2. Definition, Classification and Diagnosis of Diabetes

4. Classification of diabetes Type 1 diabetes* is diabetes that is primarily a result of pancreatic beta cell destruction and is prone to ketoacidosis. This form includes cases due to an auto- immune process and those for which the etiology of beta cell destruction is unknown. Type 2 diabetes may range from predominant insulin resistance with relative insulin deficiency to a predominant secretory defect with insulin resistance. Gestational diabetes mellitus refers to glucose intolerance with onset or first recognition during pregnancy. Other specific types include a wide variety of relatively uncommon conditions, primarily specific genetically defined forms of diabetes or diabetes associated with other diseases or drug use. * Includes latent autoimmune diabetes in adults (LADA), and includes the small number of people with apparent type 2 diabetes who appear to have immune-mediated loss of pancreatic beta cells

24. Self –management education Incorporate cognitive, behavioral and social interventions that include Goal – setting Problem solving Other motivational strategies Psychological mediators Motivation (beliefs, attitudes) Coping skills Knowledge Psychomotor skills Healthy self –management behaviors Diet SMBG Medications Physical activity Smoking cessation. Long term outcomes Morbidity Mortality Quality of life. Short –term outcomes Glycemic , BP and lipid control Weight Quality of life Attendance at health care process of self management education for people with diabetes

25. 15/06/10 Riyadh PHC / HPTD