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co
m
1.
I
NT
RO
D
UCT
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O
N
Diab
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h
as
b
ec
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m
e
a
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win
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p
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d
p
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d
icate
a
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m
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latio
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h
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li
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ca
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I
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2252
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8806
Dev
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k
ills
,
an
d
attitu
d
e
s
r
eq
u
ir
ed
to
s
elf
-
m
a
n
a
g
e
th
ei
r
d
iab
etes e
f
f
ec
tiv
el
y
[
5
]
,
[
6
]
.
T
h
e
r
ec
o
m
m
e
n
d
atio
n
s
i
n
Au
s
tr
alian
Na
tio
n
al
E
v
id
e
n
ce
B
a
s
ed
Gu
id
eli
n
e
f
o
r
P
atien
t
E
d
u
ca
tio
n
i
n
T
y
p
e
2
Diab
etes
2
0
0
9
in
d
icate
th
at
d
iab
etes
s
tr
u
ctu
r
ed
p
atien
t
ed
u
ca
tio
n
,
d
eliv
er
ed
in
g
r
o
u
p
s
o
r
in
d
iv
id
u
all
y
,
s
h
o
u
ld
b
e
p
r
o
v
id
ed
t
o
all
p
eo
p
le
w
it
h
t
y
p
e
2
d
iab
etes
(
T
2
D)
[
7
]
.
A
cc
o
r
d
in
g
to
L
o
v
e
m
a
n
et
al.
,
th
e
p
u
r
p
o
s
e
o
f
p
atien
t
ed
u
ca
t
io
n
f
o
r
p
eo
p
le
w
i
th
T
2
D
is
to
e
m
p
o
w
er
p
atien
ts
b
y
i
m
p
r
o
v
i
n
g
k
n
o
w
led
g
e,
s
k
ill
s
an
d
co
n
f
id
e
n
ce
,
en
ab
li
n
g
t
h
e
m
to
tak
e
in
cr
ea
s
in
g
co
n
tr
o
l o
f
t
h
eir
co
n
d
itio
n
[
8
]
.
Fu
n
n
e
l
et
a
l.
s
u
g
g
est
s
th
at
t
h
e
tr
ad
itio
n
al
m
o
d
el
o
f
d
iab
etes
ed
u
ca
tio
n
h
a
s
b
ee
n
in
e
f
f
ec
ti
v
e
in
b
r
in
g
i
n
g
ab
o
u
t
t
h
e
d
esire
d
o
u
tco
m
e
s
[
9
]
.
A
cc
o
r
d
in
g
to
Go
ld
s
tein
,
s
el
f
-
m
a
n
a
g
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m
e
n
t
ed
u
ca
tio
n
ap
p
r
o
ac
h
es
s
ig
n
i
f
y
i
n
v
o
lv
i
n
g
p
atien
t
j
u
d
g
m
e
n
t
an
d
v
al
u
es
w
it
h
i
n
th
e
co
n
te
x
t
o
f
d
ail
y
liv
in
g
to
in
f
o
r
m
h
o
w
a
co
m
p
r
e
h
en
s
iv
e
tr
ea
t
m
en
t
p
la
n
ca
n
b
e
b
est
a
g
r
ee
d
an
d
i
m
p
le
m
en
ted
.
T
h
er
ef
o
r
e,
t
h
e
Am
er
ican
an
d
B
r
itis
h
Diab
etes
A
s
s
o
ciatio
n
s
h
a
v
e
r
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er
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ed
to
d
iab
etes
ed
u
ca
tio
n
as
d
iab
etes
s
e
lf
-
m
a
n
ag
e
m
e
n
t
ed
u
ca
tio
n
[
1
0
]
.
Ho
w
e
v
er
,
m
o
r
e
t
h
a
n
5
0
%
o
f
p
atien
ts
w
it
h
d
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e
tes
r
ec
ei
v
e
li
m
ited
d
iab
etes
s
e
lf
-
m
a
n
ag
e
m
en
t
ed
u
ca
t
io
n
,
o
r
n
o
n
e
[
1
1
]
,
[
1
2
]
.
P
r
o
v
id
in
g
co
m
p
r
e
h
en
s
iv
e
in
f
o
r
m
at
io
n
o
n
T
2
D
in
an
in
ter
esti
n
g
a
n
d
en
g
a
g
i
n
g
w
a
y
is
e
s
s
e
n
tial
t
o
en
ab
le
p
eo
p
le
w
it
h
T
2
D
lear
n
w
ell
ab
o
u
t
th
e
d
is
ea
s
e.
Usi
n
g
ea
s
y
-
to
-
r
ea
d
w
r
it
ten
p
atien
t
ed
u
ca
tio
n
al
m
ater
ials
to
s
u
p
p
o
r
t
in
s
tr
u
c
tio
n
s
g
iv
e
n
o
r
ally
h
a
s
b
ee
n
d
e
m
o
n
s
tr
ated
to
lar
g
el
y
i
n
cr
ea
s
e
p
atien
t
u
n
d
er
s
tan
d
i
n
g
[
1
3
]
,
p
ar
ticu
l
ar
l
y
,
w
h
e
n
th
e
tar
g
et
au
d
ien
ce
w
as
m
o
s
tl
y
lo
w
-
lite
r
ate
r
ea
d
er
s
[
1
4
]
,
[
1
5
]
.
L
o
w
li
ter
ac
y
i
s
n
eg
a
tiv
el
y
r
elate
d
to
ch
r
o
n
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c
d
is
ea
s
e
m
a
n
ag
e
m
e
n
t i
n
cl
u
d
in
g
T
2
D,
h
y
p
er
ten
s
io
n
an
d
ast
h
m
a
[
1
5
]
.
Ho
w
e
v
er
,
th
e
co
m
m
o
n
c
h
ar
ac
t
er
is
tics
o
f
a
v
ailab
le
d
iab
etes le
af
lets
ar
e
g
en
er
all
y
as
f
o
llo
w
s
:
T
h
e
co
n
ten
t
co
n
s
is
ted
o
f
a
s
m
all
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m
o
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tten
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g
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r
p
illar
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f
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a
g
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m
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n
t,
i.e
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ed
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ea
l
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s
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etailed
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al
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r
m
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r
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T
h
e
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f
o
r
m
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n
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as p
r
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ted
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m
all
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o
n
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o
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r
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o
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.
Diab
etes
ed
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ca
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n
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ater
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w
h
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h
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r
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id
e
co
m
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n
s
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v
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atio
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n
T
2
D
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el
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p
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r
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2.
RE
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M
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T
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2
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1
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P
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du
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[
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s
[
1
4
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,
as p
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in
T
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1.
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18
T
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Su
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4
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T
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f
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p
ap
er
f
o
ld
ed
in
t
w
o
co
l
u
m
n
s
a
n
d
d
o
u
b
le
s
id
ed
i
n
e
ig
h
t
p
a
g
es
.
All
n
i
n
e
d
iab
etes le
af
let
s
an
d
o
n
e
b
o
o
k
let
ar
e
co
llectiv
el
y
ca
l
led
„
t
h
e
d
iab
etes le
af
let
s
‟
i
n
t
h
is
ar
ticle
.
Fu
r
t
h
er
m
o
r
e,
th
e
NC
I
2
0
0
3
g
u
id
eli
n
e
s
s
tate
th
a
t
t
h
e
ill
u
s
tr
atio
n
s
u
s
ed
s
h
o
u
ld
r
e
f
lect
cu
lt
u
r
all
y
f
a
m
iliar
i
m
ag
e
s
[
1
4
]
.
Ho
w
e
v
er
,
th
is
w
as
n
o
t
p
o
s
s
ib
le
to
f
o
llo
w
.
Si
n
ce
cu
l
tu
r
all
y
r
ele
v
an
t
m
ater
ials
w
er
e
s
ca
r
ce
,
m
o
s
t
o
f
th
e
g
r
ap
h
ics
u
s
ed
f
o
r
th
e
n
e
w
leaf
lets
w
er
e
d
o
w
n
lo
ad
ed
f
r
o
m
th
e
i
n
ter
n
et,
w
h
ich
w
er
e
m
o
s
tl
y
f
r
o
m
W
ester
n
c
u
lt
u
r
es.
T
h
ese
W
ester
n
i
z
ed
g
r
ap
h
ics
w
er
e
i
n
ev
i
tab
l
y
i
n
cl
u
d
ed
in
th
e
n
e
w
leaf
lets
.
De
s
ig
n
i
n
g
cu
lt
u
r
all
y
r
ele
v
a
n
t
g
r
ap
h
ics
s
p
ec
if
icall
y
f
o
r
th
e
n
e
w
d
iab
etes
leaf
let
s
w
o
u
ld
r
eq
u
ir
e
m
o
r
e
ti
m
e
a
n
d
r
eso
u
r
ce
s
.
Ho
w
e
v
er
,
f
o
r
f
ur
t
he
r
r
ol
l
-
o
ut
of
t
he
di
a
be
te
s
l
e
a
f
l
et
s
i
n
t
he
f
ut
ur
e
,
t
he
W
e
s
t
e
r
ni
s
e
d
gr
a
p
hi
c
s
w
i
ll
b
e
c
h
a
n
g
e
d
to
d
ep
ict
I
n
d
o
n
esia
n
p
eo
p
le
.
A
cc
o
r
d
in
g
to
th
e
N
C
I
2
0
0
3
g
u
id
eli
n
e
s
,
th
e
r
ea
d
in
g
le
v
el
f
o
r
th
e
ed
u
ca
t
io
n
m
ater
ials
s
h
o
u
ld
b
e
d
eter
m
in
ed
.
T
h
e
r
ea
d
in
g
le
v
el
r
ef
er
s
to
t
h
e
n
u
m
b
er
o
f
ed
u
ca
tio
n
y
ea
r
s
r
eq
u
ir
ed
f
o
r
a
r
ea
d
er
f
o
r
u
n
d
er
s
tan
d
i
n
g
a
w
r
itte
n
p
ass
a
g
e.
E
x
p
er
ts
‟
s
u
g
g
e
s
tio
n
s
f
o
r
t
h
is
r
ea
d
in
g
le
v
e
l
in
cl
u
d
e:
(
1
)
aim
i
n
g
f
o
r
a
lev
el
th
at
is
t
w
o
to
f
iv
e
g
r
ad
es
lo
w
er
t
h
an
th
e
h
ig
h
est
av
er
ag
e
g
r
ad
e
t
h
e
a
u
d
ien
ce
ac
h
iev
ed
to
j
u
s
ti
f
y
a
p
r
o
b
ab
le
d
ec
lin
e
i
n
r
ea
d
i
n
g
s
k
il
ls
o
v
er
ti
m
e;
an
d
(
2
)
a
th
ir
d
to
f
if
th
g
r
ad
e
l
ev
el
i
s
g
e
n
e
r
all
y
ap
p
r
o
p
r
iate
f
o
r
lo
w
-
li
ter
ate
r
ea
d
er
s
[
1
4
]
.
T
o
esti
m
ate
r
ea
d
in
g
le
v
el,
r
ea
d
ab
ilit
y
f
o
r
m
u
la
s
ar
e
u
s
u
all
y
u
s
e
d
,
s
u
ch
as
t
h
e
Fles
c
h
R
ea
d
in
g
E
ase,
t
h
e
Fles
c
h
-
Kin
k
aid
Gr
ad
e
L
ev
el,
th
e
Fo
g
Scale,
an
d
th
e
SMOG
I
n
d
ex
[
1
4
]
,
[
1
6
]
.
Ho
w
e
v
er
,
th
ese
r
ea
d
ab
ilit
y
f
o
r
m
u
la
s
ar
e
s
p
ec
if
icall
y
d
es
ig
n
ed
an
d
u
s
e
d
f
o
r
E
n
g
lis
h
te
x
t
s
,
an
d
ca
n
n
o
t
b
e
u
s
ed
f
o
r
o
th
er
la
n
g
u
a
g
es.
Fu
r
t
h
er
m
o
r
e,
t
h
er
e
ar
e
n
o
s
u
c
h
r
ea
d
ab
ilit
y
f
o
r
m
u
las
i
n
B
a
h
a
s
a
I
n
d
o
n
esia
.
T
h
er
ef
o
r
e,
th
e
r
ea
d
in
g
le
v
e
l
f
o
r
th
e
s
e
d
iab
etes
ed
u
ca
tio
n
m
ater
ials
co
u
l
d
n
o
t b
e
d
eter
m
i
n
ed
.
I
n
ad
d
itio
n
,
1
4
d
iab
etes
p
o
s
ter
s
w
er
e
d
e
v
elo
p
ed
f
o
r
teac
h
in
g
aid
s
in
d
iab
etes
s
tr
u
c
tu
r
ed
p
atien
t
ed
u
ca
tio
n
s
e
s
s
io
n
s
.
T
h
e
co
n
ten
t
o
f
t
h
e
p
o
s
ter
s
w
as
ta
k
en
f
r
o
m
th
e
co
r
r
esp
o
n
d
in
g
d
iab
etes
leaf
let
s
f
o
c
u
s
i
n
g
o
n
th
e
m
o
s
t
i
m
p
o
r
tan
t
is
s
u
e
s
w
it
h
f
e
w
er
w
o
r
d
s
an
d
m
o
r
e
p
ict
u
r
es.
T
h
e
p
o
s
ter
s
w
er
e
p
r
in
te
d
in
co
lo
r
f
u
l
g
lo
s
s
y
A1
-
s
ized
p
r
in
ti
n
g
p
ap
er
s
w
it
h
s
p
ec
ial
o
u
td
o
o
r
m
ater
ial.
T
h
e
d
iab
etes
p
o
s
ter
s
d
ev
elo
p
ed
ar
e
en
titl
ed
as
f
o
llo
w
s
:
P
o
s
ter
1
:
“
W
h
at
Hap
p
en
s
in
T
y
p
e
2
Diab
etes?
Me
ch
an
is
m
o
f
I
n
s
u
li
n
”
P
o
s
ter
2
:
“
R
is
k
Facto
r
s
o
f
T
y
p
e
2
Diab
etes”
P
o
s
ter
3
:
“
S
y
m
p
to
m
s
o
f
T
y
p
e
2
Diab
etes”
P
o
s
ter
4
:
“
H
y
p
o
g
l
y
ca
e
m
ia”
P
o
s
ter
5
:
“
H
y
p
er
g
l
y
c
a
e
m
ias”
P
o
s
ter
6
:
“
C
o
m
p
licatio
n
s
o
f
T
y
p
e
2
Diab
etes”
P
o
s
ter
7
:
“
Ma
n
ag
e
m
e
n
t o
f
T
y
p
e
2
Diab
etes”
P
o
s
ter
8
:
“
Me
al
P
lan
n
i
n
g
f
o
r
Diab
etics”
P
o
s
ter
9
:
“
B
alan
ce
d
Diet
f
o
r
Diab
etics”
P
o
s
ter
1
0
:
“
P
o
r
tio
n
C
o
n
tr
o
l f
o
r
Diab
eti
cs”
P
o
s
ter
1
1
:
“
P
h
y
s
ical
A
ct
iv
i
t
y
f
o
r
Diab
etics”
P
o
s
ter
1
2
:
“
T
ar
g
ets o
f
T
y
p
e
2
Diab
etes
Ma
n
ag
e
m
e
n
t”
P
o
s
ter
1
3
:
“
Fo
o
t Car
e
f
o
r
Diab
etics”
P
o
s
ter
1
4
:
“
Diab
etes
Self
-
Ma
n
a
g
e
m
e
n
t
”
T
h
ese
f
o
u
r
teen
d
iab
etes
p
o
s
te
r
s
w
er
e
also
r
ep
r
o
d
u
ce
d
in
x
-
b
an
n
er
co
m
p
o
s
itio
n
s
f
o
r
d
is
p
l
a
y
in
t
h
e
f
u
n
ctio
n
r
o
o
m
d
u
r
i
n
g
d
iab
ete
s
ed
u
ca
tio
n
p
r
o
g
r
a
m
s
.
T
h
e
g
o
al
w
a
s
to
h
elp
g
etti
n
g
th
e
m
es
s
ag
e
o
f
d
iab
etes
in
f
o
r
m
atio
n
ta
u
g
h
t a
cr
o
s
s
m
o
r
e
ef
f
ec
t
iv
el
y
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
Dev
elo
p
in
g
C
o
mp
r
eh
en
s
ive
D
ia
b
etes E
d
u
ca
tio
n
M
a
teri
a
ls
fo
r
S
tr
u
ctu
r
ed
.
.
.
.
(
Oryz
a
ti Hil
ma
n
A
g
r
imo
n
)
21
Du
e
to
li
m
i
ted
ti
m
e
an
d
r
eso
u
r
ce
s
,
p
r
etestin
g
w
as
co
n
d
u
ct
ed
to
o
n
ly
f
iv
e
m
e
m
b
er
s
o
f
t
h
e
in
te
n
d
ed
tar
g
et
a
u
d
ien
ce
,
i.e
.
ad
u
lts
w
it
h
T
2
D
[
1
4
]
.
E
ac
h
in
d
iv
id
u
al
w
a
s
s
h
o
w
n
d
r
af
t
m
ater
ial
s
o
f
d
iab
etes
leaf
let
s
i
n
a
s
h
o
r
t
i
n
d
iv
id
u
al
in
ter
v
ie
w
f
o
r
a
s
i
m
p
le
r
ea
d
ab
ilit
y
test
an
d
i
n
p
u
t
s
o
n
co
m
p
r
eh
e
n
s
io
n
,
attr
ac
tio
n
an
d
ac
ce
p
tab
ilit
y
.
T
h
e
d
r
af
t
d
esi
g
n
s
w
er
e
a
ls
o
d
is
tr
ib
u
ted
t
o
f
i
v
e
g
en
er
al
p
r
ac
titi
o
n
er
s
to
o
b
tain
b
r
o
ad
er
p
er
s
p
ec
tiv
es
.
T
h
e
m
aj
o
r
it
y
o
f
t
h
e
m
g
a
v
e
p
o
s
iti
v
e
in
p
u
ts
o
n
co
m
p
r
eh
e
n
s
io
n
,
at
tr
ac
tio
n
an
d
ac
ce
p
tab
ilit
y
.
T
h
er
e
w
er
e
o
n
l
y
m
i
n
o
r
in
p
u
t
s
,
p
ar
ticu
lar
l
y
o
n
t
h
e
la
y
o
u
t,
co
lo
u
r
s
an
d
u
s
e
o
f
g
r
ap
h
ics.
T
h
e
d
r
af
t
m
a
ter
ials
w
er
e
r
ev
i
s
ed
b
ased
o
n
th
e
in
p
u
ts
o
b
tain
ed
.
L
astl
y
,
t
h
e
f
i
n
a
l
d
esig
n
s
d
iab
etes
lea
f
let
s
,
p
o
s
ter
s
an
d
x
-
b
a
n
n
er
s
w
er
e
p
r
in
ted
at
a
p
r
in
ti
n
g
s
h
o
p
.
A
lar
g
e
a
m
o
u
n
t
o
f
in
f
o
r
m
atio
n
o
n
T
2
D
w
as
in
c
lu
d
e
d
in
t
h
e
d
iab
etes
lea
f
lets
t
o
p
r
o
v
id
e
co
m
p
r
e
h
en
s
iv
e
in
f
o
r
m
atio
n
t
o
th
e
r
esear
ch
p
ar
ticip
an
t
s
.
Ho
w
e
v
er
,
th
ese
m
i
g
h
t
b
e
o
v
er
w
h
el
m
i
n
g
a
n
d
d
is
co
u
r
ag
i
n
g
f
o
r
th
e
m
.
T
h
e
u
s
e
o
f
w
ester
n
is
ed
g
r
ap
h
ic
s
i
n
t
h
e
lea
f
let
s
m
i
g
h
t
also
b
e
d
is
tr
ac
tin
g
o
r
in
ti
m
id
ati
n
g
.
T
h
e
r
ea
d
ab
ilit
y
t
est
to
d
eter
m
i
n
e
t
h
e
r
ea
d
i
n
g
le
v
el
w
a
s
n
o
t
co
n
d
u
cted
t
h
at
m
i
g
h
t
r
es
u
lt
in
h
ig
h
er
r
ea
d
in
g
lev
el
f
o
r
th
e
r
esear
ch
p
ar
ticip
an
ts
.
I
n
o
r
d
er
to
f
in
d
o
u
t
ab
o
u
t
th
e
p
ar
ticip
an
ts
‟
f
ee
d
b
ac
k
ab
o
u
t
th
e
leaf
let
s
an
d
to
o
b
tain
s
u
g
g
es
ti
o
n
s
f
o
r
i
m
p
r
o
v
in
g
t
h
e
leaf
lets
in
t
h
e
f
u
t
u
r
e,
an
ev
al
u
atio
n
o
f
th
e
d
iab
etes le
a
f
lets
w
a
s
co
n
d
u
cted
.
2
.
2
.
Sa
m
ple
T
h
e
n
e
w
d
iab
etes
lea
f
let
s
w
er
e
th
e
n
d
i
s
tr
ib
u
ted
to
8
8
p
eo
p
le
w
it
h
T
2
D
w
h
o
a
tten
d
ed
t
wo
d
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ed
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ca
tio
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s
r
esear
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ter
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tio
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in
p
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ar
y
h
ea
lt
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ca
r
e
f
ac
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ies
in
Yo
g
y
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ta
C
it
y
.
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ec
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ed
a
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ter
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d
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ts
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m
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.
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v
a
lua
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n o
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d
ia
bet
es
l
ea
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le
t
s
T
h
e
ev
alu
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n
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n
s
is
ted
o
f
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r
ite
m
s
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s
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g
s
ca
le
o
f
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to
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0
p
r
o
v
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ed
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ea
ch
q
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e
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tio
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w
it
h
th
e
ex
p
la
n
atio
n
o
f
th
e
m
ea
n
in
g
,
an
d
o
n
e
o
p
en
-
e
n
d
ed
q
u
esti
o
n
as s
h
o
w
n
i
n
T
ab
le
4
.
T
ab
le
4
.
E
v
alu
atio
n
o
f
t
h
e
d
iab
etes le
af
let
s
N
o
.
V
a
r
i
a
b
l
e
Q
u
e
st
i
o
n
s
R
a
t
i
n
g
1.
L
a
n
g
u
a
g
e
u
sag
e
“
H
o
w
d
o
y
o
u
r
a
t
e
t
h
e
u
s
a
g
e
o
f
l
a
n
g
u
a
g
e
i
n
t
h
e
d
i
a
b
e
t
e
s l
e
a
f
l
e
t
s?
”
U
se
a
r
a
t
i
n
g
sca
l
e
o
f
1
t
o
1
0
.
1
2
3
4
5
6
7
8
9
1
0
1
=
v
e
r
y
d
i
f
f
i
c
u
l
t
t
o
u
n
d
e
r
st
a
n
d
;
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0
=
v
e
r
y
e
a
s
y
t
o
u
n
d
e
r
st
a
n
d
2.
F
o
n
t
si
z
e
“
H
o
w
d
o
y
o
u
r
a
t
e
t
h
e
f
o
n
t
s
i
z
e
i
n
t
h
e
d
i
a
b
e
t
e
s l
e
a
f
l
e
t
s?
”
U
se
a
r
a
t
i
n
g
s
c
a
l
e
o
f
1
t
o
1
0
.
1
2
3
4
5
6
7
8
9
1
0
1
=
v
e
r
y
d
i
f
f
i
c
u
l
t
t
o
r
e
a
d
;
1
0
=
v
e
r
y
e
a
sy
t
o
r
e
a
d
3.
U
se
o
f
p
i
c
t
u
r
e
s
“
H
o
w
d
o
y
o
u
r
a
t
e
t
h
e
u
se
o
f
p
i
c
t
u
r
e
s i
n
t
h
e
d
i
a
b
e
t
e
s l
e
a
f
l
e
t
s?“
U
se
a
r
a
t
i
n
g
s
c
a
l
e
o
f
1
t
o
1
0
.
1
2
3
4
5
6
7
8
9
1
0
1
=
v
e
r
y
u
n
i
n
t
e
r
e
st
i
n
g
;
1
0
=
v
e
r
y
i
n
t
e
r
e
st
i
n
g
4.
C
o
n
t
e
n
t
o
f
d
i
a
b
e
t
e
s
i
n
f
o
r
mat
i
o
n
“
H
o
w
d
o
y
o
u
r
a
t
e
t
h
e
c
o
n
t
e
n
t
o
f
i
n
f
o
r
mat
i
o
n
i
n
t
h
e
d
i
a
b
e
t
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s l
e
a
f
l
e
t
s?
”
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se
a
r
a
t
i
n
g
s
c
a
l
e
o
f
1
t
o
1
0
.
1
2
3
4
5
6
7
8
9
1
0
1
=
v
e
r
y
c
o
mp
l
i
c
a
t
e
d
;
1
0
=
v
e
r
y
si
mp
l
e
5.
S
u
g
g
e
st
i
o
n
s fo
r
i
mp
r
o
v
e
me
n
t
“
W
h
a
t
a
r
e
y
o
u
r
su
g
g
e
st
i
o
n
s fo
r
i
mp
r
o
v
i
n
g
t
h
e
d
i
a
b
e
t
e
s l
e
a
f
l
e
t
s?
”
T
h
i
s w
a
s a
n
o
p
e
n
e
n
d
e
d
q
u
e
st
i
o
n
w
i
t
h
b
l
a
n
k
sp
a
c
e
f
o
r
t
h
e
a
n
sw
e
r
.
3.
RE
SU
L
T
S
A
ND
AN
AL
Y
SI
S
Descr
ip
tiv
e
s
tati
s
tics
w
er
e
u
s
ed
to
an
al
y
ze
t
h
e
r
es
u
lt
s
.
Fo
r
th
e
f
ir
s
t
f
o
u
r
q
u
esti
o
n
s
,
m
aj
o
r
it
y
o
f
th
e
p
ar
ticip
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ts
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8
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.
4
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ated
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e
d
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r
ate
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th
e
r
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g
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d
n
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r
ated
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5
.
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s
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p
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ticip
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ts
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n
s
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e
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th
at
th
e
d
iab
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s
y
t
o
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ea
d
,
in
ter
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g
,
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n
d
s
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m
p
le.
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r
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u
est
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o
.
5
,
th
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m
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ity
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p
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ts
(
79
.
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g
av
e
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T
h
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m
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co
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:
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.
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t.
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f
t
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e
leaf
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ted
in
T
ab
le
5
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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Ev
a
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a
t
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l
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f
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d
1
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1
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88
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88
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o
w
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d
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5
5
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7
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6
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7
4
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88
4.
6
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8
37
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88
4
2
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9
1
4
/
88
15
.
9
%
10
38
/
88
43
.
2
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3
.
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o
w
d
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y
o
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r
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t
e
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h
e
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se
o
f
p
i
c
t
u
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s
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n
t
h
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d
i
a
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e
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1
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1
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-
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5
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88
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.
3
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7
3
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88
3
.
4
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8
31
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88
3
5
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2
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9
1
7
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88
19
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88
3
7
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5
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4
.
H
o
w
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d
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e
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6
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6
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2
7
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3
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8
18
/
88
2
0
.
5
%
9
17
/
88
1
9
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3
%
10
20
/
88
22
.
7
%
5
.
W
h
a
t
a
r
e
y
o
u
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su
g
g
e
st
i
o
n
s
f
o
r
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m
p
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t
h
e
d
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l
e
a
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s?
”
Gener
a
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c
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m
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e
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t
s o
n
t
h
e
l
e
a
f
l
e
t
s (
70
/
88
=7
9
.
5
%
)
:
A.
“
T
h
e
l
e
a
f
l
e
t
s
a
re
a
l
re
a
d
y
g
o
o
d
a
n
d
e
a
sy
t
o
u
n
d
e
rst
a
n
d
,
i
n
c
l
u
d
i
n
g
t
h
e
c
o
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t
e
n
t
s
a
n
d
p
i
c
t
u
res
.
.
.
”
(
64
/
88
);
“
.
.
.
t
h
e
i
n
f
o
rm
a
t
i
o
n
a
n
d
p
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t
u
r
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s
a
re
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o
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d
”
(
2
/
88
)
;
“
.
.
.
t
h
e
y
a
re
m
o
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e
t
h
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n
e
n
o
u
g
h
f
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r m
e
”
(
1
/
88
)
“
.
.
.
p
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s
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g
u
i
d
e
f
o
r
d
i
a
b
e
t
i
c
s”
(
1/
88
=
)
;
“
.
.
.
p
a
r
t
i
c
u
l
a
rl
y
f
o
r
d
a
i
l
y
l
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f
e
w
h
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c
h
i
n
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l
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d
e
m
e
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l
p
l
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n
n
i
n
g
a
n
d
e
x
e
rci
s
e
.
”
(
1
/
88
)
B.
“
T
h
e
l
e
a
f
l
e
t
s
a
re
a
l
re
a
d
y
c
o
m
p
l
e
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e
/
p
e
rf
e
c
t
”
(
2
/
88
)
C.
“
T
h
e
l
e
a
f
l
e
t
s
p
ro
v
i
d
e
g
o
o
d
i
n
f
o
rm
a
t
i
o
n
”
(
1
/
88
)
D.
“
T
h
e
l
e
a
f
l
e
t
s e
n
c
o
u
r
a
g
e
u
s t
o
h
a
v
e
a
d
i
s
c
i
p
l
i
n
e
a
n
d
f
i
g
h
t
i
n
g
s
p
i
ri
t
”
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
Dev
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t
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let
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c
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m
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en
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f
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m
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”,
w
h
ich
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s
ed
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s
ias
m
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o
u
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f
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n
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p
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n
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y
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ld
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e.
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y
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ed
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m
o
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a
m
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d
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ab
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t
t
h
e
lea
f
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h
e
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ar
ticip
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ts
in
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icate
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t
h
at
g
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tt
in
g
“
a
s
et
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f
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f
u
l
lea
f
lets
w
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c
h
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m
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n
s
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v
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c
h
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th
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r
ev
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h
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ted
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co
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m
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‟
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en
co
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d
„
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n
cr
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s
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m
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d
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n
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w
led
g
e
‟
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e
th
a
n
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n
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t
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ir
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ts
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g
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n
t
h
e
f
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t
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ab
le
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g
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ticip
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ts
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m
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v
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g
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tu
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ter
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ater
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g
t
h
e
r
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s
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af
let
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n
th
e
f
u
tu
r
e.
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h
e
m
o
s
t
f
r
eq
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e
n
t
s
u
g
g
e
s
tio
n
w
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s
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n
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f
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m
p
ilin
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ll
th
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d
iab
etes
leaf
lets
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n
to
o
n
e
b
o
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k
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at
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ld
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v
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a
s
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co
m
p
l
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id
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k
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d
r
e
m
i
n
d
er
f
o
r
d
iab
etics;
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ec
au
s
e
it
w
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l
d
m
ak
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ly
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s
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ar
t
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g
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ev
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id
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p
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h
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a
n
d
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k
w
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f
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v
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:
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ater
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g
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[
1
9
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.
Ho
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to
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f
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w
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h
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er
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n
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li
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ca
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p
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io
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f
r
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m
h
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h
ca
r
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p
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h
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p
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n
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er
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g
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in
f
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lea
f
lets
in
cl
u
d
e:
(
1
)
Giv
e
m
o
r
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ex
a
m
p
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s
o
f
p
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b
lem
s
o
lv
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n
g
f
o
r
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i
n
g
w
ith
d
iab
e
tes;
(
2
)
I
n
co
r
p
o
r
ate
p
s
y
c
h
o
lo
g
ical
an
d
s
p
ir
it
u
al
asp
ec
ts
;
a
n
d
(
3
)
Giv
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m
o
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s
a
m
p
les
o
f
s
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m
p
le
a
n
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af
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ab
le
m
e
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u
s
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p
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p
le
w
i
th
T
2
D
.
So
m
e
o
f
th
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s
e
s
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g
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s
w
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alr
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cl
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d
ed
d
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g
d
is
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t
h
e
s
tr
u
ctu
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g
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ed
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t
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ittl
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ed
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cted
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f
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d
,
ac
tiv
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an
d
m
ed
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s
[
2
0
]
.
Sit
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cl
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in
t
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leaf
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R
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f
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titl
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Self
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lar
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s
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m
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m
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2
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s
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<1
%)
[
2
1
]
.
T
h
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co
llecti
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n
f
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u
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o
f
r
el
ig
io
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s
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an
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co
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s
p
o
liti
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tall
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p
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t
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I
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d
o
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s
ian
p
u
b
l
ic
lif
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as
ill
u
s
tr
ated
in
t
h
e
s
tate
f
o
u
n
d
atio
n
,
P
a
n
ca
s
ila
,
w
h
ic
h
b
e
g
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n
s
w
it
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t
h
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p
r
in
cip
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f
„
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Go
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‟
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a
n
ca
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ila
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w
h
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h
m
ea
n
s
t
h
e
f
i
v
e
p
illar
s
,
co
n
s
i
s
ts
o
f
B
elie
f
in
O
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Go
d
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Hu
m
a
n
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s
m
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Nat
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U
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R
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tati
v
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De
m
o
cr
ac
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So
cial
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u
s
tice
[
2
2
]
.
Ho
w
e
v
er
,
d
escr
ip
tio
n
o
f
s
p
ir
itu
al
a
s
p
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ts
w
a
s
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t
in
cl
u
d
ed
in
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lea
f
let
s
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leaf
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2
D
m
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Me
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w
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cl
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d
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in
t
h
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d
iab
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b
o
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k
let
o
n
en
t
itled
“
Fo
o
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ch
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n
g
es
an
d
Me
n
u
”.
Ho
w
ev
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p
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b
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f
3
m
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3
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to
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d
iab
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lets
to
b
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d
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elo
p
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t
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2252
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Dev
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(
Oryz
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2
5
An
o
th
er
s
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g
g
est
io
n
w
h
ic
h
e
m
er
g
ed
f
r
o
m
th
e
ev
al
u
atio
n
w
a
s
“
d
ev
elo
p
i
n
g
a
V
C
D/DV
D
o
n
f
o
o
t
ex
er
cise”.
De
v
elo
p
in
g
a
l
iv
e
l
y
a
u
d
io
-
v
is
u
al
m
ed
ia
o
n
f
o
o
t
ex
er
cise
w
i
ll
p
r
o
v
id
e
a
u
s
ef
u
l
r
eso
u
r
ce
f
o
r
d
iab
etics
to
f
o
llo
w
t
h
an
j
u
s
t
l
o
o
k
in
g
at
th
e
p
ap
er
-
b
ased
in
s
tr
u
ctio
n
s
a
n
d
ill
u
s
tr
at
io
n
s
o
f
f
o
o
t
ex
er
cise
i
n
th
e
leaf
let.
Dev
e
lo
p
in
g
a
V
C
D/
DVD
o
n
f
o
o
t
ex
er
cise
w
i
ll
b
e
in
clu
d
ed
in
to
t
h
e
p
lan
o
f
wr
itin
g
p
r
o
p
o
s
als
f
o
r
in
ter
n
a
tio
n
al
g
r
a
n
ts
o
n
d
ev
el
o
p
in
g
t
h
e
r
e
v
is
ed
d
iab
etes
e
d
u
ca
tio
n
m
ater
ial
s
a
n
d
estab
lis
h
in
g
s
tr
u
ct
u
r
ed
d
iab
etes
ed
u
ca
tio
n
p
r
o
g
r
a
m
s
in
t
h
e
co
m
m
u
n
it
ies.
T
h
e
la
s
t
s
u
g
g
e
s
tio
n
w
h
ic
h
e
m
er
g
ed
f
r
o
m
t
h
e
e
v
al
u
atio
n
,
an
d
ce
r
tain
l
y
n
o
t
th
e
least,
was
“
a
ca
ll
f
o
r
h
ea
lt
h
ca
r
e
p
r
o
v
id
er
s
to
co
n
d
u
ct
ad
eq
u
ate
p
atien
t
ed
u
ca
tio
n
to
p
atien
ts
w
i
th
T
2
D
”.
4.
CO
NCLU
SI
O
N
Diab
etes
ed
u
ca
t
io
n
m
ater
ial
s
p
r
o
v
id
in
g
co
m
p
r
eh
e
n
s
i
v
e
in
f
o
r
m
at
io
n
o
n
T
2
D
w
er
e
r
ar
el
y
f
o
u
n
d
i
n
p
r
im
ar
y
h
ea
lt
h
ca
r
e
f
ac
ilit
ie
s
in
Yo
g
y
ak
ar
ta
C
i
t
y
.
D
ev
e
lo
p
in
g
n
e
w
,
co
m
p
r
eh
e
n
s
iv
e
d
iab
etes
ed
u
ca
t
io
n
m
ater
ials
w
r
itte
n
i
n
B
a
h
a
s
a
I
n
d
o
n
esia
f
o
r
lo
w
-
li
ter
ate
r
ea
d
er
s
w
as
g
r
ea
tl
y
n
ee
d
ed
f
o
r
co
n
d
u
cti
n
g
s
t
u
ctu
r
ed
d
iab
etes
ed
u
ca
tio
n
p
r
o
g
r
a
m
s
i
n
p
r
i
m
ar
y
ca
r
e.
T
h
ese
m
ater
ia
ls
co
n
s
is
ted
o
f
a
s
e
t
o
f
d
iab
ete
s
lea
f
lets
(
9
lea
f
let
s
an
d
1
b
o
o
k
let)
f
o
r
d
is
tr
ib
u
tio
n
to
p
ar
ticip
an
ts
,
an
d
1
4
d
iab
etes
p
o
s
ter
s
an
d
b
an
n
er
s
f
o
r
teac
h
in
g
aid
s
d
u
r
i
n
g
d
iab
etes
ed
u
ca
tio
n
p
r
o
g
r
a
m
s
ess
io
n
s
.
T
h
e
d
iab
etes
leaf
le
ts
d
ev
elo
p
ed
w
er
e
v
er
y
w
ell
r
ec
eiv
ed
an
d
h
i
g
h
l
y
ap
p
r
ec
iated
b
y
th
e
p
ar
ticip
an
t
s
.
T
h
er
e
w
er
e
a
n
u
m
b
er
o
f
s
u
g
g
esti
o
n
s
p
r
o
v
id
ed
b
y
t
h
e
r
esea
r
ch
p
ar
ticip
an
ts
f
o
r
i
m
p
r
o
v
i
n
g
th
e
d
iab
etes
leaf
le
t
s
in
th
e
f
u
t
u
r
e,
m
o
s
t
i
m
p
o
r
tan
tl
y
co
m
p
i
lin
g
t
h
e
d
iab
etes
lea
f
lets
in
to
o
n
e
b
o
o
k
as a
d
iab
etes g
u
id
e
b
o
o
k
an
d
b
r
o
ad
er
d
is
tr
ib
u
tio
n
o
f
t
h
e
d
iab
etes le
af
le
ts
to
all
p
ar
ts
o
f
I
n
d
o
n
esia.
ACK
NO
WL
E
D
G
E
M
E
NT
S
T
h
is
w
o
r
k
w
a
s
j
o
in
tl
y
f
u
n
d
ed
b
y
Fac
u
lt
y
o
f
Me
d
ici
n
e
&
H
ea
lth
Scie
n
ce
s
a
n
d
A
s
r
i
Me
d
i
ca
l
C
en
ter
,
Un
i
v
er
s
it
y
o
f
M
u
h
a
m
m
ad
i
y
a
h
Yo
g
y
a
k
ar
ta,
Yo
g
y
a
k
ar
ta,
I
n
d
o
n
esia.
RE
F
E
R
E
NC
E
S
[1
]
W
HO
/S
E
A
RO
,
“
No
n
c
o
m
m
u
n
ica
b
le
d
ise
a
se
s
in
S
o
u
th
-
Eas
t
A
sia
r
e
g
io
n
”,
Ne
w
D
e
lh
i
,
W
o
rld
He
a
lt
h
Org
a
n
iza
ti
o
n
Re
g
io
n
a
l
Off
ice
f
o
r
S
o
u
t
h
-
Eas
t
A
sia
,
2
0
0
2
.
[2
]
W
il
d
S
.
,
Ro
g
li
c
G
.
,
G
re
e
n
A
.
,
S
icre
e
R
.
,
Kin
g
H.
,
“
G
lo
b
a
l
p
re
v
a
len
c
e
o
f
d
iab
e
tes
:
e
sti
m
a
tes
f
o
r
th
e
y
e
a
r
2
0
0
0
a
n
d
p
ro
jec
ti
o
n
s f
o
r
2
0
3
0
”
,
Dia
b
e
tes
C
a
re
,
v
o
l/
issu
e
:
2
7
(
5
)
,
p
p
.
1
0
4
7
-
53
,
2
0
0
4
.
P
u
b
M
e
d
P
M
ID:
1
5
1
1
1
5
1
9
.
[3
]
In
tern
a
ti
o
n
a
l
Dia
b
e
tes
F
e
d
e
ra
ti
o
n
(IDF)
, ”
Dia
b
e
tes
a
tl
a
s
”,
Bru
ss
e
ls
,
IDF,
2
0
0
6
.
[4
]
W
HO
,
“
In
n
o
v
a
ti
v
e
c
a
re
f
o
r
c
h
ro
n
ic
c
o
n
d
it
i
o
n
s:
Bu
il
d
in
g
b
l
o
c
k
s
f
o
r
a
c
ti
o
n
-
G
lo
b
a
l
re
p
o
rt
”
,
G
e
n
e
v
a
,
No
n
c
o
m
m
u
n
ica
b
le Dise
a
se
s an
d
M
e
n
tal
He
a
lt
h
W
o
rld
He
a
lt
h
Org
a
n
iza
ti
o
n
,
2
0
0
2
.
[5
]
T
a
n
g
T
S
.
,
F
u
n
n
e
ll
M
M
.
,
A
n
d
e
rso
n
RM
.
,
“
G
ro
u
p
Ed
u
c
a
ti
o
n
S
trat
e
g
i
e
s
f
o
r
Dia
b
e
tes
S
e
l
f
-
M
a
n
a
g
e
m
e
n
t”,
Dia
b
e
tes
S
p
e
c
tru
m
,
v
o
l
/i
ss
u
e
:
1
9
(2
)
,
2
0
0
6
.
[6
]
In
tern
a
t
io
n
a
l
D
iab
e
tes
F
o
u
n
d
a
ti
o
n
(IDF)
,
“
P
o
siti
o
n
sta
tem
e
n
t:
S
e
lf
-
m
a
n
a
g
e
m
e
n
t
e
d
u
c
a
ti
o
n
-
Dia
b
e
tes
se
lf
-
m
a
n
a
g
e
m
e
n
t
e
d
u
c
a
ti
o
n
:
A
rig
h
t
f
o
r
a
ll
”
,
IDF
,
2
0
1
1
.
[3
0
M
a
rc
h
2
0
1
2
].
Av
a
il
a
b
le
f
ro
m
:
ww
w
.
id
f
.
o
rg
/p
rin
t/
e
d
u
c
a
ti
o
n
/p
o
si
ti
o
n
-
sta
tem
e
n
t/
se
lf
-
m
a
n
a
g
e
m
e
n
t
-
e
d
u
c
a
ti
o
n
.
[7
]
Co
lag
iu
ri
R
.
,
G
irg
is
S
.
,
Ei
g
e
n
m
a
n
n
C
.
,
G
o
m
e
z
M
.
,
G
ri
ff
it
h
s
R.
,
“
Na
ti
o
n
a
l
e
v
id
e
n
c
e
b
a
se
d
g
u
id
e
li
n
e
f
o
r
p
a
ti
e
n
t
e
d
u
c
a
ti
o
n
in
ty
p
e
2
d
iab
e
tes
”
,
Ca
n
b
e
rra
,
Dia
b
e
tes
A
u
stra
li
a
a
n
d
t
h
e
NH
M
RC,
2
0
0
9
.
[8
]
L
o
v
e
m
a
n
E
.
,
F
ra
m
p
to
n
G
K
.
,
Cl
e
g
g
AJ
.
,
“
T
h
e
c
li
n
ica
l
e
ffe
c
ti
v
e
n
e
ss
o
f
d
iab
e
tes
e
d
u
c
a
ti
o
n
m
o
d
e
ls
f
o
r
Ty
p
e
2
d
iab
e
tes
:
a
s
y
ste
m
a
ti
c
re
v
i
e
w
”
,
He
a
lt
h
T
e
c
h
n
o
l
A
ss
e
ss
,
v
o
l/
issu
e
:
1
2
(9
)
,
p
p
.
1
-
1
1
6
,
2
0
0
8
.
P
u
b
M
e
d
P
M
ID
:
1
8
4
0
5
4
6
9
.
[9
]
F
u
n
n
e
ll
M
M
.
,
A
n
d
e
rso
n
RM
.
,
A
rn
o
l
d
M
S
.
,
Ba
rr
P
A
.
,
Do
n
n
e
ll
y
M
.
,
Jo
h
n
s
o
n
P
D
.
,
e
t
a
l.
,
“
Em
p
o
w
e
r
m
e
n
t:
A
n
id
e
a
w
h
o
se
ti
m
e
h
a
s co
m
e
in
d
iab
e
tes
e
d
u
c
a
ti
o
n
”
,
T
h
e
Di
a
b
e
tes
E
d
u
c
a
t
o
r
,
v
o
l/
issu
e
:
1
7
(1
)
,
p
p
.
37
-
41
,
1
9
9
1
.
[1
0
]
G
o
ld
ste
in
M
.
,
(
e
d
it
o
r
),
“
P
r
o
m
o
ti
n
g
se
l
f
-
m
a
n
a
g
e
m
e
n
t
in
p
rim
a
r
y
c
a
re
se
tt
in
g
s:
L
i
m
it
a
ti
o
n
s
a
n
d
o
p
p
o
rt
u
n
it
ies
a
c
o
m
m
e
n
tar
y
”
,
U.K.
,
Jo
h
n
W
il
e
y
&
S
o
n
s,
L
td
,
2
0
0
2
.
[1
1
]
Cle
m
e
n
t
S
.
,
“
Dia
b
e
tes
se
lf
-
m
a
n
a
g
e
m
e
n
t
e
d
u
c
a
ti
o
n
”,
Dia
b
e
tes
Ca
re
,
v
o
l/
issu
e
:
1
8
(
8)
,
p
p
.
1
2
0
4
-
14
,
1
9
9
5
.
[1
2
]
Jo
h
n
s
o
n
JA
.
,
“
S
e
lf
-
e
ff
ic
a
c
y
th
e
o
r
y
a
s
a
f
r
a
m
e
w
o
rk
f
o
r
c
o
m
m
u
n
it
y
p
h
a
rm
a
c
y
b
a
se
d
d
iab
e
t
e
s
e
d
u
c
a
ti
o
n
p
ro
g
ra
m
s”
,
T
h
e
Dia
b
e
tes
Ed
u
c
a
to
r
,
v
o
l.
2
2
,
p
p
.
2
3
7
-
41
,
1
9
9
6
.
[1
3
]
M
a
y
e
a
u
x
EJ
.
,
P
e
g
g
y
W
M
.
,
A
rn
o
ld
C
.
,
Da
v
is
T
C
.
,
Ja
c
k
so
n
RH
.
,
S
e
n
tell
T
.
,
“
Im
p
ro
v
in
g
p
a
ti
e
n
t
e
d
u
c
a
ti
o
n
f
o
r
p
a
ti
e
n
ts
w
it
h
l
o
w
li
tera
c
y
s
k
il
ls
”,
Ame
ric
a
n
Fa
mily
Ph
y
sic
a
n
s
,
v
o
l/
i
ss
u
e
:
5
3
(
1
)
,
p
p
.
2
0
5
-
11
,
1
9
9
6
.
[1
4
]
Na
t
io
n
a
l
Ca
n
c
e
r
In
stit
u
te
(NCI),
“
Clea
r
&
si
m
p
le:
D
e
v
e
lo
p
in
g
e
ff
e
c
ti
v
e
p
rin
t
m
a
t
e
rials
f
o
r
lo
w
-
li
tera
te
re
a
d
e
rs
”
,
Be
th
e
sd
a
,
N
a
ti
o
n
a
l
I
n
stit
u
tes
o
f
He
a
lt
h
NCI,
2
0
0
3
.
[u
p
d
a
ted
2
7
F
e
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M
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