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Gabriele Emi Badia09-153Kepaniteraan KK periode 23.9.13 -19.10.13
Kurangnya insulin (Absolut/relatif) ↑ konsentrasi glukosa plasma;
Ekskresi glukosa dalam urin Diabetes Melitus
Dibagi 2 tipe I – Insulin-Dependent DM (Diabetes
juvenilis) II – Non Insulin-Dependent DM (Diabetes
onset dewasa)
3
Insulin
GluconeogenesisGlycogenolysisGlycogen synthesis
Glucose uptakeGlycogen synthesis
Blood glucose
Insulin and glucose disposalInsulin and glucose disposal
Free fatty acid release
Genetik (pembawa antigen HLA-DR3, HLA-DR4)
Hipertensi
Dislipidemia
10
ObesitasOverweight
Polycystic ovary disease
Acanthosis nigricans
Schizophrenia
Aktivitas fisik ↓ BB, ↓ kadar gula darah, ↑ sensitivitas terhadap insulin
Pencegahan(2)Serat! Serat! Serat! ↑
kontrol terhadap kadar gula darah, mudah kenyang ~ ↓ BB
Pencegahan(3)Gandum ↓resiko diabetes,
mengatur kadar gula darah
↓kan berat badan ↓ 7 % BB = ↓ resiko 60%
Pencegahan(4)
Pencegahan(5)
Makanan sehat!!
19
• LabLab• Gula Darah: Sewaktu (<200), post Gula Darah: Sewaktu (<200), post
prandial, puasa (<126)prandial, puasa (<126)• Albumine, glucose in urineAlbumine, glucose in urine
• HbAHbA1C 1C (6%) (6%)
PemeriksaanPemeriksaan
DM-1: InsulinDM-2:
Biguanid : Metformin
• Penatalaksanaan terhadap penyakit sekunder