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: Jutamas Onnom

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FIT FOR LIFE DPAC PLUS CLINIC

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5

74

6025-601,600452,400- 14-25 25-602,000672,400 2,400892,400

Update Guidelines

6 24

Update Guidelines

6 30

Update Guidelines

1 2,000 (2)

=

130-140/80-90 HbA1c 6-7 % (2/)

1-2-3a

30 1%

1-3a 3b-5

70-99 140 100-125 () 140-199 (OGTT) 126 200

> >> <

...

..?

?.....

GI 28GI 64GI 34GI 40GI 58

!!!-100 ?

K200 K>300 ABC

( 100 )

ABCDE52298199310447

(glycemic index) 100%

%100%15 3090-100%30 - 90 58%3 - 4 10-30%

= 0-55

= 56-70

= 70-100

= 10 = 10 = 10 = 10 = 10 = 10

= 28 = 48 = 49

= 60 = 75

= 25

= 55

= 72

() = 87

= 98

3 + = 2 3 + = 2 + = 7

25

, 1 = 2 , = 8

= 14

ABC

A

BC = 7

? Nacl (40%) (60%)

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39The detection and treatment of high BP and its associated CVD risk should be a key focus of health-care policy, as patients with uncontrolled hypertension can develop serious complications in several end-organ systems, including blood vessels, heart, brain, kidneys and eyes. This diagram summarises some of the end-organ complications and consequences associated with persistent raised blood pressure. Untreated prolonged hypertension puts a strain on the arteries, arterioles and heart, and may have fatal consequences. The first sign of high blood pressure may be end-organ damage, due to damage of small arterioles within the organ.

800-1000 ()()

2000 /

5002,000340

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45

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48

90 / 480 /

30 1,720 30 3,200

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51

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www.themegallery.comCompany Logo

/()155 / 640

1

/()60 / 1,500

4

1,832

1,100

350 15

320 480

720

840

800-1100

DASH: Dietary Approaches to Stop HTSystolic blood pressure BMI 18.5-24.9 kg/m25-20 mmHg/. 10 kg Na ( 6 1 )2-8 mmHg , 8-14 mmHg 30 4 /4-9 mmHg alcohol No more than 2drinks/day 720 ml, 300 ml 90 ml/ alcohol 2-4 mmHg

() 1 (.) 5 = 2000 = 40% 1.= 400 1 . = 55 1 . = 140-160 1 . = 67-76 60 = 1,500 . 42 = 1,000 .*** 3- 4 ***

61

() 2 1 80

()50-100

1 1 100-150

(3/1)100

62

() 3 2 80 ()2090-180150 1 1 150

() 1 1/2 160 ()- 2 2 ()150-200 1 150 1 1 150 1430-1670

(100)()()()()()()510.101.1010-111331.28.43133901668711.1017581701591.508.20195019211613.202137237

?

= =10

2

40 =10 40-60%

66

?

90 400

4004 =160

?

160160280400

1 1-3a 0.8- 1.0 1 3b-5 ( dialysis) 0.6-0.8 1 60 (High Biological Value) HD PD 1.2 1

5

25

0.6-0.8 130-35 1 /()(),()()()()()()()1522431106130020334311061400254443110615003054.533110615003565 3 321061600408433210616004594.53321061700501063321061800551163331061800601262431061800

=(..)-100 -105(..)211003100

. 160 . =60. 0.6=36

1.2 130-35 1

1440=5601040=400

> 60 = 30 kcal / 1 kg/day < 60 = 35 kcal / 1 kg/day = 20-25 kcal / 1 kg/day = 35-40 kcal / 1 kg/day

NKF-K/DOQI, 2002

(IBW) -100 -105

4-5

1-3a 3-4

3b-5 ( dialysis) 2-3

HD PD 5 - 6

2 7 70

====:

78

1 = 35 3.5

1 = 1 = 70 2

. . 1 25 1

7-8 7-8 1/2 3-4 3-4

0.5 70 1 =1 =

1 1 1?

. 4 . 4

gg86

87

1 =1 45

1 1 ..6 10

() LDL(MUFA) LDLHDL( PUFA) LDL HDL

(-)

():

GDA

()

-------

1=70

1 ?231

1 ?4

98

?

108