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Monday, January 14, 2019

Diabetes (type 2): Prevention Program

Stage of SusceptibilityAt this stage, the case-by-case is predisposed to having diabetes mellitus due to some factors c every last(predicate)ed the risk factors. These factors ar Family explanation of diabetics, i.e if any of the parent or of the lineage has diabetics before. B). overweight this is when the body push-down stack index is more than or equal 25. C).habitual physical activity i.e. when an individual does not participate in any physical activity. D. Some forms are also predominant in some races. E). a person who has been antecedently identified as having impaired fasting glucose. F). Hypertension and history of gestational diabetes and individuals who has polycystic ovarian syndrome.Stage of Pre-symptomatic diseaseDiabetics mellitus does not have suffered stage of prolong stage of pre-symptomatic. Since there are two major problems in case 2 DM, there is insulin resistance and there is pancreatic beta mobile phone dysfunction. The beta cell dysfunction might be cau se be many factor including autoimmune antibodies directed on some antigen which entrust have decrease the number and effectiveness of the beta cell.Stage of Clinical DiseaseWhen the diabetics is full blown common symptoms include polyuria (passing of unneeded urine both(prenominal) in the day and at night), polydipsia (drinking of purposeless water to compensate for the roving been loss by the urinary system), obesity, easy fatigability. some tolerant lead have in addition to theses nausea and vomiting, this is the stage that usually invest in the hospitalStage of DisabilityDiabetics type 2 mellitus if not treated previous(predicate) may cause some complication. These complications are divided into groovy and chronic. The acute complication s are the effect which can result from excess glucose that is build up in the ocellus, this is called Diabetic Ketoacidosis (DKA) in which the excess glucose is converted to acetyl-coA and in the process form ketone bodies. The chron ic complications are neuropathy, kidney damage, retinopathy, stroke, and thole ulcersPrimary PreventionThe invention of primary preaching is to reduce the predisposing and risk factor of type 2 diabetes mellitus, this can be done through kosher nutrition i.e. eating high fiber, low fat diet, low table salt and alcohol intake, and having regular exercise. We ensure that some underline diseases are pickings care of every time for instance hypertension.Secondary PreventionHere the aim of the secondary hold onion is to alleviate the symptoms, to normalize the glucose level in the body, and to prevent its complications. This is done by aggressively controlling the hypertension if the patient is hypertensive, better-looking diabetic diet, by the use of antihypertensive. Insulin can sometimes be granted in type 2 but not in all cases, but since we know that there is insulin resistance we will give the patient drugs that will improve the resistance this include Sulphonyuras class of drugs.Tertiary PreventionThis is the treatment given when the disease has presented with complications. This is done by rigidly monitoring the blood glucose within a close range so as to reduce the already develop complications. Some times operations are carried turn up on patient with retinopathy so as to correct the sight. In a patient with chronic leg ulcer, the best therapy is to amputate the gangrenous legs so that it will not deteriorate.

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