Creating the University of the Highlands and Islands Department of Diabetes & Cardiovascular Science HI STOP Highland Schools Diabetes Prevention Programme Sandra MacRury Dept of Diabetes & Cardiovascular Science UHI Millennium Institute Inverness
“ Diabetes is the greatest health challenge facing the UK today ” Diabetes UK 2007
Diabetes epidemic
Pancreas Brain Liver Stomach Intestines Pancreas INSULIN ISLET Cell
Types of Diabetes Type 115% Type 285% World Health Organisation 2005
Type 1 Diabetes Destruction of insulin producing cells ( cells in pancreas) Children, young people up to years Late onset Type 1 > 40 years 10-15% occurs in families Treated with insulin
What is diabetes The body cannot effectively use the insulin it produces Middle aged or older 40+ years Young onset type 2 < 35 years 40% occurs in families Treated with diet, tablets and sometimes insulin World Health Organisation 2006
Type 2 diabetes Weight Weight Family history Family history Age Age Ethnicity Ethnicity
Type 2 diabetes Weight Weight Waist Waist circumference circumference Family history Family history Age Age Ethnicity Ethnicity +
What Diabetes Epidemic?
BMI
T2DM and weight Body Mass Index BMI Weight/height Kg/m 2
Vascular problems in diabetes LIFE EXPECTANCY SHORTENED 7-8 YEARS IN T2DM
Progression of Type 2 diabetes Adapted from Bailey. Br J Cardiol 2000; 7: 350–360 DeFronzo & Ferrannini. Diabetes Care 1991; 14: 173–194 Insulin resistance Blood glucose Insulin production NormalPre diabetesType 2 diabetes Diagnosis
What can we do?
Watch what you eat
Get active!