Abu Ahmed

Consultant Physician

Blackpool Victoria Hospital

Raise awareness Support people with diabetes Get involve with diabetes Improve local diabetes service

High blood glucose (sugar) level Reason:

Glucose levels build up in the blood when insulin is not present or is ineffective

Diabetes occurs if pancreas does not make enough

insulinor the insulin produced is ineffective or a combination of both

Type 1 diabetes No insulin produced Destruction of insulin producing cells Usually before the age of 40 Symptoms develop quickly (few

weeks)

Type 2 diabetesInsulin ResistanceUsually appears after the age of 40Usually in overweight or obese people Runs in familiesSymptoms develop slowly (years)

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

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

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

Thank you