33671 - The new international Diabetes Federation(IDF...

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The new international Diabetes Federation (IDF) definition According to the new IDF definition , for a person to be defined as having the metabolic syndrome he/she must have : Central Obesity ( defined as waist circumference * with ethnicity specific values ± plus any two of the following four factors : Raised triglycerides 150 mg/dL (1.7 mmol/L ± or specific treatment for this lipid abnormality . Reduced HDL Cholesterol < 40 mg/dl ( 1.03 mmol/L ± in males 50 mg/dL (1.29 mmol/L± in females < or specific treatment for this lipid abnormality Raised blood pressure Systolic BP 130 or diastolic BP 85 mmHg Or treatment of previously diagnosed hypertension Raised fasting plasma glucose ( FPG± 100 mg/dL (5.6 mmol/L ± or previously diagnosed type 2 diabetes
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Diabetes Mellitus and its state of control and complications in the MENA Region
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Fasting Hyperglycemia - Controlled (< 120 mg/dl ) = 19.8 % - Uncontrolled = 80.2 % ---------------------------------- Hyperglycemic 121-150 mg/dl = 15.6 % Marked hyperglycemia -200 = 31.3 % Severe hyperglycemia -220 = 12.5 % Very severe hyperglycemia > 220 = 20.8 %
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19.80% 15.60% 31.30% 12.50% 20.80% > 220 200-220 151-200 121-150 -120 120 mg/dl Hyperglycemia Fasting
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Post Prandial Hyperglycemia - Controlled < 160 mg/dl = 13.5 % - Accepted 161-180 mg/dl = 7.9 % Total = 21.4 % - Uncontrolled ( >180 mg/dl ) = 78.6 % * Moderate -220 mg/dl = 17.4 % * Severe - 260 mg/dl = 16.0 % * Very Severe > 260 mg/dl = 45.2 %
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Post Prandial 13.50% 7.90% 17.40% 16% 45.20% > 260 220-260 180-220 160-180 <160 180 mg/dl Hyperglycemia
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Diastolic Blood Pressure 64.60 % 18.10% 12.10% 4.50% 0.70% > 120 110 100 90 < 80 80 mm Hg
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Systolic Blood Pressure 53.70% 22.30% 20.70% 2.80% >200 200 180 150 < 130 130 mm Hg 0.50%
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56.40% 33.20% 10.40% >250 201-250 -200 Lipid Control Serum Cholesterol 200 mg
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Lipid Control Serum Triglycerides 50.40% 33.30% 9.10% 7.20% > 250 201-250 151-200 -150 150 mg
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Obesity as BMI group ( A ) > 24 ( B ) 24-30 ( C ) < 30 Syst. B.P. > 150 mm Hg 8.7 % 20.5 * % 30.6 * % Diast. B.P. > 80 mm Hg 17.1 % 32.9 * % 41.5 * % S. Cholest. > 200 mg/dL 19.7 % 24.5 * % 50.4 * % S. Triglycerides >150mg/dL 23.5 % 22.6 % 54.9 * % Fasting Bl.Gluc.>120mg/dL 72.3 % 73.8 % 80.0 % N.B. (%) percentage of patients above the acceptable levels , (*) Significant Obesity as a Risk Factor for Hyperglycemia , Hypertension and Hyperlipidemia
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15.00% 7.90% 21.80% 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% Angina ECG+ve H.F-Arryth Cardiac Complications
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Retinopathy (in 1173 patients ) - Free 68.9 % - Back ground 22.6 % - Proliferative 9.5 %
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Retinopathy 22.6 % 9.5% 68.9 % Free B.ground Prolif.
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Retinopathy in correlation with Duration of DM 0% 20% 40% 60% 80% 100% 1 3 6 9 12 15 >15 Free Non-Prol. Prol.
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Ankle reflex and Duration of DM 0 10 20 30 40 50 60 70 80 <1 -3 -6 -9 -12 -15 -18 -21 -24 >24 Duration /year % l
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This note was uploaded on 03/08/2012 for the course PHARM 300 taught by Professor Staff during the Fall '11 term at Rutgers.

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33671 - The new international Diabetes Federation(IDF...

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