1.   Understand and describe the pathology of diabetes in the development of one micro- and one macro-vascular diabetes-related complication. With this understanding of the diabetes disease process you will be better able to prevent and manage the disease itself.

2.   Identify two pharmaceutical interventions to reduce the risks of diabetes-related complications. There are a number of drugs that can be used to effectively manage diabetes, and at the conclusion of this program you will be familiar with several of them.

3.   Identify three lifestyle interventions to reduce the risks of diabetes-related complications. Diabetes can sometimes be managed solely through changes to one's lifestyle--we will discuss several of these interventions today.     

 

Introduction

Diabetes is a crisis in the U.S. You are probably aware of the level of this crisis as there is an ever-growing population of people with diabetes. This population is aging, and diabetes is being diagnosed people younger and younger. This all means that treating diabetes complications is a massive burden on our nation’s healthcare systems as well as the economy and lives of people with diabetes.

Diabetes is the 7th leading cause of death 36.5% develop kidney disease Leading cause of lower limb amputation There were 1.5 million people with diabetes hospitalized for cardiovascular disease (including stroke and heart attacks) Diabetes is the leading cause of blindness in adults in the United States Genetic factors Inflammation Auto immune response

Diabetes was listed at the 7th leading cause of death in the United States in 2015.

In adults with diabetes the prevalence of chronic kidney disease was 36.5%

Diabetes is the leading cause of lower limb amputation in the US, with 108,000 hospitalizations in 2014.

 

 There were 1.5 million people with diabetes hospitalized for cardiovascular disease (including stroke and heart attacks) in 2014.

Diabetes is the leading cause of blindness in adults in the United States.

 

The down side is that diabetes is complicated, and can lead to nasty complications.

 

Just having a diagnosis of diabetes leaves us as a slightly higher risk than those who do not have diabetes. This is partially due to genetic factors, chronic inflammation, and auto immune factors that we are still learning more about.

 

But the up side is that we can do a great deal to help support people with diabetes in reducing their risk for diabetes related complications. and help our patients living with diabetes improve both heir quantity and quality of life!