CAM201 Lecture Notes - Lecture 3: Health Promotion, Diabetes Mellitus Type 1, Gestational Diabetes

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30 Jun 2018
Department
Course
National Health Priority- Diabetes
Affluenza- social, environmental disease of affluence
Accumulative diease- takes time to develop
Raised blood glucose can over time lead to damage to heart, blood vessels,
eyes, kidneys, and nerves.
Type 1 Diabetes
Type 1 diabetes is not linked to modifiable lifestyle factors
It is also largely untreatable
Ketoacidosis is a result of long-term uncontrolled diabetes- harmful chemical
substance
Type 2 Diabetes
Lifestyle and behavioural factors contribute to diabetes- same risk factors as
obesity (also contribute to diabetes)
Manageable if there is proper access to healthcare
Can also be reversible (symptom relief) by getting fit, eating healthy
Gestational diabetes is associated with physiological pregnancy changes
(hormones), but being overweight increases the risk, so it is also dependent on
lifestyle factors
Incidence- new cases
Prevalence- proportion of cases at any given time interval
Type 1 diabetes is relatively stable in incidence (not many changes in the last
15 years)- may not be long enough to assess environmental and social changes
Incidence different by gender, age group
Progressive accumulative disease process
Inequalities in distribution- unequal burden carried by poorest and least
educates- same as obesity, cardiovascular disease, and other preventable
disease. Greater in people living in regional and remote areas
Aboriginality also carry unfair burden
Global diabetes trend following that of obesity and CVD
Type II diabetes accounts for most hospitalisations of diabetes in Australia-
because there are more type II diabetics, associated illnesses, type 1 better
managed, small proportion affected by gestational diabetes, goes away faster
Deaths relatively stable depsite increasing prevalence- better management and
treatment. Better monitoring as well. Time frame required to see death takes a
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Document Summary

Raised blood glucose can over time lead to damage to heart, blood vessels, eyes, kidneys, and nerves. Type 1 diabetes is not linked to modifiable lifestyle factors. Ketoacidosis is a result of long-term uncontrolled diabetes- harmful chemical substance. Lifestyle and behavioural factors contribute to diabetes- same risk factors as obesity (also contribute to diabetes) Manageable if there is proper access to healthcare. Can also be reversible (symptom relief) by getting fit, eating healthy. Gestational diabetes is associated with physiological pregnancy changes (hormones), but being overweight increases the risk, so it is also dependent on lifestyle factors. Prevalence- proportion of cases at any given time interval. Type 1 diabetes is relatively stable in incidence (not many changes in the last. 15 years)- may not be long enough to assess environmental and social changes. Inequalities in distribution- unequal burden carried by poorest and least educates- same as obesity, cardiovascular disease, and other preventable disease.

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