Triglycerides greater than 250 A history of pre-diabetes Conditions associated with insulin resistance such as polyc 
ystic ovary syndrome and acanthosis nigricans a skin condition that commonly occurs around the neck or in skin folds and appears thick and dark Or had a history of vascular disease Those who have had: A baby weighing greater than 9 pounds Ways to prevent or slow progression of pre-diabetes to type 2 diabetes Try to stay as healthy as possible by maintaining a healthy weight, practicing good handwashing techniques for staying germ-free, decreasing stress, and getting adequate amounts of sleep Here are some overall tips for preventing and/or slowing progression of prediabetes to type 2 diabetes: Know your risk factors Modest weight loss 5 to 7
percent Maintain a healthy weight Change your eating habits by making healthier choices Eat more fruits and vegetables and eat fewer foods high in fat Increase physical activity If you are not currently in a physical activity program, begin one Get up and get moving Participate in 30 minutes of physical activity every day It is important to check with your doctor before beginning a physical activity program Have regular doctor checkups
References American Diabetes Association 2007 Pre-diabetes Available online at http://wwwdiabetesorg/prediabetesjsp Centers for Disease Control and Prevention 2005 Preventing chronic diseases: investing wisely in health, preventing diabetes and its complications Available online at http://wwwcdcgov/nccdphp/publications/factsheets/Prevention/pdf/diabetespdf Centers for Disease Control and Prevention 2006 Prevention research centers: diabetes prevention and control Available online at http://wwwcdcgov/prc/pdf/PRCdiabetesfactsheetsummer2006pdf Kentucky Department of Public Health 2007 Diabetes Prevention and Control Program Available online at http://chfskygov/dph/ach/diabeteshtm Kentucky Department of Public Health 2005 Kentucky Diabetes Fact Sheet
Available online at http://chfskygov/dph/ach/cd/diabetesfactsheetshtm Kentucky Department of Public Health 2005 Impact of diabetes on the Commonwealth of Kentucky Available online at http://chfskygov/NR/rdonlyres/6C9E500DE-C771-4305-BDE1ACA63E9DA972/0/BurdenDoc05pdf
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This is a publication in a five-part series on diabetes Other publications in this series are: General diabetes information: HSW-PAR814 Type 1 diabetes: HSW-PAR816 Type 2 diabetes: HSW-PAR817 Gestational diabetes: HSW-PAR818
Peggy Riley, RN, MSN Extension Health Specialist for Nursing November 2007
Copyright 2007 for materials developed by University of Kentucky Cooperative Extension This publication may be reproduced in portions or its entirety for educational or nonprofit purposes only Permitted users shall give credit to the authorss and include this copyright notice Educational programs of Kentucky Cooperative Extension serve all people regardless of race, color, age, sex, religion, disability, or national origin
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Source:youngdental.com
