non-pharmacological treatments for diabetes mellitus
TRANSCRIPT
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Non-pharmacological treatments for Diabetes
Mellitus
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ContentsDiabetes Mellitus (DM)Management of DM (non-
pharmacological treatments)• Dietary management• Physical activities• Stress management
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Diabetes Mellitus (DM)
The collection of abnormalities characterized by hyperglycaemia due to absolute or relative insulin deficiency.
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Management of DM
MedicationsLife style changes
Medical nutrition (Dietary)
Physical activities
InsulinAnti-
diabetic
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Physical activities
Dietary management
Stress management
Non-pharmacological
Treatments
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Dietary Management
Aims – • To achieve good glycaemic control &
adequate nutritional intake• To assist with weight management• To prevent/postpone complications of DM
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Dietary recommendations• Individualized according to
patient’s ethnicity, cultural, religious & family backgrounds.• Timed according to patient’s daily
routine.• Flexible
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Carbohydrates
Consumption of carbohydrates which have low Glycaemic Index (GI)
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Glycaemic Index (GI)
Measure of the effects of carbohydrates on blood glucose level.
GI
digestion & absorption of foods
rate of glucose entering in to the circulation
Blood glucose level gradually increases
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Sources of carbohydrates
Use – Cereals, mixed coarse grains, whole pulses, salads, red rice, fruits & vegetables (low GI),brown bread
- Foods containing dietary fibres (oats, pulses)
Avoid – sugar, honey, jaggery, sweets, white rice, white bread (high GI)
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Sources of protein
Essential amino acids
Vegetable proteins, low fat milk & milk products, fish & lean meats
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Sources of fat• Saturated fat (ghee, butter) -
<7% of total caloric intake• Dietary cholesterol intake -
<300mg/day.• Use more than one edible oil.
ω-6 & ω-3 fatty acids• Avoid hydrogenated fat.
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Physical Activities (Exercises)
•Regular exercise is essential.
•Specially for patients with Type 2 DM.
•Brisk walk 30-60min/day & 5days/week.
•Exercise schedule must be suited for each individual according to his/her physical strength..
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Benefits• Improvement in Insulin sensitivity.• Reduction of HT.•Weight management.• Improvement of lipid profile.• Improve the function of CVS.• Increase bone density• Improve the quality of life.•Mental and physical wellness.
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Stress Management
+
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Stress ManagementBehavioral modification.Positive thinking.Meditation.Satisfactory treatment plans and
special attention.Optimal family support.Appropriate support and
counseling.Improve skills (reading, writing,
poetry…)
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Acknowledgements
Special thanks to Madam A. Attanayake for her valuable guidance
to make this presentation successful.
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Thank YouLIG