kap study on ht.pptVIP

K.A.P STUDY ON HT DM CLASSIFICATION OF DIABETES MELLITUS 1. Type I diabetes A) Immune mediated b) idiopathic 2. Type 2 diabetes 3. Other specific typesa. Genetic defects of beta cell function b. Genetic defects insulin action, lipoatropic diabetesc. Disease of exocrine pancreas d. Endocrinopathies, acromegaly Cushing’s syndrome, hyperthyroidisme. Drug or chemical induced glucocorticoids, thyroid hormones, beta-blockers, thiazidesf. Infections congenital rubella, cytomegalovirusg. Uncommon forms of immune mediated diabetesh. Other genetic syndromes sometimes associated with diabetes down’s syndrome, k. F Syndrome., turners syndrome.4. Gestational diabetes mellitus DIAGNOSIS OF TYPE 2 DM: SUG NORMAL IFG/IGT D.M FPG 110 110-125 125 2HR PPG 140 140-199 200 DIAGNOSIS OF HYPERTENSION: The Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 1997) in its recent report recommend that a diabetic be labeled as hypertensive if systolic blood pressure is above 130 mm Hg and diastolic more than 85 mm Hg. On the basis of benefits shown in epidemiological studies, it is advisable to keep systolic pressure below 130 mm Hg and diastolic below 80 mm Hg. CLASSIFICATION OF BLOOD PRESSURE FOR ADULTS AGE 18 AND OLDERS: Category Systolic Diastolic (mm of Hg) (mm of Hg ) (mm of Hg) ? OPTIMAL 120 80 NORMAL 130 85 HIGH – NORMAL 130 – 139 85 - 89 HYPERTENSION Stage – 1 140 – 159 90 – 99 Stage – 2