Long Term Conditions Including Diabetes Mellitus

Question 1

Define long term condition

Answer 1

Condition requires ongoing medical care, limits what one can do and is likely to last longer than one year

Question 2

What is the epidemiology surrounding diabetes in Scotland?

Answer 2

57,000 people registered with diabetes

5% prevalence

88% with type II

Question 3

How many people in Scotland with diabetes are overweight?

Answer 3

88%

Question 4

How are BMI and diabetes related?

Answer 4

As BMI increases, age adjusted relative risk of T2D increases

Age on onset of T2D decreases as BMI increases

Higher risk of T2D in women with high BMI than men

Question 5

How does having a BMI over 30 at age 40 affect life expectancy?

Answer 5

5. 8 years lost in men

7. 1 years lost in women

Question 6

Which specific type of obesity is closely related to T2D?

Answer 6

Visceral

Question 7

How can 5% weight loss improve life expectancy in obese diabetic patients?

Answer 7

Reduces BP

Improves lipid profile

Glycaemic control

Question 8

How should diet be altered to maintain weight?

Answer 8

Reduce calorie intake by 50-100kcal per day

Question 9

How does ethnicity affect obesity?

Answer 9

South asians of the same BMI as caucasians have a much higher body fat proportion