1. ASSOCIATED CONDITIONS WITH DIABETES MELLITUS TYPE II

2. OBESITY HYPERTENSION HYPERLIPIDAEMIA SMOKING

3. OBESITY Increase risk to developing DM Increased insulin resistance Physiological aspects Mechanical aspects Social aspects Increased mortality & morbidity Control of DM with obesity difficulties (diet, exercise & drugs)

4. HYPERTENSION Major risk factor Associated increased incidences of:- Myocardial infarction (IHD) C.V.A Angiopathy Heart failure Renal failure Need for aggressive therapy & monitoring

5. Cholesterol Triglycerides ↑ Major risk factor Increased morbidity & mortality HYPERLIPIDAEMIA LDL ↑ HDL ↓

6. Macroangiopathy MI CVA Athrosclerosis Aggressive therapy (diet exercise & drugs) HYPERLIPIDAEMIA continues

7. Prevention Education Major risk factor Increased risk of :- Microangiopathy & Macroangiopathy C.O.P.D Malignancy Strategies in treatment & support SMOKING

8. Awareness & screening (add to list of DM management plan) Weight reduction programs & being familiar with diets Hypertension Education Compliance Salt restriction Routine follow up STRATAGIES

9. Hyperlipidaemia Education Compliance Diet plan Routine follow up STRATAGIES contiues

10. THANK YOU