1. Group 4

2. Introduction Diabetes mellitus has no cure. But it can be controlled effectively by treatments, good dietary habits and exercises. Today it is prevailing among most of the people. It leads to many complications which lead to increase its damage. So it causes lots of social & economic problems. 2

3. The problems related with DM Social Physical Economic Mental 3

4. Social Problems 1.The thought of “a DM patient” will lead to, -Poor self-image (very common problem). -Mental imbalance. -Underestimation about his health. -Worry, anxiety, shock. 1.The thought of “a DM patient” will lead to, -Poor self-image (very common problem). -Mental imbalance. -Underestimation about his health. -Worry, anxiety, shock. 4

5. 2.She/he cannot consume his desirable food & diets. Every food is not good for DM. (e.g. refined rice, high fat diets, Alcohol, high Sodium foods) 2.She/he cannot consume his desirable food & diets. Every food is not good for DM. (e.g. refined rice, high fat diets, Alcohol, high Sodium foods) 5 Social Impact

6. 6 3.His/her freedom is limited by, -extra care for preventing from getting wounds. -spending time for clinics. -preparation for tests (e.g: FBS test needs at least 12h fasting) 3.His/her freedom is limited by, -extra care for preventing from getting wounds. -spending time for clinics. -preparation for tests (e.g: FBS test needs at least 12h fasting) Social Impact

7. 4. Loss of control over personal behavior or consciousness can occur in insulin-treated patients, after only a slight miscalculation. 7 Social Impact

8. Economic Problems 8

9. Do you know…? Diabetes is increasing in pandemic proportions. Diabetes kills 3.8 millions people yearly. In 2007, 246 million people worldwide were affected by diabetes and 308 million people were affected by Impaired Glucose Tolerance (IGT). The highest prevalence rates will be in developing countries. So, It has become one of the most costly health problems in the world. 9

10. 10 PREVALENCE OF DIABETES In Sri Lanka..

11. 11 Prevalence of Diabetes Mellitus 11 1995 2025 19 million 57 million PREVALENCE OF DIABETES Selected Three Countries in the world Economic Impact

12. It has been estimated that between 5-10% of the total healthcare spending of the world is spent on diabetes related conditions. E.g.: Direct costs of medical care for people with diabetes was $85.7 billion in 1992 in United States. According to the World Health Organization (WHO) global cost of diabetes accounts for 2-3% of the total health care budget in every country. 12 Economic Impact

13. 3. In government wise lots of money spends for, -medications, -pathology tests, -clinics, -drugs, -public awareness campaigns. 3. In government wise lots of money spends for, -medications, -pathology tests, -clinics, -drugs, -public awareness campaigns. 13 Economic Impact Economic Problems

14. 14 public awareness campaigns Economic Impact

15. 1. Substantial expenditures on, -tests ( FBS, oral glucose tolerance test (OGTT) -drugs ( Biguanides, MetforminHCL, Chlorpropamide, Glibenclamide,Gliclazide, Glipizide, Tolbutamide) -hospital fees, -nursing homes. 1. Substantial expenditures on, -tests ( FBS, oral glucose tolerance test (OGTT) -drugs ( Biguanides, MetforminHCL, Chlorpropamide, Glibenclamide,Gliclazide, Glipizide, Tolbutamide) -hospital fees, -nursing homes. 15 Personally…….. Economic Impact

16. 2.He/she need to take a separate diet with low & optimum glucose- which need an extra money. (Oats, cereals, legumes, wholegrain products, dried beans, peas, lentils, fruits, vegetables) 2.He/she need to take a separate diet with low & optimum glucose- which need an extra money. (Oats, cereals, legumes, wholegrain products, dried beans, peas, lentils, fruits, vegetables) 16 Economic Impact

17. Message For You All……….! Patients starting tablet or insulin treatment should be encouraged to live as normal a life as possible, but this is not easy. Diabetes, like any chronic disease, has psychological consequences(eg: stress, mental retardation). Tact, empathy, encouragement and practical support are needed from all members of the society. 17

18. References…. www.diabetessrilanka.org – official web site in Sri Lanka Kumar & Clark's Clinical Medicine/ 7th Edition. diabetes-in-america.com/adobe/chpt30. 18

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21. 21 Thank You !