Download - Type 2 diabetes mellitus
TYPE 2 DIABETES MELLITUS
BYREEMA DESAI
Rd, diabetes educator
Diabetes Mellitus (DM)
DM is a group of metabolic diseases characterized by hyperglycemia resulting from defect in insulin secretion, insulin action or both.
Types of DM:Type 1 DMType 2 DMGestational DM
Type 2 DM
It results from a progressive insulin secretory defect on the background of insulin resistance.
It accounts for 90-95% of all cases of diabetes.
Pathophysiology
Diabetes Risk Factors
Patient Profile
Name – Mr. XYZAge/ Sex – 39 years/ MaleWeight – 71 kgHeight – 168 cmsBMI – 25.2 kg/m2 (overweight)IBW - 65 kgSocio-economic Status-UMIGEthnic Background – HinduOccupation– JournalistFood Habits – Non-VegetarianAllergy to Medication /Food– None
Case History
Symptoms- Weakness, Excessive thirstPersonal History- NoneFamily History- Father is DiabeticAddiction- No Biochemical Parameter (18-Jul-2013):
Diagnosis: Type 2 DM and DyslipidemiaMedication: None
Home Recall
Energy: 2533 kcal Protein: 123gm(19%) CHO: 339gm(54%) Fat: 74gm (26%)
Exercise – 1 hr weight training daily
Advice DietEnergy: 2000kcal Protein:116gm (23.2%)
CHO: 262gm (52%) Fat: 53gm (24%)
Guidelines
Foods to be Allow Eat small frequent meal Whole cereals like oats, wheat
flakes, daliya. Wheat, jowar, bajara flour ragi, brown bread
Pulses and legumes 1-2 fruits per day Raw as well cook vegetables Cow’s milk Egg white, fish, chicken in
grill, steam, gravy form Almond, walnut, flaxseed Have 1tsp of methi seed
(soaked) ½ hr before breakfast and dinner
Exercise: 1 hr combination of weight training and aerobics daily
Foods to be Avoided Avoid skipping of food
Maida based product, cornflakes, sago, arrowroot
Banana, chickoo, seetaphal, jackfruit, grapes, mango, fruit juices
Potato, sweet potato, yam, raw banana, arbi, beetroot
Buffalo’s milk, ghee, butter, cheese, paneer, cream, khoa
Whole egg, shell fish, coconut in gravy
Dry fruits, Sugar, jaggery, honey and its product.
Preserved foods, fried foods, carbonated beverages
After 1 Month
Biochemical Parameter (18-Aug-2013):
Diet and exercise plays an important role in the management of diabetes and lipid profile.
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