INI COVER BELUM

Definition
Diabetes mellitus, or simply
diabetes, is a chronic disease
that occurs when the
pancreas is no longer able to
make insulin,

or when the body cannot
make good use of the insulin
it produces.


Diabetes milletus type 2
Type 2 diabetes mellitus is
characterized by insulin
resistance, which may be
combined with relatively reduced
insulin secretion
Etiology of DM
Principle deficiency
hormon insulin
malfunction of pranceas
(the cells in the pancreas that
make insulin are destroyed,
causing a severe lack of insulin.)

occurs when the pancreas
doesn't make enough or any of
the hormone insulin, or when
the insulin produced doesn't
work effectively.


Who are at risk of diabetes?
heredity

people with high cholesterol levels

people with low activity

obese people

Gestational diabetes

habitual ethnic groups



the receptors on cells in the body that normally respond to the action of
insulin fail to be stimulated by it - this is known as insulin resistance.
for example
Epidemiology

The highest
province
Persentase
West
Kalimantan
11,1 %
North Maluku 11,1 %
Riau Province 10,4 %
Aceh 8,5 %
The Lower
Province
Persentase
NTT Province 1,8 %
Papua Province 1,7 %
West Java 1,1 %
Total People in Indonesia, 2007 (228.523.300)
People
With
DM Type 2

Polyuria

Polydipsia
Polyphagia
Blurred vision
Fatigue (weak,
tired feeling)
Numbness or
tingling
Skin problem
Slow healing

Polyuria

Polydipsia
Polyphagia
Blurred Vision
Fatigue (weak, tired feeling)
Numbness or tingling
Skin problem
Slow healing
Was previously called non-insulin-dependent
diabetes mellitus (NIDDM) or adult-onset
diabetes.
Pathophysiology Type 2 Diabetes
Disorder of DM type 2
Normal people :
Glucose can enter the cell
easily
surferer of DM type 2:
Glucose cant enter
the cell because
insulin resistance to
cell
The Best Prescription is
Knowledge"
The Best Prescription is
Knowledge"
TEST FOR DIAGNOSE DIABETES
Glycated hemoglobin (A1C) test
Random blood sugar test.
Fasting blood sugar test
Oral glucose tolerance test
Complication
DM
Type-2
Measuring
Blood Sugar
Regularly
Good Nutrition
and Meal
Planning
Exercise
Medicine
Foot care

Measuring Blood Sugar
Regularly


Good Nutrition and Meal Planning


Exercise

Sulfonylureas
Repaglinide
(Prandin) and
nateglinide
(Starlix)
Rosiglitazone
(Avandia) and
pioglitazone
(Actos)
Metformin
(Glucophage)

Medicine

If Left
Untreated ?!
Blood Vessels And
Nerves And
Decreased Ability To
Fight Infection
Injury To The Foot
Infection Develops

Amputation


Prevention Personal Care

Follow your diet plan.
Follow your health care provider's advice for
physical activity.
Stop smoking
Learn how to do proper skin and foot care every
day.
Always carry identification that says you have
diabetes, in case of an emergency