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Lobna eltoony.hypoglycemia and weight gain

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  • 1. Barriers to Achieving Glycaemic Goals:A Focus on Hypoglycemia and Weight Gain Lobna F El toony Head Of Diabetes & Endocrinology Unit Internal Medicine Department Assuit University UEDA Aswan 2012
  • 2. Diabetes is the epidemic of the new century
  • 3. Egypt will face explosive growth of diabetes 9,000 Due to a rapidly increasing & ageing population, Egypt will 8,000Source: Diabetes Atlas, have the larg umber of 2003 people 7,000 6,000 2025 with diabetes in the region by2nd edition, IDF 5,000 4,000 2025 3,000 2,000 1,000 0 ia n q an co ia ia a an in a E pt n t ai Ira Ira bi no by A er yr s ra gy rd ud oc uw ni ra U lg ah S Li ba Jo E Tu or A S A K B Le M di au S
  • 4. Dual Defects in Type 2 DiabetesGenes Environment Genes EnvironmentInsulin Resistance -cell Dysfunction IGT Type 2 Diabetes
  • 5. ADA and AACE/ACE Guidelines: Treatment Goals for A1C, FPG, and PPG Normal1,2 ADA3 AACE/ACE2 Parameter Level Goal Goal FPG, mg/dL