Examples of Customized Diabetes Awareness Education Tips Handout Tools (Chinese And English Versions)

了解并发症 2 超过 20 ％的不能命名的并发 症类型与糖尿病控制不佳密 切相关 - 失明，截肢，肾功能 衰竭，心血管疾病和过早死 亡。（香港 2011 年调查） 城市的 2 型糖尿病患者的主要问题是， 存在糖尿病不是严重病情的误解。糖尿 病可导致失明或截肢，如果没有得到很 好的控制，也可使不同癌症的风险增加 30 ％左右 卒中 麻痹 供血减少 肾损害 心脏病 眼损伤 失明 性障碍 / 排尿困难 足溃疡 截肢 主要糖尿病并发症 来源 : Diabetes photos website photos website

Know the Complications – English Version 3 More than 20 per cent could not name the types of complications most closely associated with poorly controlled diabetes - blindness, amputations, kidney failure, cardiovascular disease and early death. (Hong Kong Survey 2011 the main problem for Type 2 diabetics in the city is the misconception that diabetes is not a serious condition. 'Diabetes can lead to blindness or leg amputation if not well controlled, and is also associated with around 30 per cent increase in risk of different cancers Stroke Numbness Reduced Blood Supply Kidney Damage Heart Attack Eye Damage Blindness Sexual Problems/ Difficulty Passing Urine Foot ulcers Foot amputation Adapted From sources: Diabetes photos website Diabetes photos website

如果您或家庭成员有一种或多种症状，一定要与医生进行沟通。 糖尿病 了解它的症状 总是 疲惫 尿频 突然 消瘦 伤口不 能愈合 性障碍 总是饥饿 视力模糊 手或脚麻木或 者刺痛 总是 口渴 阴道感 染 来源 : Diabetes photos websitewww.idf.org Diabetes photos website

Symptoms of Diabetes – English Version 5 If You or Family/ Relative members have one or more of these symptoms, it is important to talk to your Medical Doctor Adapted From sources: Diabetes photos websitewww.idf.org Diabetes photos website

Prevention of Diabetes Checklists – Chinese Version 预防糖尿病并发症 重要计划性检查和实验室测试 检查 / 实验室测试目标 / 频率我的结果日期 眼部检查每年一次 足部检查每年 2-4 次 足部自检每天检查足部 洗牙和牙齿检查每年 2 次 平均血糖（也称为糖化）小于 7%; 每年 2-4 次 血压小于 130/80 mmHg; 每年 2-4 次 低密度脂蛋白 “ 坏胆固醇 ” 少于 100 mg/dl ; 每年一次 高密度脂蛋白 “ 好胆固醇 ” 男性： 高于 40 mg/dl; 至少每年一次 ; 女性： 高于 50 mg/dl; 至少每年一次 甘油三酯少于 150 mg/dl ，至少每年一次 体重短期目标： ___ 公斤；每年 2-4 次 腰围男性：小于 90cm; 每次体检时检测 女性：小于 80cm, 每次体检时检测 Stress Test 压力测试 如果你适用以下条件，需进行压力 测试 - 超过 35 岁 - 患糖尿病超过 10 年 - 患有 2 型糖尿病并且适用于以下条 件 * 尿蛋白（也称为微量白 蛋白） 少于 30 mg/g; 每年一次 * 尿蛋白升高，超重，胆固醇水平异常，家人患有糖尿病，高血压，抽烟，腿和脚神经疼痛， 性问题，开始一个新的锻炼计划 来源：加斯林美国亚裔糖尿病硏进会 来源：加斯林美国亚裔糖尿病硏进会 制定一项行动计划是成功糖尿病管理的 第一步。 你来掌控 - 预防糖尿病  保持我的平均血糖，胆固醇和血压在一个 健康的水平  适时适量服用糖尿病药物  遵循健康的饮食计划, 不吸烟，不饮酒  尝试喜欢的体育锻炼：坚持每天锻炼  定期检测血糖并记录结果  定期拜访糖尿病专家和医生  每天检查足部  每年进行眼部检查  如果超重，目标每月减重 1 至 1.5 公斤  寻求我的家庭帮助和理解  保持愉悦 Flu vaccine: Once a Year 流感疫苗：每年一次 Pneumonia Vaccine - Once before age 65; once after age 65 肺炎疫苗： 65 岁之前一次， 65 岁之后一次

Prevention of Diabetes Checklists – English Version Preventing Diabetes Complications Important Scheduled Exams and Lab Tests Exams/ Lab testsGoal / How OftenMy ResultDat e Eye ExamOnce a Year Feet Exam2-4 Times a Year Self Check of FeetCheck Your Feet Every Day Dental Cleaning and Dental Exam 2 Times a Year Average Blood Sugar (also called A1c) Less than 7%; 2 -4 Times A year Blood PressureLess than 130/80 mmHg; 2-4 Times a Year LDL “Bad Cholesterol” Less than 100 mg/dl Once a Year HDL “Good Cholesterol” Men: Greater than 40 mg/dl; At Least Once a Year Women: Greater than 50 mg/dl; At Least Once a Year Triglycerides (TG)Less than 150 mg/dl; At Least Once a Year WeightShort-term Goal: ___ kgs; 2-4 Times a Year Waist circumferenceMen: Less than 90 cm; at Every Medical visit Women: Less than 80 cm; at Every Medical Visit Stress TestGet a stress test if the following apply to you: - Over 35 years old - Have had diabetes for over 10 years - Have type 2 diabetes AND any of the following apply to you* Urine Protein (also called microalbumin) Less than 30 mg/g; Once a Year * Elevated urine protein, overweight, abnormal cholesterol levels, family members with diabetes, high blood pressure, smoke, nerve pain in legs and feet, sexual problems, starting a new exercise program Source: Joslin’s Asian American Diabetes Initiative Diabetes Prevention Self Management TIPS Having an action plan is my first step to successful diabetes management  Keep my average blood sugar, cholesterol and blood pressure at a healthy level;  Take the right amount of diabetes medications at the right time  Follow a healthy eating plan, do not smoke and avoid alcohol  Be physically active with exercise I like: Try to do It every day  Test my blood sugar regularly and record these test results  Visit my diabetes educator and doctor regularly  Check my feet every day  Have an eye exam every year  Aim to lose kgs per month if I am overweight  Seek my family support  Feel happy Adapted from Source: Joslin’s Asian American Diabetes Initiative Flu vaccine: Once a Year 流感疫苗：每年一次 Pneumonia Vaccine - Once before age 65; once after age 65 肺炎疫苗： 65 岁之前一次， 65 岁之后一次

TIPS for Eating Healthy Foods Diabetes Prevention – Chinese & English Versions 8 8 English Translation: Community health Cabin: step into the cabin, stay away from the chronic disease In general, fiber-rich carbohydrates have low glycemic index than processed carbohydrates. Select a large number of non-starchy vegetables, such as green leafy vegetables, beans, salad, tomatoes. Eat whole wheat bread, brown rice, oats, barley and other whole grains instead of white bread, white rice, pasta, noodle and other refined food. Limit starchy vegetables, such as potatoes or mixed eating of starchy vegetables with lean protein and fiber, protein and fiber release energy more slowly. Examples of food: High glycemic index food: Potatoes, bananas, white bread, white rice, French fries, refined cereals, flour pastas, soft drinks, sugar, sweets. Low-glycemic index food: Most of the beans, broad beans, peas, raw fruits, raw wheat, oats, wheat bran, barley, whole wheat grain products, brown rice, couscous. Endorsed by China Health Education Association in 2008

9 体重（公斤） - 着轻 薄服装和 赤脚 身高（厘米） - 赤脚 来源 : 身高体重指数 （ BMI ）是根据体 重和身高计算的指数。 身高体重指数介于 22 至 27 之间，表明 你处于健康体 身高体重表 针对 18 岁及以上的男性和女性 肥胖 超重 健康体重 体重不足 中国身高体重指数 表 1993 SPC Community Health Program, New Zealand

Chinese BMI Chart 10 Weight in Kilograms – in light clothing and bare feet Height in centimeters - bare feet The body mass index (BMI) is an index based on weight and height. A BMI of between 22 and 27 indicates you are within the healthy weight range Adapted from the 1993 SPC Community Health Program, New Zealand

中国糖尿病管理每日推荐的食品和摄取量 来源： 2010 年中国 2 型糖尿病防治指南 油： 克 盐： 6 克 奶类及奶制品： 克 大豆类及坚果： 克 畜禽肉类： 克 鱼虾类： 克 蛋类： 克 蔬菜类： 克 水果类： 克 谷类，薯类及杂项： 克 身体活动 6000 步 水： 1200 毫升

12 CDS Daily Recommended Exercise and Food Pyramid Source: 2010 CDS Guidelines Oil: 25-30g Salt: 6g Milk and milk products: g Soybean classes and nuts:30-50g Livestock and poultry meat:50-75g Fish and shrimp: g Egg: 25-50g Vegetable: g Fruits: g Cereals, potato and miscellaneous: g 6,000 steps of physical activity Water: 1200ml

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