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Understanding Diabetes Kelly Kassien, RN, BSN Diabetes Educator Gundersen Health System Diabetes Fact or Myth? Diabetes affects more than 30 million people in the United States and over 400 million people worldwide Diabetes is a


  1. Understanding Diabetes Kelly Kassien, RN, BSN Diabetes Educator Gundersen Health System

  2. Diabetes Fact or Myth? • Diabetes affects more than 30 million people in the United States and over 400 million people worldwide • Diabetes is a preventable disease • People with Diabetes should avoid carbohydrates and sugar • Diabetes is a chronic, lifelong condition • Everyone with Diabetes needs to take insulin • People with Diabetes can live a long, healthy life

  3. What is Diabetes? Food is broken down into sugar (glucose) that is released into the bloodstream u This sugar is used by all the cells of the body for energy (fuel) u Insulin is a hormone that “unlocks” the cells and allows sugar to move out of u the bloodstream and into the cells People with Diabetes either do not make enough insulin, or the insulin that is u being made does not work as well as it should Result = high blood sugar u

  4. How is Diabetes Diagnosed? Fasting 2-hour Random A1c Diagnosis glucose glucose glucose Less than Less than Less than Normal 100 140 5.7% Pre- 100 to 140 to 5.7 to Diabetes 125 199 6.4% 126 or 200 or 200+ with 6.5% or Diabetes more more symptoms more

  5. Type 1 vs. Type 2 Diabetes Type 2 Type 1 Body does not make Body still makes insulin u u insulin Can be managed with u Requires lifelong diet/exercise, oral u insulin therapy medications, non-insulin injectables and/or insulin Onset most often in u childhood/adolescence Onset most often after age 45 u No way to prevent Can prevent or delay with u u lifestyle changes About 5-10% of u Americans with About 90-95% of Americans u Diabetes with Diabetes Quick onset Slow onset u u

  6. What Puts a Person at Risk for Developing Type 2 Diabetes? Family History Prediabetes u u Certain Ethnic Overweight u u Backgrounds Little or no u Age 45 or older physical activity u History of Uncontrolled u u Gestational cholesterol Diabetes High blood u (diabetes during pressure pregnancy)

  7. How is Diabetes Managed?

  8. If Left Untreated… Heart disease or heart attack u High blood pressure u Stroke u Skin infections u Kidney Disease u Eye complications or blindness u Nerve damage u With good blood sugar control, Foot problems u these are preventable complications!

  9. Preventing Diabetes – Behavior Changes for Success Increasing physical activity u Eating a healthy, balanced diet u Regularly seeing health care providers and keeping up to date with health screenings u Treating high blood pressure u Managing cholesterol and triglycerides u STOP SMOKING! u

  10. At Gundersen Health System: Diabetes Educators u Pharmacists in some primary care departments u Wellness coaches u Healthy Living with Diabetes classes u Resources on Gundersen Health System Website: gundersenhealth.org u YMCA’s Diabetes Prevention Program u

  11. Thank You! Any Questions?

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