Diabetes: Nuts and Bolts

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DiabetesNuts and Bolts

• Sharing the Vision
• June 14, 2007
• Eileen Rice RD, CDE, CD-N
• Middlesex Hospital
• Center for Chronic Care
• Diabetes Care Program

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Two Main Types of Diabetes
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The Type 2 Diabetes Epidemic
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Type 2 Diabetes
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Risk Factors for Diabetes

• Overweight
• Inactivity
• Family history
• Gestational diabetes or a baby gt 9 lbs
• Certain ethnicities
• Age
• High blood pressure
• High cholesterol, low HDL
• Impaired glucose tolerance
• Poor diet

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Symptoms of Type 2 Diabetes
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Pre-diabetes or Diabetes?
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Glucose and A1C Levels
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Diabetes Medications
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Oral Complications of Diabetes

• Tooth decay
• Periodontal disease
• Salivary gland dysfunction
• Fungal infections
• Lichen planus and lichenoid reactions
• Infection and delayed healing
• Taste impairment

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Connection Between Diabetes and Periodontal
Disease

• Reduced resistance to infections
• Linked to control of diabetes
• Longer healing process

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Prevent Oral Health Problems

• Brush teeth after eating
• Floss teeth every day
• Look for early signs of
• gum disease
• Visit dentist at least twice per year
• Learn how gum problems start
• Keep blood sugars controlled
• Source National Institute of Health

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Symptoms of Hypoglycemia
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Treating Hypoglycemia
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Staying Healthy with Diabetes

• Take medications as directed
• Follow a healthy eating plan
• Be physically active
• Monitor blood sugars every day
• Check feet every day
• Control blood pressure and cholesterol
• Do not smoke

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Resources for People With Diabetes or Pre-Diabetes