Lions engagement with diabetes programs in india

Lions engagement with diabetes programs in india

1. Topic: Lions engagement with Diabetes programs in India Speakers Dr Sanjiv Indurkar – Diabetalogist ID Dr Nawal Malu PID Vijay Raju Hosted by PID AP Singh PID Sangeeta Jatia Eastern India Lions Leadership Academy Webinar Series

2. DR . SANJIV INDURKAR MD DIABETOLOGIST –Aurangabad Ex President Maha RSSDI Faculty for PHFI Delhi

3. What is diabetes? Diabetes mellitus is a persistent, long-standing disease where utilization of carbohydrates, fats, and proteins by the body is disturbed leading to high blood glucose levels or hyperglycemia This occurs due to: Inability of the body to produce enough insulin (due to decreased functioning of beta cells in pancreas) Inability of the body to use insulin effectively (insulin resistance) Both 1 and 2 Hyperglycaemia is a singular constant feature of all types of diabetes

4. Types of Diabetes Type 1 diabetes: due to beta cell destruction, usually leading to absolute insulin deficiency Type 2 diabetes: due to a progressive insulin secretory defect on the background of insulin resistance Gestational diabetes mellitus: Diagnosed in the second or third trimester of pregnancy

5. Modifiable risk factors for type 2 diabetes Dietary factors Abdominal obesity Overweight Physical inactivity

6. The classical symptoms of diabetes (3 P’s) Polyuria, Polydypsia and Polyphagia Frequent urination (Polyuria) Excessive thirst (Polydypsia) Extreme hunger (Polyphagia)

7. Other symptoms of diabetes Weight loss Extreme fatigue Frequent infections Slow healing of wounds Tingling/numbness in hands and feet Blurred vision

8. Why should diabetes be treated? Sustained high blood sugar levels can cause damage to: Eyes Kidneys Nerves Heart Blood vessels

9. Diabetes – A big global problem

10. India has 2 nd highest number of people with Diabetes

11. Diagnostic criteria of diabetes ADA 2018 Fasting plasma glucose (FPG) ≥126 mg/ dL OR 2-h plasma glucose ≥200 mg/dL during an OGTT OR A1C ≥6.5% OR Random plasma glucose ≥200 mg/dL

12. Understanding the diagnostic tests for diabetes HbA1c: Glycosylated haemoglobin Glucose in blood circulation binds irreversibly to haemoglobin A hence called as HbA1c Evaluates average amount of glucose in blood over previous 2-3 months HbA1c

13. What to remember before diagnostic tests? For HbA1c: No fasting required No smoking, tobacco, exercise Continue regular medications Inform doctor if suffering from any disease of abnormal haemoglobin Similarly for random blood sugar testing, no overnight or 8-h fasting is required

14. How will you identify high-risk population for diabetes? ~50% of diabetic patients remain undiagnosed and that is why diabetes is called as ‘silent disease’ Various laboratory and clinical tests are used for identification of high-risk patients for diagnosis The Indian Diabetes Risk Score (IDRS) , is one such simple screening tool for prediction of undiagnosed diabetes developed by Dr. Mohan and colleagues at the Madras Diabetes Research Foundation (MDRF), Chennai

15. Indian Diabetes Risk Score (IDRS)

16. Can diabetes be cured? No, but it can be controlled and complications can be prevented Patient can lead a normal life if managed well It has been shown that with bariatric surgery, 72% of patients with type 2 diabetes mellitus have achieved near or complete normalisation of blood sugar levels

17. Can diabetes be prevented? Yes, diabetes can be delayed and prevented Following simple lifestyle measures will reduce the future risk of diabetes : Controlling weight Get moving (exercise) Healthy diet habits Smoking cessation Alcohol cessation As per clinical studies, medications like metformin are known to prevent diabetes among high-risk populations

18. Take Home Summary The number of diabetics in India is rising alarmingly Type 2 diabetes is one of the major types of diabetes Type 2 diabetes is often characterised by insulin deficiency and insulin resistance Polyuria , polydypsia and polyphagia are the three most important signs of diabetes Diagnostic tests for diabetes include HbA1c, FPG, PPG and OGTT Obesity , physical inactivity and unhealthy diet are few major risk factors for diabetes Diabetes cannot be cured but can be managed However , it can prevented or delayed with appropriate lifestyle interventions

19. Presentation by: Sca MJF LION DR. NAWAL J. MALU International director [2018-20] Diabetes -what lions can do LIONS CLUBS INTERNATIONAL

20. To be the one of five most important programs -all clubs worldwide to work for the same. Focus of LCI for complete Diabetes Care since 1 st July 2018 on priority basis . LCI & Diabetes

21. EACH & EVERY CLUB should participate. AWARENESS programs LECTURES RALLIES STREET PLAY SOCIAL MEDIA

22. EARLY DIAGNOSIS TARGET GROUPS Family History Obesity Age above 40 years. BLOOD SUGARS BY GLUCOMETER FBS, PPBS HbA1C.

23. MANAGEMENT OF KNOWN DIABETICS Blood sugar examination camps Importance of regular treatment Education regarding complications Diet & exercise

24. LIONS CLUBS can have Permanent Diabetes Clinic - Weekly or biweekly Mobile clinics in association with regular clinics [70% patients are in rural areas] Complete Diabetes Care Clinic

25. Foot care is an important aspect. Diabetic Retinopathy treatment in all established Lions Eye Hospitals. Diabetes Care Clinics or complete Diabetes Care centers at all Lions Clubs General Hospitals.

26. PARTNERSHIPS As per the city of treatment, partnerships should be with Local Diabetologists Association Physicians Association Indian Medical Association

27. BUZZER WORD IS HBA1C test TAKE HOME MESSAGE Equipment for HBA1C costing around Rs. 6 lakhs can be donated to various Govt. Medical Colleges all over the country.

28. LET’S PLEDGE TO WORK FOR PREVENTION & OF DIABETES & CHHERFUL LIFE FOR ALL DIABETES PATIENTS . [email protected] THANK YOU

29. PID Vijay Raju

30. Topic: Lions engagement with Diabetes programs in India Eastern India Lions Leadership Academy Webinar Series Thank you