CMgWTwkenamEpm

DIABETE DISEASE

evCbNti R)ak; BisidrgSI

GnubNti suxPaBsaFarN - keTsGaharUbtmnigrbbGahar

lTplrMBwgTuk

Expected outcome

)






)



)



)

TidPaBTUeTA

OVERVIEW

CMgWTwkenamEpm)anekItmanTUTaMgBiPBelak minEmnEtenARbeTsGPivDn_b:ueNaHeT
sUm,IRbeTskMBugGPivDn_nigRbeTsRkIRkkmanGkekItCMgWenHritEteRcIneTAeTot
tamsitiGgkarsuxPaBBiPBelak KWmanGkekItCMgWTwkenamEpmCag 177 lannak;enATUTaMg
BiPBelak ehIykgenaHtMbn;bBawmRbeTsmandl;eTACag1/5 lannak;.
cMeBaHRbeTskm<CaeyIgvij tamkarGegtRsavRCavcMnYn5extRkug )anbgajeGayeXIjGk
rs;enATIRkugmanekItCMgWTwkenamEpm 10 enAtMbn;CnbT man 5.

niymny

DEFINITION

CMgWTwkenamEpmCaCMgWraMur:emIlminCa KWbNalmkBIlMEBgElgplitGaMgsIulInbGaMgsIulIn
minGacRbkbskmPaBrbs;xn)an
mnuusS EdlmanvtmanCatiseRcInenAkgQamnigTwkenam
eraKsBaa KwpwkeRcIn enameRcIn
manCatis enA kgQamelIsBI 1>40RklIRt nig enAkgTwk enam elIsBI 150mRklIRt
CaFmta cMNIGaharEdleyIg)anbriePaK)anbMEbgeTACaCatisehIyRCabcUleTAkgQam
GaMgsIulIn manmuxgarnaMCatisBIkgQameTAciBawmekasikaedaybegItCafamBlsRmab;eGay
ragkaylUtlas;nig rwgbwug

ynkarnigRbePTxusKanCMgWTwkenamEpm
MECANISM &CLASSIFICATION OF DIABETE

CMgWTwkenamEpmedaytRmgenam CaFmtakarRsUbykCatisKWzitenAbMBg;RbuksIumal;n
bMBg;vkM enAeBlvaxUcCatisBMuGacRsUbcUleTAkgssQam)aneLIy dUcenHbNaleGay
CatisFak;cuHeTAkgTwkenam naMeGaymanCatiseRcInenAkgTwk enamnigeFVIeGayenameRcIn.
CMgWTwkenamEpmGaMgsIuBitmin)andwg bNalmkBIxVH ADH EdlmankMeNItmkBI Giub:UhVI
naMeGaymanenameRcInEtBMumanelIsCatiskgQam nigkgTwkenameT.
CMgWTwkenamEpmsIueRk manCatiseRcIn bNalmkBIkgVHGaMgsIulInbeBajedayekasika
beta des ilot de Langerhan rbs;lMEBgeFVIeGay ekasikaeb:rIehVrIkTTYlykCatiseTA
eRbIR)as;BMu)an. eKEckecjCMgWTwkenamenHCaBIRbePT
- RbePTTI1 KW RtUvkarGaMgsIulIn (DID)
- nigRbePTTI2 BMuRtUvkarGaMgsIulIn (DNID)

RbePTnCMgWTwkenamEpm

TYPE OF DIABETE

CMgWTwkenamEpmRbePTTI1 CacMbgKWekItenAelIkumarnigyuvvy EtgekItmanelI

mnusSRKb;vy Gac eGayGkCMgWdwgBIRbCMueraKsBaaPam ehIyPaKeRcInCaeXIj
ekItelIGksmEdlGacQaneTArkkar)at;bg;sartIedayCMgWTWkenamEpm.
GkCMgWminGacplitGaMgsIulIneGay)anRKb;RKan;KWRtUvkarGaMgsIulIncak; CacaM)ac;
erogral;f edIm,IRtYtBinitkMritCatisrkgQamrbs;eK.
eraKsBaa - cab;manPam - enameRcIndgkg1f CaBiesseBlyb; eRskTwkxaMg stmat; - Gs;kMlaMgxaMg cuHexSayfamBl ecHEtXan)ay cab;RskTMgn;Pam - EPkRsvaMg - ]sSah_rgnUvCMgWqg.

RbePTnCMgWTwkenamEpm

TYPE OF DIABETE

CMgWTwkenamEpmRbePTTI2 CacMbgKWekItenAelImCwmvyehIyPaKeRcInCamnusS
Fat;. eKGacbegIt GaMgsIulIn)anxH kb:uEnvaBMu)anRKb;RKan;KWRtUvelbfaMRKab;
bEnm. CMgWRbePTTI2enHmanmnusSQWeRcInCag CMgWTwkenamEpmRbePTTI1.
eraKsBaa cab;ekItmaneLIgbnicmg eday\tdwgxn ehIyBi)aknwgdwgNas;
b:uEnenAeBldl;tMNak;kalQWxaMg eTIbmaneraKsBaadUcRbePTTI1 Pam

ktaeRKaHfak;nCMgWTwkenamEpm
RISK FACTORS OF DIABETE

CMgWTwkenamEpmmanmUlehtumkBIktaBIya:g
k- tMNrBUC manBukmay CIdUnCItaekIt cMlgtamEhSnrbs;Kat;TaMgenaH GaceGayeyIgekIt)an.

x- CMgWbNalmkBIviFIrs;enARbcaMf
1 - mnusSFat; - smamaRt TMgn; kMBs; GayuTMgn; elIsBIFmta Fat;mFm GacrgnUvkarekIt
CMgW TwkenamEpm 4dg elIsGkmanTMgn;Fmta nigGkFat;xaMg GacrgnUvkarekIt CMgWTwkenam
Epm 30dg .
2 - mnusSFM Fat; duHk,aleBaH
3-ragkayGskmPaB - GkEdlTMenrBuM)anbeBajBlkm BuM)anhat;R)aN naMeGayragkayFM
Fat; sMbUrCatixaj; ehIyGacrkSaTuknUvGaMgsIulInedaykareFVIskmPaBFmta EdlGaceGay
GkTaMg enaHmanvasnanwgekItCMgWTwkenamEpmeRcIn)an.

ktaeRKaHfak;nCMgWTwkenamEpm
RISK FACTORS OF DIABETE

4- rbbGaharminRtwmRtUv - karbriePaKeRcIn bkcUlcitGaharEdlmanCatiEpmeRcIn

bGahar Edlmanxaj;eRcIneFVImnusSenaHFat;beLIgTMgn;.
5- ragkayenOyNay - edaysarmanCMgWFn;Fr b )ak;Ebkqwg b tb;Rbml;pvcitRBYy
)armN bkmanbBaaeRcInGacnaMeGayekItCMgWTwkenamEpmqab;kgCIvitrbs;eK.
6- karpwkRsaeRcIn - karpwkRsaeCaKCaMnaMeGayxUclMEBgEdlbNaleGayekItCMgWTwk
enamEpmEdr.
7- karCk;)arI

plvi)aknCMgWTwkenamEpm
CMgWTwkenamEpmRbePTTI2 vaeFVIeGaymankarbMEbgCatixaj;nigCatisac;ekIneLIgbNaleGay man RTI;KIesrIt
nigkUeLesr:UleLIgenAkg Qam eFVeI Gaymanplvi)akKWmanCatixaj;kkkgss Qam enAkg tMbn; GaMgTIma:
naMeGayssQamRkinEdlCamUlehtunaMeGayelIsQam. PaBraMur:naMeGaymanpl vi)akdUc Ca
enAebHdUgbNaleGayeTACa kkssQamkgebHdUg ( IDM )
enAxYrk,al bNaleGayeTACa dac;ssQamkgxYrk,al ( AVC )

enAd eCIg bNaleGaymandMe)ArkinenAssQam ( lsion sclrose des

nigkay eTACadMe)ArlYyenAd eCIg
enAtRmgenam bNaleGayeTACa CMgWtRmgenamraMur: ( IRC )
enAEPk bNaleGayeTACa rlakEkvEPkedayTwkenamEpm
enAssR)asaTeFVIeGaymanCMgWssR)asaTedayeFVGI ak;sUnNal;xUc
CMgWTwkenamEpmRbePTTI1 bNaleGay)at;bg;sartIedaysarkgVHGaMgsIlu In
enameRcIn
)at;bg;CatiTWk
snb;
capillaires )

CatiseRcIn kg Qam

CMgWtMrgenamelIGkCMgWTwkenamEpm
tMrgenammanmuxgarbIya:g
RtgyksMNl;ecjBIQameGayeTACaTwkenam
naMykQamsat RtLb;eTAragkayvij
eFVyI a:gNaeGaykMrti TwknigkMrti TwkxniCenAFmtaedIm,IeGayxneyIgman
suxPaBl RtwmRtUv
CMgtW MrgenamelIGkCMgWTwkenamEpmKWCaCMgrW aMur: Edlcab;QWbnci mg mkBIkMrti CatisrkgQameLIg x<s;
enAkg ssQamtUc yUrExqaM bNaaleGayssQamtUcxUcElgmantMeNIrkarRtwmRtUv
bNaaleGaykarRtgQamxUcdMeNIrkarElgekIt
kaksMNl;rti EtekIneLIgkg Qam
RbUetGInu RCabcUleTAkgu Twkenam
enAeBlyUrExqaM bgeGaytMrgenamxUcElgtMeNIrkar
eFVIeGaytMrgenamcuHexSay tMrgenamElgRtgykkaksMNl; eFVIeGaykaksMNl;sk kgxneRcIneLIg
bNaleGaysab;

viFIbgarCMgWTwkenamEpm
karBarkMueGayFat; RtUvrkSaTMgn;eTAtamGayu
briePaKGahareGay)aneTAtamrbbGaharEdlmancMnYnRtwmRtUv Kwbnyxaj; nig sEdlman
famBleRcIn nigGMbileRcIn ehIybriePaK sac; bEnEdlsMbUrss RKab;FjCati EpeQI
EdlRss;pl;nUvsuxPaBl.
minRtUvbriePaKhYsehtu tamXan
hat;R)aNCaRbcaMerogral;f
eCosvagkar Ck;)arI nigpwkRsaeRcIn
eCosvagkarmYm:gkgcit minRtUvKiteRcIn eKgeGay)anRKb;RKan;.

viFIbgarplvi)akedayCMgWTwkenamEpmnigkarBa)al
cMeBaHGkCMgWTwkenamEpmKWRtUvbgarplvi)ak eTAtamdMNak;kal;nCMgW
k- dMNak;kalTI1
briePaKbEneGay)aneRcIn
tmGaharEdlmanfamBlnigmanCati RbUetGIuneRcIn
RtUvhat;R)aN
RtUvtamdan CatiskgQam kgTwkenam kUelesr:Ul RTIkIesrIt
eFVIeGaykMritCatisrkgQam enAkMritRtwmRtUvCaGciRny_
eFVIeGaysma<FQam enAkgkMrit 130 80 mm)ar:t ehIytandaneGay)anjwkjab;

viFIbgarplvi)akedayCMgWTwkenamEpmnigkarBa)al
cMeBaHGkCMgWTwkenamEpmKWRtUvbgarplvi)ak eTAtamdMNak;kal;nCMgW
k- dMNak;kalTI1
briePaKbEneGay)aneRcIn
tmGaharEdlmanfamBlnigmanCati RbUetGIuneRcIn
RtUvhat;R)aN
RtUvtamdan CatiskgQam kgTwkenam kUelesr:Ul RTIkIesrIt
eFVIeGaykMritCatisrkgQam enAkMritRtwmRtUvCaGciRny_
eFVIeGaysma<FQam enAkgkMrit 130 80 mm)ar:t ehIytandaneGay)anjwkjab;

viFIbgarplvi)akedayCMgWTwkenamEpmnigkarBa)al
x- dMNak;kalTI2
briePaKnigtmdUc dMNak;kalTI1
karhat;R)aNRtUvbnyeRBaHkmagM GkCMgwexSayCag dMNak;kalTI1
faBM a)al bh anItnigsulhaVmIutGIub:kU Iesm:g;
RtUvtamdan Catiskg Qam kg Twkenam kUelesrUl: RTIkIesrIt
eGoer:kgQam eRkGaTInnI nigtamdanpl vi)ak rbs;va.
K- dMNak;kalTI3
briePaKnigtmdUc dMNak;kalTI1
karhat;R)aNRtUvbnyeRBaHkmagM GkCMgw exSayCag dMNak;kalTI2
RtUveRbIGaMgsIulInnigBa)albEnmdl;pl vi)akrbs;va.

etIeyIgRtUvbriePaKrebobdUcemc?

rebobKNna TMgn;sg;da(kg)

krNInburs
TMgn;sg;da(kg) = kMBs;;(m) * kMBs;;(m) * 22
krNInRsI
TMgn;sg;da(kg) = kMBs;;(m) * kMBs;;(m) * 21

karvaytMlBIkMritFat;
tamlMnaMrbs; WHOGMBIcMNat;fak; GaMgDicTMhMxn

BMI

= TMgn; / kMBs;

18/5 - 24/9

Fmta

25 - 29/9

elIsTMgn;

30 - 34/9

Fat; kMrit TI1

35 - 39/9

Fat; kMrit TI2

40

Fat; kMrit TI3

1/50

1/55

1/57

1/60

1/62

1/65

1/67

1/70

1/72

1/75

1/77

1/80

1/82

1/85

1/90

1/95

50

22/2

20/8

20/3

19/5

19/1

18/4

17/9

17/3

16/9

16/3

16

15/4

15/1

14/6

13/9

13/1

55

24/4

22/9

22/3

21/5

21

20/2

19/7

19

18/6

18

17/6

17

16/6

16/1

15/2

14/5

60

26/6

25

24/3

23/4

22/9

22

21/5

20/8

20/3

19/9

19/2

18/5

18/1

17/5

16/6

15/8

62

27/6

25/8

25/2

24/2

23/6

22/8

22/3

21/5

21

20/2

19/8

19/1

18/7

18/1

17/2

16/3

65

28/9

27

26/4

25/4

24/8

23/9

23/3

22/5

22

21/2

20/7

20/1

19/6

19

18

17/1

67

29/8

27/9

27/2

26/2

25/5

24/6

24

23/2

22/6

21/9

21/4

20/7

20/2

19/6

18/6

17/6

70

31/1

29/1

28/4

27/3

26/7

25/7

24/9

24/2

23/7

22/9

22/3

21/6

21/2

20/5

19/4

18/4

72

32

30

29/2

28/1

27/4

26/4

25/8

24/9

24/3

23/5

23

22/2

21/7

21

19/9

18/9

75

33/3

31/2

30/1

29/3

28/6

27/5

26/9

26

25/4

24/5

23/9

23/1

22/6

21/9

20/8

19/7

77

34/2

32

31/3

30/1

29/3

28/3

27/6

26/6

26

25/1

24/6

23/8

23/2

22/5

21/3

20/2

80

35/6

33/3

32/5

31/3

30/5

29/4

28/7

27/7

27

26/1

25/5

24/7

24/2

23/4

22/2

21

82

36/4

34/1

33/3

32

31/2

30/1

29/4

28/3

27/7

26/8

26/2

25/3

24/8

24

22/7

21/6

85

37/8

35/4

34/5

33/2

32/4

31/2

30/5

29/4

28/7

27/8

27/1

26/2

25/7

24/8

23/5

22/4

87

38/7

36/2

35/3

34

33/2

32

31/2

30/1

29/4

28/4

27/8

26/9

26/3

25/4

24/1

22/9

90

40

37/5

36/5

35/2

34/3

33/1

32/3

31/1

30/4

29/4

28/7

27/8

27/2

26/3

24/9

23/7

92

40/9

38/3

37/3

35/9

35/1

33/8

33

31/8

31/1

30

29/4

28/4

27/8

26/9

25/5

24/2

95

42/2

39/5

38/5

37/1

36/2

34/9

34/1

32/9

32/1

31

30/3

29/4

28/7

27/8

26/3

25

97

43/1

40/3

39/4

37/9

37

35/6

34/8

33/6

32/8

31/7

31

29/9

29/3

28/3

26/9

25/5

100

44/4

41/6

40/6

39/1

38/1

36/7

35/9

34/6

33/8

32/7

31/9

30/9

30/2

29/2

27/7

26/3

cMeNHdwgGMBIrbbGahar

etImansarFatubMb:nb:unanRbePT enAkgcMNIGahar?
kabUGIuRdat (Carbohydrate)

vitamin (Vitamin)

Catixaj; (Fat)

CatixniC (Mineral)

RbUetGIn (Protein)

CatiTwk (Water)

RkumsarFatubMb:nEdlbegItfamBl

RkumsarFatubMb:nEdlmantYnaTIsMruHsMrUl

(ENERGY NUTRIENTS)

(MODULATOR NUTRIENTS)

RkumFBaCati (Grains)

RkumFBaCati

sarFatucMbg KWCa kabUGuIRdat

(Carbohydrate)

kabUGIuRdat ERbkayeTACa KykUs (glucose) enAkgsIrIragkayeyIg

kabUGIuRdat pl; famBl (energy) dl;RKb;ekasika
beBaj famBl 4kcal/g

RkumbEn (Vegetables)

RkumbEn (Vegetables)

mansarFatu vitamIn Ga (vitamin A) vItamIn es (vitamin C)/

Catixnit (mineral)/ Catiss (dietary fiber)

Catiss CYybnyGaRtaCatisrkgQam
esIEtKanCatisr GkCMgWGacbriePaKtamcit)anBN_exov
kgmYyeBl y:agtic 1xaMknH150RkamRtYvbriePaK

RkumEpeQI (Fruits)

RkumEpeQI (Fruits)

mansarFatu vitamIn / Catixnit/ Catiss/

kMnt;briePaK GaceRcIn )an

kabUGIuRdat Catisr (carbohydrate)

briePaK Ca GaharsMrn; (eat as a snack)
mYyfJ b:unmYyknab;db:ueNaH
RtUvbriePaK caM 2em:ageRkay hUb)ayrc

sac;stV sac;man; RtI sut BYksENkdI

(Meats,Poultary,fish,Eggs & Nuts)

sac;stV sac;man; RtI sut BYksENkdI

(Meats,Poultary,fish,Eggs & Nuts)

mansarFatubMb:n RbetGIun(protein), CatiEdk (iron(Fe))

CYybnyGarmN_Xan ehIybegInRbBnsaMu

help to decrease the huger feeling and increase the immunity

KYrbriePaK mYyeBl)ay

b:un )al; BIgb:ug (ping-pong ball size) 2dgCamFm

KW sac;stV 80Rkam / sac;RtI 1xaM/ sut 2RKab; / etAhU 1xaMknH

RbUetGIun

(Protein)

CYyksag rW CYsCul Calikarnana

dUcCa sac;dMu/Qam/Es,k/sk;/Rkck
Building and reproducing of the bodys tissues
such as muscle, blood, born, hair, skin, nail.

CacaM)at; sMrab;karlUtla;snekg

mansarsMxan; cMeBaH RbBnsaMu

beBaj famBl

4kcal/g

(immunity)

RkumCatixaj; (Fats & oils)

RkumCatixaj;

man 2RbePT KWCa xaj;stV (Fat ; saturated fatty acid)/

eRbgrukCati

(Fats & oils)

beBaj fmBl

(oils ; unsaturated fatty acid)/

9kcal/g

kan;Et minbriePaK kan;Et l

briePaK eRbgrukCati CMnYs xaj;stV
RtUvkat; xaj;sac;stV nig Es,kman; ecal
kMnt;brimaN 3 sabRBatUc kgmYyfJ

1 sabRBatUc

(5g)

RkumsarFatubMb:nEdl begItfamBl
(ENERGY NUTRIENTS)

kabUGIuRdat (Carbohydrate)

4 kcal/g

Catixaj; (Fat)

9 kcal/g

RbUetGIn (Protein)

4 kcal/g

cMnYnfamBlCaRbcaM

cMnYnGahar

cMnYnfamBlCaRbcaM (kcal)
= TMgn;sgda(kg) *
cMnYnfamBlEdltMrUvkarkgTMgn;1kg (kcal)

cMnYnfamBltam BMInig skmPaB

skmPaBRsal

Thin Normal
35

30kcal

Fat
25~30

cMnYnfamBltam BMInig skmPaB

skmPaBFmta

Thin

Normal

Fat

40

35kcal

30

cMnYnfamBltam BMInig skmPaB

dMNak;kar cMnYnfamBltMrUvkarkgTMgn;1kg
tamskmPaB sm TMgn;Fmta Fat;
skmPaBRsal

35

30

25~30

skmPaBFmta

40

35

30

skmPaBxaMg

45

40

35~40

karkMNt;famBlcMnYn 1900 kcal kgeBl)ay

GahareBlRBwk

Rice 1 bowl = 210g

(300kcal) 3

kta

RKab;FBaCati 1rbb 100 kcal

Rice 1/3 bowl (70g)

Potato (130g)

Bread 1 slice (35g)

Corn (50g)

Boiled noodles (90g)

Sweet potato (100g)

cMENknRkumGaharnimYy
Kcal Grains

Meat
Veget
Oils
Low Middle
ables
fat
fat

Milk Fruits

1,600

1,700

1,800

1,900

2,000

10

2,100

10

2,200

11