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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