1. Abu Ahmed Consultant Physician Blackpool Victoria Hospital Diabetes Public Lecture

2.  Raise awareness  Support people with diabetes  Get involve with diabetes  Improve local diabetes service Diabetes week

3. What is diabetes?  High blood glucose (sugar) level  Reason:  Glucose levels build up in the blood when insulin is not present or is ineffective

4.  Diabetes occurs if  pancreas does not make enough insulin  or the insulin produced is ineffective  or a combination of both What is diabetes?

5. Types of Diabetes Type 1 diabetes  No insulin produced  Destruction of insulin producing cells  Usually before the age of 40  Symptoms develop quickly (few weeks)

6. Type of diabetes Type 2 diabetes  Insulin Resistance  Usually appears after the age of 40  Usually in overweight or obese people  Runs in families  Symptoms develop slowly (years)

7. Who are at risk (Type 2)  Age > 40  Have a family history of Diabetes  Overweight or obese  High BP, heart disease  Borderline high blood glucose test  Women with history of GDM  Minority ethnic groups

9. Cost of diabetes care  Approximately 10% of NHS budget is spent in diabetes care  This is equivalent to 9 billion/year based on 2007-8 NHS budget  Diabetes prescriping now account for 8.4% of all NHS prescription cost

12. Management of diabetes Multi-factorial approach: Optimal control of risk factors: Optimal blood glucose control Optimal weight control Optimal blood pressure control Optimal control of cholesterol Structural education and lifestyle changes

13. General principles for diabetes care Symptoms controlReduce risk of acute complicationsControl of all CV risk factors Reduce risk of development or progression of complications