糖尿病全英文课件

糖尿病全英文糖尿病全英文糖尿病全英文糖尿病全英文糖尿病全英文Insulin:TheInsulin:The Key to Turning Food into Energy 2021/4/272021/4/272 2Insulin:The Key to Turning Fo、Definition and Types、Signs and symptoms、Diagnosis and Treatment2021/4/272021/4/273 3、Definition and Typescatalog2Definition2021/4/272021/4/274 4What Is Diabetes a chronic n nType 1 diabetesn nType 2 diabetesn nGestational diabetesn nOther typesTypes2021/4/272021/4/275 5Type 1 diabetesTypes of diabet、Definition and Types、Signs and symptoms、Diagnosis and Treatment2021/4/272021/4/276 6、Definition and Typescatalog2Risk factors for developing diabetes n nbeingage45oroverbeingage45orovern nbeingoverweightbeingoverweightn nbeingamemberofahigh-riskgroupbeingamemberofahigh-riskgroupn nhavingcloserelativeswithdiabeteshavingcloserelativeswithdiabetesn nhavinggivenbirthtoababythatweighedhavinggivenbirthtoababythatweighedover4kgbirth,orhavehadgestationalover4kgbirth,orhavehadgestationaldiabetesdiabetesn nhavinghighcholesterolorotherfatsinthehavinghighcholesterolorotherfatsinthebloodbloodn nhavinghypertensionorheartdiseasehavinghypertensionorheartdisease、Signs and symptomsSigns and symptoms2021/4/272021/4/277 7Risk factors for developing diAbsenceAbsenceofofinsulininsulinHighHighPlsamaPlsamaglucoseglucoseProteinProteincatabolismcatabolismLipolysisLipolysisincreaseincreasePolydipsiaPolydipsiaPolyuriaPolyuriapolyphgiapolyphgiaketonemiaketonemiaosmoticdiuresisWeightWeightlosslossFFAFFAAugmentAugment、Signs and symptomsSigns and symptoms2021/4/272021/4/278 8Absence HighProteinLipolysisPoAbout type1 diabetesn nautoimmune disease n npresence of antibodies n nconnected with viruses and environmental toxins n nabsence of insulinn n life depends on insulin.n nLADA(Latent Autoimmune Diabetes in Adults)、Signs and symptomsSigns and symptoms2021/4/272021/4/279 9About type1 diabetesautoimmunn nninsufficientinsulininsufficientinsulinn nnInsulinresistance/hyperinsulinemiaInsulinresistance/hyperinsulinemian nnXSyndromeXSyndrome、Signs and symptomsSigns and symptomsuuinsulinresistanceuuhyperlipidimiauuhypertensionuuobesity(applefigure)uucoronaryheartdiseaseAbout Type 2 diabetesAbout Type 2 diabetes 2021/4/272021/4/271010insufficient insulin、Signs an nninsufficientinsulininsufficientinsulinn nnInsulinresistance/hyperinsulinemiaInsulinresistance/hyperinsulinemian nnXSyndromeXSyndrome、Signs and symptomsSigns and symptomsAbout Type 2 diabetesAbout Type 2 diabetes nnWesternlifestyleWesternlifestylen nUseofalcoholUseofalcoholn nSmokingSmokingn nSedentarywaysSedentarywaysn nGainingmorethannormalweightGainingmorethannormalweightn nEatingfewerthanthreemealsadayEatingfewerthanthreemealsadayn nAdiethighinfatAdiethighinfat2021/4/272021/4/271111insufficient insulin、Signs aDifferences between type1 and type2featurefeature Type 1Type 1Type 2Type 2InsulinInsulinproductionproductionabsentabsentnormalorabnormalnormalorabnormalAgeatonsetAgeatonsetusuallybefore40usuallybefore40ifafter40usuallyslowifafter40usuallyslowonsetonsetusuallyafter40,usuallyafter40,althoughincreasinginalthoughincreasinginyoungerpeopleyoungerpeoplePhysicalPhysicalappearanceappearanceoftenthinoftenthinoftenoverweight,oftenoverweight,especiallyapplefigureespeciallyapplefigureSymptomsSymptomssuddenonset:greatersuddenonset:greaterthirst,urination,hunger,thirst,urination,hunger,weightloss,blurredweightloss,blurredvision,infectionsvision,infectionsgradual,subtleonsetgradual,subtleonsetofsimilarsymptomsofsimilarsymptomsTreatmentTreatmentinsulin,diet,exerciseinsulin,diet,exercisediet,exercise,diet,exercise,oralagentsand/ororalagentsand/orinsulininsulin 2021/4/272021/4/271212Differences between type1 and DiabetesDiabetescomplicationscomplicationsAcuteAcutedecompensationdecompensationchronic chronic complicationscomplicationsMacrovasculardiseasenerve damage microvasculardiseasefootdiseaseketoacidosisketoacidosisHyperosmolarHyperosmolarcomacomainfectioninfectionnephropathynephropathyretinopathyretinopathy2021/4/272021/4/271313DiabetesAcutechronic MacrovascneuropathyMotorMotorneuropathyneuropathy SensorySensoryneuropathyneuropathy BladderBladder neuropathy neuropathy Autonomic Autonomic neuropathyneuropathy Diarrhea orDiarrhea or Constipation Constipation Gastroparesis Gastroparesis tachycardiatachycardiaPosturalPosturalhypotensionhypotension ImpotenceImpotence 2021/4/272021/4/271414MotorSensoryBladderAutonomic D、Definition and Types、Signs and symptoms、Diagnosis and Treatment2021/4/272021/4/271515、Definition and Typescatalog2Time of CheckTime of Check Plasma blood glucosePlasma blood glucoseRange(mmol/l)Range(mmol/l)diagnosediagnoseradomradom11.1 accompanied 11.1 accompanied with symptoms with symptoms diabetesdiabetesFasting Fasting 7.0 7.0DiabetesDiabetes6.1 and6.1 and7.07.0IFGIFG6.06.0normalnormaloral glucose oral glucose tolerance test tolerance test 11.111.1DiabetesDiabetes 7.8 and 7.8 and 11.111.1IGTIGT7.87.8normalnormal2021/4/272021/4/271616Time of CheckPlasma blood glucDiabetestreatedEducationMealplanningExerciseMedication2021/4/272021/4/271717 DiabetesEducationMealExerciseSulfonylureasAlpha-Glucosidase InhibitorsBiguanides Thiazolidinediones 2021/4/272021/4/271818Oral MedicationsSulfonylureas2 Sulfonylureasn ntolbutamiden nglipiziden ngliquidonen ngliclaziden nglibenclamiden nGlimepiridestimulatingthepancreasproducemoreinsulin2021/4/272021/4/271919SulfonylureasOral MedicationstSulfonylureasn nBiguanideshutingofftheliversexcessglucoseproduction,possiblycontributingtominorweightlossn nMetformin2021/4/272021/4/272020Oral MedicationsSulfonylureasBSulfonylureasn nAlpha-Glucosidase Inhibitors delayingtheabsorptionofcarbohydrateinthesmallintestinen nAcarbosen nBiguanide2021/4/272021/4/272121Oral MedicationsSulfonylureasAincreasingthebodyssensitivitytoinsulinn nrosiglitazonerosiglitazonen ntroglitazonetroglitazonen nThiazolidinedionesSulfonylureasn nBiguanidesn nAlpha-Glucosidase Inhibitors 2021/4/272021/4/272222Oral Medicationsincreasing t2021/4/272021/4/272323Thank you2021/4/2723谢谢！谢谢！谢谢！