What is Diabetes Mellitus?
Diabetes is a long-term condition where the sugar in the body is high. In Malaysia, there are approximately 3.9 million people living with diabetes as of 2019. The prevalence rate has risen from 13.4% in 2015 to 18.3% in 2019, equivalent to every 1 in 5 adults.
Blood glucose readings of ≥7 mmol/L (fasting), ≥11.1 mmol/L (random) and HbA1C (blood glucose reading over 3 months) of ≥6.3% indicate diabetes.
Blood Sugar Target
Common risk factors
•Obesity
•Genetics
•Unhealthy diet
•Smoking
•Physical inactivity
•Gestational diabetes (during pregnancy)
Sign & Symptoms
•Frequent urination
•Excessive thirst
•Poor wound healing
•Fatigue
•Increased hunger
•Tingling & numbness of hands & feet
Complications:
•Stroke
•Heart attack
•Peripheral neuropathy
•Diabetic foot
•Glaucoma
Suku-suku Separuh Eating Habits
•Highly recommended for individuals with overweight, obese and chronic diseases (hypertension, diabetes, high cholesterol)
Hypoglycemia
Sign & symptoms
•Sweating, fainting, lack of coordination, hunger, sleepiness
What to do?
•If blood glucose drops to <4mmol/L, drink half a glass of sweet drinks (orange juice, milo etc) or 3 pieces of candies. Measure blood glucose again after 15 minutes.
Lifestyle Modifications
•Limit sugar & salt intake
•Maintain healthy BMI<25
•Exercise at least 3 times/week
•Quit smoking
•Compliant to anti-diabetic medications
References
1. The first-ever Malaysian diabetes index survey uncovers awareness gaps on diabetes amongst Malaysians [Internet]. AstraZeneca. 2021 [cited 2022Jan3]. Available from: https://www.astrazeneca.com/country-sites/malaysia/press-releases/the-first-ever-malaysian-diabetes-index-survey-uncovers-awareness.html#:~:text=Based%20on%20the%20National%20Health,%E2%80%9CSweetest%20Nation%20in%20Asia%E2%80%9D.
2. CPG type 2 DM 6th edition [Internet]. Scribd. Scribd; [cited 2022Jan3]. Available from: https://es.scribd.com/document/508537019/CPG-Type-2-DM-6th-Edition
3. Comparison of the Malaysian food pyramid and Malaysian ... [Internet]. [cited 2022Jan3]. Available from: https://www.researchgate.net/figure/Comparison-of-the-Malaysian-Food-Pyramid-and-Malaysian-Healthy-Plate_tbl1_340034217
4. Osama Hamdy MD. Hypoglycemia Treatment & Management: Approach considerations, Complications, long-term monitoring [Internet]. Hypoglycemia Treatment & Management: Approach Considerations, Complications, Long-Term Monitoring. Medscape; 2021 [cited 2022Jan3]. Available from: https://emedicine.medscape.com/article/122122-treatment
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