FACT SHEET Promote Healthier and Safer Lives

Introduction

Diabetes Awareness and Management
What is Diabetes?
Diabetes is an illness in which blood sugar is too high because the body either does not make insulin or does not respond to insulin properly Insulin is a hormone produced by the pancreas that helps convert food into energy Diabetes has no cure, but it can be controlled Good diabetes control means that most of the time, blood sugar levels stay close to the levels that are found in people without diabetes There are several kinds of diabetes All forms of diabetes can lead to serious health problems if not controlled By managing their diabetes, people can feel better and lower their chances for serious health problems later on With uncontrolled diabetes, sugar also called glucose builds up in the blood instead of getting into the bodys cells High blood sugar, or hyperglycemia, is toxic to cells over a period of time, and can cause serious medical problems, or diabetes complications Blindness, nerve damage, amputations, kidney failure, heart disease, stroke and other sometimes fatal conditions can develop If blood sugar is too low, known as hypoglycemia, immediate serious
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With uncontrolled diabetes, sugar (also called glucose) builds medical problems, or diabetes. complications. supplies and diabetes education programs. …


Reviews/Commentaries/Position Statements
REPORT FROM THE AMERICAN DIABETES ASSOCIATION

Economic Costs of Diabetes in the US in 2002
AMERICAN DIABETES ASSOCIATION

D

OBJECTIVE — Diabetes is the fifth leading cause of death by disease in the US Diabetes also contributes to higher rates of morbidity–people with diabetes are at higher risk for heart disease, blindness, kidney failure, extremity amputations, and other chronic conditions The objectives of this study were 1 to estimate the direct medical and indirect productivity-related costs attributable to diabetes and 2 to calculate and compare the total and per capita medical expenditures for people with and without diabetes RESEARCH DESIGN AND METHODS — Medical expenditures were estimated for the US population with and without diabetes in 2002 by sex, age, race/ethnicity, type of medical condition, and health care setting Health care use and total health care expenditures attributable to diabetes were estimated using etiological fractions, calculated based on national health care survey data The value of lost productivity attributable to diabetes was also estimated based on estimates of lost workdays, restricted activity days,
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attributable to diabetes and 2) to calculate and compare the total and per capita medical expen- ditures for people with and without diabetes. …


attributable to diabetes and 2) to calculate and compare the total and per capita medical expen- ditures for people with and without diabetes. …

Treating Type 2 Diabetes:

The Oral Diabetes Drugs
Comparing Effectiveness, Safety, and Price

Our Recommendations
Six types of oral medicines and 11 individual drugs are now available to help the 21 million people in the US with type 2 diabetes control their blood sugar when diet and lifestyle change are not enough Our evaluation of these medicines found the following: I Newer drugs are no better One older type of medicine, the sulfonylureas, and an older drug named metformin work just as well as four newer classes Indeed, several of the newer drugs are less effective than the older ones I Newer drugs are no safer All diabetes pills have the potential to cause adverse effects, both minor and serious The drugs side effect profiles may be the most important factor in your choice I Newer drugs are more expensive The newer diabetes medicines cost many times more than the older ones I Taking more than one diabetes drug can improve blood sugar control Many people with diabetes do not get enough help from one drug Two or more may be necessary However, taking more than one diabetes drug raises the risk of adverse effects and increases costs Taking effectiveness, safety, adverse effects,
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However, taking more than one diabetes drug raises the risk of adverse effects nosed with diabetes, we recommend that you try metformin first unless your …


However, taking more than one diabetes drug raises the risk of adverse effects nosed with diabetes, we recommend that you try metformin first unless your …

X-PlainTM Diabetes - Introduction Reference Summary
Diabetes is a disease that affects millions of Americans every year Your doctor may have informed you that you have diabetes Although there is no known cure for diabetes, several known treatments can control this disease The success of any diabetes treatment depends largely on the patient This reference summary will review the different types of diabetes, their control and treatment What Is Diabetes? The body is made of millions of cells that need energy to function The food you eat is turned into sugar, called glucose Sugar is carried to the cells through the blood stream It is one of many substances needed by cells to make energy For glucose to enter the cells, 2 conditions must be present First, the cells must have enough doors, called receptors Second, a substance called insulin is needed to unlock the receptors Once these two conditions are met, glucose enters the cell and is used by the cell to make energy Without energy, all cells die Insulin is a chemical hormone, which is manufactured in the pancreas Insulin levels in the blood vary with the amount of glucose present in the blood Diabetes is a disease that makes it
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diabetes, several known treatments can control this disease. summary will review the different types of diabetes, their control and treatment. …


diabetes, several known treatments can control this disease. summary will review the different types of diabetes, their control and treatment. …

International Diabetes Federation Diabetes Background Information Diabetes mellitus is a chronic condition that occurs as a result of problems with the production and/or action of insulin in the body Insulin is a hormone made by the pancreas that helps sugar glucose to leave the blood and enter the cells of the body to be used as fuel When a person has diabetes, either their pancreas does not produce the insulin they need type 1 diabetes or their body does not make enough or cannot make effective use of the insulin they produce type 2 diabetes Diabetes Prevalence According to the World Health Organization WHO and the International Diabetes Federation IDF, diabetes is reaching epidemic proportions and is a leading cause of death worldwide Particularly the prevalence of type 2 diabetes is rising at an alarming rate throughout the world This is believed to be due to increases in longevity, obesity and sedentary lifestyles Dramatic examples of the intensification of diabetes prevalence can be found in India and China India appears to host the largest diabetic population in the world with an estimated 45 million people, which amounts to 8 in the adult population; and in China, where 27
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Diabetes mellitus is a chronic condition that occurs as a result of has diabetes, World Health Organization (WHO) and the International Diabetes …


Diabetes mellitus is a chronic condition that occurs as a result of has diabetes, World Health Organization (WHO) and the International Diabetes …

Diabetes and Cardiovascular Disease: Time to Act

The mission of the IDF is to work with our member associations to enhance the lives of people with diabetes

International Diabetes Federation, 2001 No part of this publication may be reproduced or transmitted in any form or by any means without the prior written permission of the IDF Executive Office This and other IDF publications are available from: International Diabetes Federation Executive Office 1 rue Defacqz B-1000 Brussels Belgium Tel: 32 2 5385511 Fax: 32 2 5385114 e-mail: idf@idforg http://wwwidforg

ISBN: 2-930229-15-2

Acknowledgements
The International Diabetes Federation IDF would like to thank Merck, Sharp Dohme MSD, USA, for its generous support in making the publication of Diabetes and Cardiovascular Disease: Time to Act possible

IDF also gratefully acknowledges the contribution of the members of the Diabetes and Cardiovascular Disease Editorial Committee: Clive Cockram Chair George Alberti Bjørnar Allgot Abdullah Al Nakhi Pablo Aschner Terrence Dwyer Steve Haffner Jean-Claude Mbanya Cara McLaughlin Viswanathan Mohan Corby Shugars Kelly Stoddard

Special thanks also to Kristen Hynes from the Menzies Research
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The International Diabetes Federation (IDF) would like to thank of Diabetes and Cardiovascular Disease: Time to Act possible. …


The International Diabetes Federation (IDF) would like to thank of Diabetes and Cardiovascular Disease: Time to Act possible. …

- 1997, The Trustees of the University of Pennsylvania
5/10/05 dia_mg

Penn Health Management - Penn Diabetes Care

MAJOR GOAL: ACHIEVE Lowest HgA1c ie normal-60 without undo hypoglycemia,
Fasting Blood Sugar 110; 2 hours post prandial 140
Dr name:_________________________________ Date _________

DIABETES

Circle OR check ALL POSITIVE ITEMS

Obtain HbA1c level: - quarterly if level above goal - bi-annually every 6 months if level stable and at goal At each visit: 1 Obtain recent blood sugar measurement via finger stick or recent lab report 2 Assess patients awareness of hypoglycemic symptoms If unaware, advise accordingly 3 Examine patients feet 4Monitor BP and prescribe anti-hypertensives if BP 130/80 mm Hg Ace-inhibitor preferred
4/7/05_af_e CH

ADVICE FOR PATIENT WITH ADVICE FOR PATIENT WITH HYPOGLYCEMIC UNAWARENESS HYPOGLYCEMIC UNAWARENESS
Carry something sweet at all times Carry something sweet in the car Check blood sugar or eat if you cannot check sugar before driving Do 4 finger - stick sugar checks daily To Physician: Adjust goals of sugar control higher to avoid ANY hypoglycemic values

Penn Health Management - Penn Diabetes Care

Annually: check lipids,
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Highlights of Optimal Diabetes Management Measure at every visit for diabetes. Annual measurement Penn Diabetes Care © - 1998, The Trustees of the …


Highlights of Optimal Diabetes Management Measure at every visit for diabetes. Annual measurement Penn Diabetes Care © - 1998, The Trustees of the …

Diabetes
This information is at http://wwwndepnihgov/diabetes/diabeteshtm and is provided by the National Diabetes Information Clearinghouse NDIC, a service of the National Institute of Diabetes and Digestive and Kidney Diseases NIDDK The NIDDK is part of the National Institutes of Health under the US Department of Health and Human Services NIH Publication No 03-4016, April 2003 To obtain a free copy of this document, go to wwwmasterdocscom

Introduction
Diabetes is a serious chronic disease that can be managed through lifestyle changes and medication Over 18 million Americans have diabetes, and another 41 million adults ages 40 to 74 have pre-diabetes Whether you just found out you have diabetes or have been dealing with it for years, you can control your diabetes and live a long, active life If you are at risk or have pre-diabetes, you can take small steps to prevent the disease

What Is Diabetes?
If you just found out you have diabetes or want to know more about the disease, this section will help answer your questions Learn more about the different types of diabetes, including their causes, risk factors, symptoms, and complications

Diabetes Control
Diabetes is a serious
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the National Diabetes Information Clearinghouse (NDIC), a service of the National Diabetes is a serious chronic disease that can be managed through lifestyle …


the National Diabetes Information Clearinghouse (NDIC), a service of the National Diabetes is a serious chronic disease that can be managed through lifestyle …

Diabetes Program News
Queens Health Region, Prince Edward Island
Volume 4, No 2 September, 2004

In this issue
g Neuropathy and Diabetes g Foot assessment
g g g g Parents Day-2004 Client satisfaction survey Physicia n referrals Pregnancy and Diabetes workshop g Physicia n referrals g On going grow th g Co ng ratulations

Neuropathy and Diabetes
Neuropathy is a complication often invisible to those not living with it Diabetic neuropathies are a family of nerve disorders caused by diabetes People with diabetes can, over time, have damage to nerves throughout the body Neuropathies lead to numbness and sometimes pain and weakness in the hands, arms, feet, and legs Problems may also occur in every organ system, including the digestive tract, heart, and sex organs People with diabetes can develop nerve problems at any time, but the longer a person has diabetes, the greater the risk1 The National Diabetes Fact Sheet 20042 indicates 60 to 70 of people with diabetes have mild to severe forms of nervous
1

system damage The highest rates are seen in people who have had diabetes for at least 25 years The 2003 Canadian Diabetes Association Clinical Practice Guidelines report Detectable
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Diabetes and SCI
2007

Long term spinal cord injury SCI and diabetes? Some research suggests the two go hand in hand with as many as 20 percent of spinal cord injured people having adult-onset diabetes If you have an SCI, what should you know about diabetes? iabetes is a chronic disease in which the body does not make enough insulin a hormone from the pancreas or, does not use the bodys insulin correctly As a result, glucose, or blood sugar, that is normally carried to cells throughout your body to be used as fuel, builds up in the bloodstream instead, and can even spill into the urine This extra glucose can damage organs such as the heart, eyes, kidneys, nerves and blood vessels

Two Main Types of Diabetes:
Type 1: Starts during childhood or young adulthood Accounts for only five percent of cases Requires daily insulin injections

Type 2: Usually occurs in adults over the age of 40 Accounts for 95 percent of cases Usually controlled through a combination of diet, exercise, oral medications, and insulin
American Diabetes Association {ADA}, 2007

Are You At Risk?
Its estimated that of the 20 million people in the United States that have diabetes, 6 million of these individuals
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