Diabetes
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HTM Pharmacy

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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