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 MgWTwkenamEp¥m  evC¢ bNÐ t R ak;  Bsi rgSI GnubNÐ tsuxPaBsaFarN³ - ÉkeTsGaharU btßmÖ ngrbbGahar DIABETE DISEASE

Diabetes 2015

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French, Medicine

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  • CMgWTwkenamEpm

    evCbNit R)ak; BisidrgSI

    GnubNitsuxPaBsaFarN - keTsGaharUbtmnigrbbGahar

    DIABETE DISEASE

  • lTplrMBwgTuk Expected outcome

    )

    )

    )

    )

    )

  • TidPaBTUeTA OVERVIEW

    CMgWTwkenamEpm)anekItmanTUTaMgBiPBelak minEmnEtenARbeTsGPivDn_b:ueNaHeT

    sUm,IRbeTskMBugGPivDn_nigRbeTsRkIRkkmanGkekItCMgWenHritEteRcIneTAeTot

    tamsitiGgkarsuxPaBBiPBelak KWmanGkekItCMgWTwkenamEpmCag 177 lannak;enATUTaMg

    BiPBelak ehIykgenaHtMbn;bBawmRbeTsmandl;eTACag1/5 lannak;.

    cMeBaHRbeTskm

  • niymny DEFINITION

    CMgWTwkenamEpmCaCMgWraMur:emIlminCa KWbNalmkBIlMEBgElgplitGaMgsIulInbGaMgsIulIn

    minGacRbkbskmPaBrbs;xn)an

    mnuusS EdlmanvtmanCatiseRcInenAkgQamnigTwkenam

    eraKsBaa KwpwkeRcIn enameRcIn

    manCatis enA kgQamelIsBI 1>40RklIRt nig enAkgTwk enam elIsBI 150mRklIRt

    CaFmta cMNIGaharEdleyIg)anbriePaK)anbMEbgeTACaCatisehIyRCabcUleTAkgQam

    GaMgsIulIn manmuxgarnaMCatisBIkgQameTAciBawmekasikaedaybegItCafamBlsRmab;eGay

    ragkaylUtlas;nig rwgbwug

  • ynkarnigRbePTxusKanCMgWTwkenamEpm

    MECANISM &CLASSIFICATION OF DIABETE CMgWTwkenamEpmedaytRmgenam CaFmtakarRsUbykCatisKWzitenAbMBg;RbuksIumal;n

    bMBg;vkM enAeBlvaxUcCatisBMuGacRsUbcUleTAkgssQam)aneLIy dUcenHbNaleGay

    CatisFak;cuHeTAkgTwkenam naMeGaymanCatiseRcInenAkgTwk enamnigeFVIeGayenameRcIn.

    CMgWTwkenamEpmGaMgsIuBitmin)andwg bNalmkBIxVH ADH EdlmankMeNItmkBI Giub:UhVI naMeGaymanenameRcInEtBMumanelIsCatiskgQam nigkgTwkenameT.

    CMgWTwkenamEpmsIueRk manCatiseRcIn bNalmkBIkgVHGaMgsIulInbeBajedayekasika beta des ilot de Langerhan rbs;lMEBgeFVIeGay ekasikaeb:rIehVrIkTTYlykCatiseTA

    eRbIR)as;BMu)an. eKEckecjCMgWTwkenamenHCaBIRbePT

    - RbePTTI1 KW RtUvkarGaMgsIulIn (DID)

    - nigRbePTTI2 BMuRtUvkarGaMgsIulIn (DNID)

  • RbePTnCMgWTwkenamEpm TYPE OF DIABETE

    CMgWTwkenamEpmRbePTTI1 CacMbgKWekItenAelIkumarnigyuvvy EtgekItmanelI mnusSRKb;vy Gac eGayGkCMgWdwgBIRbCMueraKsBaaPam ehIyPaKeRcInCaeXIj

    ekItelIGksmEdlGacQaneTArkkar)at;bg;sartIedayCMgWTWkenamEpm.

    GkCMgWminGacplitGaMgsIulIneGay)anRKb;RKan;KWRtUvkarGaMgsIulIncak; CacaM)ac;

    erogral;f edIm,IRtYtBinitkMritCatisrkgQamrbs;eK.

    eraKsBaa - cab;manPam - enameRcIndgkg1f CaBiesseBlyb; -eRskTwkxaMg stmat; - Gs;kMlaMgxaMg cuHexSayfamBl ecHEtXan)ay -

    cab;RskTMgn;Pam - EPkRsvaMg - ]sSah_rgnUvCMgWqg.

  • CMgWTwkenamEpmRbePTTI2 CacMbgKWekItenAelImCwmvyehIyPaKeRcInCamnusS

    Fat;. eKGacbegIt GaMgsIulIn)anxH kb:uEnvaBMu)anRKb;RKan;KWRtUvelbfaMRKab;

    bEnm. CMgWRbePTTI2enHmanmnusSQWeRcInCag CMgWTwkenamEpmRbePTTI1.

    eraKsBaa cab;ekItmaneLIgbnicmg eday\tdwgxn ehIyBi)aknwgdwgNas;

    b:uEnenAeBldl;tMNak;kalQWxaMg eTIbmaneraKsBaadUcRbePTTI1 Pam

    RbePTnCMgWTwkenamEpm TYPE OF DIABETE

  • ktaeRKaHfak;nCMgWTwkenamEpm

    RISK FACTORS OF DIABETE CMgWTwkenamEpmmanmUlehtumkBIktaBIya:g

    k- tMNrBUC manBukmay CIdUnCItaekIt cMlgtamEhSnrbs;Kat;TaMgenaH GaceGayeyIgekIt)an.

    x- CMgWbNalmkBIviFIrs;enARbcaMf

    1 - mnusSFat; - smamaRt TMgn; kMBs; GayuTMgn; elIsBIFmta Fat;mFm GacrgnUvkarekIt

    CMgW TwkenamEpm 4dg elIsGkmanTMgn;Fmta nigGkFat;xaMg GacrgnUvkarekIt CMgWTwkenam

    Epm 30dg .

    2 - mnusSFM Fat; duHk,aleBaH

    3-ragkayGskmPaB - GkEdlTMenrBuM)anbeBajBlkm BuM)anhat;R)aN naMeGayragkayFM

    Fat; sMbUrCatixaj; ehIyGacrkSaTuknUvGaMgsIulInedaykareFVIskmPaBFmta EdlGaceGay

    GkTaMg enaHmanvasnanwgekItCMgWTwkenamEpmeRcIn)an.

  • 4- rbbGaharminRtwmRtUv - karbriePaKeRcIn bkcUlcitGaharEdlmanCatiEpmeRcIn

    bGahar Edlmanxaj;eRcIneFVImnusSenaHFat;beLIgTMgn;.

    5- ragkayenOyNay - edaysarmanCMgWFn;Fr b )ak;Ebkqwg b tb;Rbml;pvcitRBYy

    )armN bkmanbBaaeRcInGacnaMeGayekItCMgWTwkenamEpmqab;kgCIvitrbs;eK.

    6- karpwkRsaeRcIn - karpwkRsaeCaKCaMnaMeGayxUclMEBgEdlbNaleGayekItCMgWTwk

    enamEpmEdr.

    7- karCk;)arI

    ktaeRKaHfak;nCMgWTwkenamEpm

    RISK FACTORS OF DIABETE

  • plvi)aknCMgWTwkenamEpm

    CMgWTwkenamEpmRbePTTI2 vaeFVIeGaymankarbMEbgCatixaj;nigCatisac;ekIneLIgbNaleGay man RTI;KIesrIt nigkUeLesr:UleLIgenAkgQam eFVIeGaymanplvi)akKWmanCatixaj;kkkgss Qam enAkg tMbn; GaMgTIma:

    naMeGayssQamRkinEdlCamUlehtunaMeGayelIsQam. PaBraMur:naMeGaymanpl vi)akdUc Ca

    enAebHdUgbNaleGayeTACa kkssQamkgebHdUg ( IDM ) enAxYrk,al bNaleGayeTACa dac;ssQamkgxYrk,al ( AVC ) enAd eCIg bNaleGaymandMe)ArkinenAssQam ( lsion sclrose des capillaires ) nigkay eTACadMe)ArlYyenAd eCIg

    enAtRmgenam bNaleGayeTACa CMgWtRmgenamraMur: ( IRC ) enAEPk bNaleGayeTACa rlakEkvEPkedayTwkenamEpm enAssR)asaTeFVIeGaymanCMgWssR)asaTedayeFVIGak;sUnNal;xUc CMgWTwkenamEpmRbePTTI1 bNaleGay)at;bg;sartIedaysarkgVHGaMgsIulIn CatiseRcIn kgQam

    enameRcIn )at;bg;CatiTWk snb;

  • CMgWtMrgenamelIGkCMgWTwkenamEpm

    tMrgenammanmuxgarbIya:g

    RtgyksMNl;ecjBIQameGayeTACaTwkenam naMykQamsat RtLb;eTAragkayvij eFVIya:gNaeGaykMritTwknigkMritTwkxniCenAFmtaedIm,IeGayxneyIgman suxPaBl RtwmRtUv

    CMgWtMrgenamelIGkCMgWTwkenamEpmKWCaCMgWraMur: Edlcab;QWbnicmg mkBIkMritCatisrkgQameLIg x

  • viFIbgarCMgWTwkenamEpm

    karBarkMueGayFat; RtUvrkSaTMgn;eTAtamGayu

    briePaKGahareGay)aneTAtamrbbGaharEdlmancMnYnRtwmRtUv Kwbnyxaj; nig sEdlman

    famBleRcIn nigGMbileRcIn ehIybriePaK sac; bEnEdlsMbUrss RKab;FjCati EpeQI

    EdlRss;pl;nUvsuxPaBl.

    minRtUvbriePaKhYsehtu tamXan

    hat;R)aNCaRbcaMerogral;f

    eCosvagkar Ck;)arI nigpwkRsaeRcIn

    eCosvagkarmYm:gkgcit minRtUvKiteRcIn eKgeGay)anRKb;RKan;.

  • viFIbgarplvi)akedayCMgWTwkenamEpmnigkarBa)al

    cMeBaHGkCMgWTwkenamEpmKWRtUvbgarplvi)ak eTAtamdMNak;kal;nCMgW

    k- dMNak;kalTI1

    briePaKbEneGay)aneRcIn tmGaharEdlmanfamBlnigmanCati RbUetGIuneRcIn RtUvhat;R)aN RtUvtamdan CatiskgQam kgTwkenam kUelesr:Ul RTIkIesrIt eFVIeGaykMritCatisrkgQam enAkMritRtwmRtUvCaGciRny_ eFVIeGaysma

  • viFIbgarplvi)akedayCMgWTwkenamEpmnigkarBa)al

    cMeBaHGkCMgWTwkenamEpmKWRtUvbgarplvi)ak eTAtamdMNak;kal;nCMgW

    k- dMNak;kalTI1

    briePaKbEneGay)aneRcIn tmGaharEdlmanfamBlnigmanCati RbUetGIuneRcIn RtUvhat;R)aN RtUvtamdan CatiskgQam kgTwkenam kUelesr:Ul RTIkIesrIt eFVIeGaykMritCatisrkgQam enAkMritRtwmRtUvCaGciRny_ eFVIeGaysma

  • viFIbgarplvi)akedayCMgWTwkenamEpmnigkarBa)al

    x- dMNak;kalTI2

    briePaKnigtmdUc dMNak;kalTI1

    karhat;R)aNRtUvbnyeRBaHkmaMgGkCMgwexSayCag dMNak;kalTI1 faMBa)al bhanItnigsulhaVmIutGIub:UkIesm:g; RtUvtamdan CatiskgQam kgTwkenam kUelesr:Ul RTIkIesrIt eGoer:kgQam eRkGaTInIn nigtamdanpl vi)ak rbs;va. K- dMNak;kalTI3

    briePaKnigtmdUc dMNak;kalTI1 karhat;R)aNRtUvbnyeRBaHkmaMgGkCMgw exSayCag dMNak;kalTI2 RtUveRbIGaMgsIulInnigBa)albEnmdl;pl vi)akrbs;va.

  • etIeyIgRtUvbriePaKrebobdUcemc?

  • rebobKNna TMgn;sg;da(kg)

    krNInburs

    TMgn;sg;da(kg) = kMBs; ;(m) * kMBs; ;(m) * 22

    krNInRsI

    TMgn;sg;da(kg) = kMBs; ;(m) * kMBs; ;(m) * 21

  • karvaytMlBIkMritFat;

    tamlMnaMrbs; WHOGMBIcMNat;fak; GaMgDicTMhMxn BMI = TMgn; / kMBs;

    18/5 - 24/9 Fmta

    25 - 29/9 elIsTMgn;

    30 - 34/9 Fat; kMrit TI1

    35 - 39/9 Fat; kMrit TI2

    40 Fat; kMrit TI3

  • 1/50 1/55 1/57 1/60 1/62 1/65 1/67 1/70 1/72 1/75 1/77 1/80 1/82 1/85 1/90 1/95

    50 22/2 20/8 20/3 19/5 19/1 18/4 17/9 17/3 16/9 16/3 16 15/4 15/1 14/6 13/9 13/1

    55 24/4 22/9 22/3 21/5 21 20/2 19/7 19 18/6 18 17/6 17 16/6 16/1 15/2 14/5

    60 26/6 25 24/3 23/4 22/9 22 21/5 20/8 20/3 19/9 19/2 18/5 18/1 17/5 16/6 15/8

    62 27/6 25/8 25/2 24/2 23/6 22/8 22/3 21/5 21 20/2 19/8 19/1 18/7 18/1 17/2 16/3

    65 28/9 27 26/4 25/4 24/8 23/9 23/3 22/5 22 21/2 20/7 20/1 19/6 19 18 17/1

    67 29/8 27/9 27/2 26/2 25/5 24/6 24 23/2 22/6 21/9 21/4 20/7 20/2 19/6 18/6 17/6

    70 31/1 29/1 28/4 27/3 26/7 25/7 24/9 24/2 23/7 22/9 22/3 21/6 21/2 20/5 19/4 18/4

    72 32 30 29/2 28/1 27/4 26/4 25/8 24/9 24/3 23/5 23 22/2 21/7 21 19/9 18/9

    75 33/3 31/2 30/1 29/3 28/6 27/5 26/9 26 25/4 24/5 23/9 23/1 22/6 21/9 20/8 19/7

    77 34/2 32 31/3 30/1 29/3 28/3 27/6 26/6 26 25/1 24/6 23/8 23/2 22/5 21/3 20/2

    80 35/6 33/3 32/5 31/3 30/5 29/4 28/7 27/7 27 26/1 25/5 24/7 24/2 23/4 22/2 21

    82 36/4 34/1 33/3 32 31/2 30/1 29/4 28/3 27/7 26/8 26/2 25/3 24/8 24 22/7 21/6

    85 37/8 35/4 34/5 33/2 32/4 31/2 30/5 29/4 28/7 27/8 27/1 26/2 25/7 24/8 23/5 22/4

    87 38/7 36/2 35/3 34 33/2 32 31/2 30/1 29/4 28/4 27/8 26/9 26/3 25/4 24/1 22/9

    90 40 37/5 36/5 35/2 34/3 33/1 32/3 31/1 30/4 29/4 28/7 27/8 27/2 26/3 24/9 23/7

    92 40/9 38/3 37/3 35/9 35/1 33/8 33 31/8 31/1 30 29/4 28/4 27/8 26/9 25/5 24/2

    95 42/2 39/5 38/5 37/1 36/2 34/9 34/1 32/9 32/1 31 30/3 29/4 28/7 27/8 26/3 25

    97 43/1 40/3 39/4 37/9 37 35/6 34/8 33/6 32/8 31/7 31 29/9 29/3 28/3 26/9 25/5

    100 44/4 41/6 40/6 39/1 38/1 36/7 35/9 34/6 33/8 32/7 31/9 30/9 30/2 29/2 27/7 26/3

  • cMeNHdwgGMBIrbbGahar

  • etImansarFatubMb:nb:unanRbePT enAkgcMNIGahar?

    kabUGIuRdat (Carbohydrate)

    Catixaj; (Fat)

    RbUetGIn (Protein)

    vitamin (Vitamin)

    CatixniC (Mineral)

    CatiTwk (Water)

    RkumsarFatubMb:nEdlbegItfamBl

    (ENERGY NUTRIENTS) RkumsarFatubMb:nEdlmantYnaTIsMruHsMrUl

    (MODULATOR NUTRIENTS)

  • RkumFBaCati (Grains)

  • sarFatucMbg KWCa

    kabUGIuRdat ERbkayeTACa KykUs (glucose) enAkgsIrIragkayeyIg kabUGIuRdat pl; famBl (energy) dl;RKb;ekasika

    beBaj famBl 4kcal/g

    =

    RkumFBaCati

    kabUGuIRdat (Carbohydrate)

  • RkumbEn (Vegetables)

  • RkumbEn (Vegetables) mansarFatu vitamIn Ga (vitamin A) vItamIn es (vitamin C)/

    Catixnit (mineral)/ Catiss (dietary fiber)

    Catiss CYybnyGaRtaCatisrkgQam

    esIEtKanCatisr GkCMgWGacbriePaKtamcit)anBN_exov

    kgmYyeBl y:agtic 1xaMknH150RkamRtYvbriePaK

  • RkumEpeQI (Fruits)

  • RkumEpeQI (Fruits) mansarFatu vitamIn / Catixnit/ Catiss/

    kabUGIuRdat Catisr (carbohydrate)

    briePaK Ca GaharsMrn; (eat as a snack)

    kMnt;briePaK GaceRcIn )an

    mYyfJ b:unmYyknab;db:ueNaH

    RtUvbriePaK caM 2em:ageRkay hUb)ayrc

  • sac;stV sac;man; RtI sut BYksENkdI (Meats,Poultary,fish,Eggs & Nuts)

  • mansarFatubMb:n RbetGIun(protein), CatiEdk (iron(Fe))

    CYybnyGarmN_Xan ehIybegInRbBnsaMu help to decrease the huger feeling and increase the immunity

    KYrbriePaK mYyeBl)ay

    b:un )al; BIgb:ug (ping-pong ball size) 2dgCamFm

    KW sac;stV 80Rkam / sac;RtI 1xaM/ sut 2RKab; / etAhU 1xaMknH

    sac;stV sac;man; RtI sut BYksENkdI (Meats,Poultary,fish,Eggs & Nuts)

  • CYyksag rW CYsCul Calikarnana

    dUcCa sac;dMu/Qam/Es,k/sk;/Rkck Building and reproducing of the bodys tissues such as muscle, blood, born, hair, skin, nail.

    CacaM)at; sMrab;karlUtla;snekg

    mansarsMxan; cMeBaH RbBnsaMu (immunity)

    beBaj famBl 4kcal/g

    RbUetGIun (Protein)

  • RkumCatixaj; (Fats & oils)

  • man 2RbePT KWCa xaj;stV (Fat ; saturated fatty acid)/

    eRbgrukCati (oils ; unsaturated fatty acid)/ beBaj fmBl 9kcal/g

    kan;Et minbriePaK kan;Et l

    briePaK eRbgrukCati CMnYs xaj;stV

    RtUvkat; xaj;sac;stV nig Es,kman; ecal

    kMnt;brimaN 3 sabRBatUc kgmYyfJ

    1 sabRBatUc (5g)

    RkumCatixaj; (Fats & oils)

  • RkumsarFatubMb:nEdl begItfamBl (ENERGY NUTRIENTS)

    kabUGIuRdat (Carbohydrate)

    Catixaj; (Fat)

    RbUetGIn (Protein) 4 kcal/g

    4 kcal/g

    9 kcal/g

  • cMnYnfamBlCaRbcaM cMnYnGahar

    cMnYnfamBlCaRbcaM (kcal)

    = TMgn;sgda(kg) *

    cMnYnfamBlEdltMrUvkarkgTMgn;1kg (kcal)

  • cMnYnfamBltam BMInig skmPaB

    skmPaBRsal

    Thin Normal Fat

    35 30kcal 25~30

  • cMnYnfamBltam BMInig skmPaB

    skmPaBFmta

    Thin Normal Fat

    40 35kcal 30

  • cMnYnfamBltam BMInig skmPaB

    dMNak;kar

    tamskmPaB

    cMnYnfamBltMrUvkarkgTMgn;1kg

    sm TMgn;Fmta Fat;

    skmPaBRsal 35 30 25~30

    skmPaBFmta 40 35 30

    skmPaBxaMg 45 40 35~40

  • karkMNt;famBlcMnYn 1900 kcal kgeBl)ay

    GahareBlRBwk

    Rice 1 bowl = 210g

    (300kcal) 3 kta

  • RKab;FBaCati 1rbb 100 kcal

    Rice 1/3 bowl (70g) Bread 1 slice (35g) Boiled noodles (90g)

    Potato (130g) Corn (50g) Sweet potato (100g)

  • cMENknRkumGaharnimYy

    Kcal Grains Meat Veget

    ables Oils Milk Fruits Low

    fat Middle

    fat

    1,600 8 2 3 7 4 1 1

    1,700 8 2 3 7 4 2 1

    1,800 8 2 3 7 4 2 2

    1,900 9 2 3 7 4 2 2

    2,000 10 2 3 7 4 2 2

    2,100 10 2 4 7 4 2 2

    2,200 11 2 4 7 4 2 2