Escolar Documentos
Profissional Documentos
Cultura Documentos
Definisi
Klasifikasi
DM Tipe 1
DM Tipe 2
DM Gestasional
Tipe DM yang lain
Etiologi
Type 1 DM:
- Genetic
- Autoimmune
Type 2 DM
- Genetic
- Lifestyle
Patofisiologi
Polyphagia,
polydipsi
Fatigue
Poliuri
Weight Loss
Mata Kabur
Kriteria Diagnosis
Normal
- BSN : 70-99 mg/dL
- BSPP : 100-139 mg/dL
Risk to diabetes (Prediabetes)
- BSN : 100-125 mg/dL
- BSPP : 140-199 mg/dL
Diabetes
- BSN : > 126 mg/dL
- BSPP : > 200 mg/dL
classical symptoms
Faktor Resiko DM
Komplikasi
Fasting/Preprandial
Fasting/Preprandial
glucose
glucose elevations
elevations
Acute
Acute toxicity
toxicity
Chronic
Chronic toxicity
toxicity
Tissue
Tissue lesion
lesion
Complications
Diabetic complication
Acute:
1. Diabetic ketoacidosis
2. Hyperosmolar Hyperglycemia
State
3. Hypoglycemia
Chronic:
4. Angiopathy
Macro: stroke, CAD, Diabetic foot
Micro: retinopathy, nephropathy
2. Neuropathy
Peripher: pain, paresthesia,
numbness
Autonom: ED, CDM, gastropathy
TERAPI
Expt. decreased
in A1C (%)
Advantages
Disadvantages
Lifestyle
1.0-2.0
Broad benefits
Metformin
1.0-2.0
Weight neutral
Insulin
1.5-3.5
Sulfonylurea
1.0-2.0
Rapidly effective
TZD
0.5-1.4
GLP-1 agonist
0.5-1.0
Weight loss
Acarbose
0.5-0.8
Weight neutral
Glinide
0.5-1.5
Rapidly effective
Pramlintide
0.5-1.0
Weight loss
DPP-4
inhibitor
0.5-0.8
Weight neutral
Thank You