Diabetes Management Centre

Diabetes Management Centre DMC's aim is to provide a high level of care to persons with diabetes mellitus through a team approach

Diabetes mellitus is fast becoming a world wide pandemic affecting millions of people. The concept of the Diabetes Management Programme (DMP) was first developed and introduced into the private healthcare system in South Africa in 1995 by Dr Larry Distiller, a world renowned Endocrinologist specialising in diabetes. Our goal is to introduce such a programme for the betterment of persons with diabetes.

23/01/2017

DIAGNOSING DIABETES USING BLOOD TESTING

Diabetes can be diagnosed by means of blood testing early in the disease process using certain tests

However classical symptoms of diabetes will have to be confirmed by blood testing

The usual test is

FASTING BLOOD SUGAR TEST

This test is usually done first thing in the morning before having had anything to eat or drink
The fast should not exceed 10hours as beyond this time the result may not be conclusive as the liver releases glucose in response to prolong fasting
Fast blood glucose should be

Below 6mmols / l

TWO HOUR POST PRANDIAL TEST

Another blood test used is the 2 hours after food termed a post prandial meaning after food
This test should be

Under 11 mmol / l

Most of us are familiar with the

GLUCOSE TOLERANCE TEST

This test was in the past done over 3 hours when blood samples were taken every half hour after drinking a measured glucose dose

Today this test is still done but instead of blood taken every half hour
A sample is taken before the glucose drink then
2 hours after the glucose drink

The doctor will then interpret the results

In recent times a more specific test is the

HbA1c or GLYCOSYLATED
HAEMOGLOBIN TEST

This tests the glucose in the blood over a period of 3 months
This is based in the theory that the red blood corpuscle in our body has a life span of 90 days

Consult your family doctor for more clarification on the above tests if you suspect or have family history of diabetes.

16/01/2017

MEDICATIONS USED TO TREAT DIABETES

OHA -Oral Hypoglycaemic Agents

These are tablets / oral medicines of which there are numerous.
Usually mature Type 2 diabetic (as a general rule those over 40yrs) may respond to these agents
First line treatment in this category is oral medicines
One must bear in mind that Type 2 diabetics will at some point require Insulin together with OHA

INSULIN

These are injections
Type 1 diabetic will require insulin from the onset as their pancreas does not produce any insulin
Type 2 diabetics will need insulin with or without oral medicines
Types of insulin
Short & Long actiing
Can be given once or twice a day or with each meal and a long acting at bedtime

REMEMBER
The best treatment is Insulin because Insulin replaces the hormone diabetics are deficient in

Together with the above it is important to also:
-Watch diet
-Exercise
-Test sugars regularly
-Avoid gaining weight

Visit your nearest healthcare provider to check if you have, or if you may be a potential candidate for diabetes.

08/01/2017

CLASSIFICATION OF DIABETES

Type 1 - No Insulin

Type 2 - Less Insulin + Unable to use
insulin properly ( resistance )

Gestational
diabetes - Diabetes in pregnancy

Next week we shall talk about symptoms & diagnosis of diabetes

Advice:
Watch what you eat.
How much you eat.
Watch your weight.
Exercise regularly.

Visit your nearest healthcare provider to check if you have, or if you may be a potential candidate for diabetes

02/01/2017

DIABETES IN SUBSAHARAN AFRICA

The number of cases of diabetes in Subsaharan Africa is on the increase.
The burden of Type 2 diabetes is rising rapidly.

Living in urban areas as opposed to rural areas, and changes in lifestyle are contributing to the increase in the number of diabetics. Here we should also mention the increase in obesity which is a risk factor for diabetes. Lack of exercise plays a vital role in diabetes and obesity.

The rate of undiagnosed diabetes is high in most countries in Subsaharan Africa.
Individuals who are not aware that they have the disorder are at higher risk of developing complications related to diabetes. Complications can affect the eyes, heart, kidneys and circulation especially of the legs.

A multidisciplinary approach in diabetes control and care is vital for appropriate diabetes programs in Subsaharan Africa.

Visit your nearest health care provider to test and check if you may have, or if you may be a potential candidate for diabetes.

16/02/2015

Diabe-fact #10

Diabetes can be prevented. Thirty minutes of moderate-intensity physical activity on most days and a healthy diet can drastically reduce the risk of developing type 2 diabetes.

15/02/2015

Diabe-fact #9

Lack of awareness about diabetes, combined with insufficient access to health services, can lead to complications such as blindness, amputation and kidney failure.

14/02/2015

Diabe-fact #8

80% of diabetes deaths are now occurring in low- and middle-income countries.

13/02/2015

Diabe-fact #7

In 2005, 1.1 million people died from diabetes. The full impact is much larger, because although people may live for years with diabetes, their cause of death is often recorded as heart diseases or kidney failure.

12/02/2015

Diabe-fact #6

A third type of diabetes is gestational diabetes. This type is characterized by hyperglycaemia, or raised blood sugar, which is first recognized during pregnancy.

11/02/2015

Diabe-facts #5

Reports of type 2 diabetes in children - previously rare - have increased worldwide. In some countries, it accounts for almost half of newly diagnosed cases in children and adolescents.

10/02/2015

Diabe-fact #4

Type 2 diabetes is much more common than type 1 diabetes, and accounts for around 90% of all diabetes worldwide.

09/02/2015

Diabe-fact #3

Type 1 diabetes is characterized by a lack of insulin production and type 2 diabetes results from the body's ineffective use of insulin.

Address

88 S. Parirenyatwa Street
Bulawayo
0000

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