Page 260 - fourth year book
P. 260

DIABETES MELLITUS



               Table 1 :

               Present Name                                           Previous Name


               Type 1
Diabetes Mellitus               Insulin dependent diabetes mellitus


                                                       Juvenile diabetes mellitus


               Type 2
Diabetes Mellitus               Non-insulin dependent diabetes mellitus
                                                          Adult onset diabetes mellitus


               Gestational               Diabetes  Gestational Diabetes Mellitus
                  Mellitus


               Other Specific Types                   (Not previously designated)


               Pre-Diabetes                           Impaired Glucose Tolerance (IGT)


                                                       Impaired Fasting Glucose (IFG)




               Table 2 :

               Categories                                                         Level


               Normal Fasting Glucose                            FPG <100mg/dL
               Impaired Fasting Glucose                          FPG ≥ 100 and < 126 mg/dL

               Impaired  Glucose  Tolerance  after  FPG ≥ 140 but < 200mg/dL
               OGTT

               Hemoglobin A1C                                     5.7– 6.4 %



               Prevention or Delay of Type 2 Diabetes

              Patients  with  pre-diabetes  should  be  referred  to  an  intensive  diet  and

               physical activity behavioral counseling program, targeting a loss of 7%
               of  body  weight  and  should  increase  their  moderate-intensity  physical

               activity (such as brisk walking) to at least 150 min/week.
              Follow-up counseling and maintenance programs should be offered for

               long-term success in preventing diabetes.







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