Type 2 diabetes is the most prevalent type of diabetes. Diabetes melitus tidak dapat disembuhkan tetapi kadar gula darah dapat dikendalikan melalui diet, olah raga, dan obatobatan. Diabetes melitus free download as powerpoint presentation. Living with type 2 diabetes is a free, yearlong program that offers information and support as you learn to live with diabetes. Klasifikasi diabetes mellitus dm klasifikasi dm yang dianjurkan oleh perkeni adalah yang sesuai dengan anjuran klasifikasi dm. Ensuring the optimal care of the many people with diabetes who fast during ramadan is crucial. The indonesian society of mel,itus perkeni suggests to do screening tests in all pregnant women at baseline and reevaluate at weeks of gestation if the first evaluation is normal. Pedoman pengendalian diabetes melitus world health organization. Updated perkeni type 2 diabetes treatment algorithm diabetes.
Hhs, nih, 2005 diabetes in america, nih publication no. Adanya kelainan campuran diantara nomor 1, 2,3 dan 4. People with diabetes melitus type 2 90% of all diabetics. Diabetes due to diseases of the exocrine pancreas pancreatitis, pancreatectomy, or pancreatic adenocarcinoma cystic fibrosis hemochromatosis others diabetes due to other endocrinopathies acromegaly cushings syndrome pheochromocytoma glucagonoma others monogenic forms of diabetes. Dm tipe 2, noninsulin dependent diabetes mellitus niddm. If they elect screening, these patients should be screened every 3 years using either fasting plasma glucose or hba1c. Panduan penatalaksanaan dm tipe 2 pada individu dewasa di bulan ramadan. The algorithms will be updated periodically but changes in national practice may occur more quicklyusers are advised to stay abreast of current clinical practice recommendations. This change is often made to help people with type 2 diabetes gain better control of their blood sugar.
Management of pregestational type 1 diabetes and type 2 diabetes in pregnancy postpartum care s80. Pasalnya, sejumlah orang berisiko tinggi mengalami diabetes tipe 2 dan sebagian lagi tidak. Pengelolaan dan pencegahan diabetes melitus tipe 2 di indonesia. Klasifikasi diabetes melitus menurut perkeni 2006 dalam dilihat dalam tabel 2.
For diabetes type 2, one study among patients aged on average 59 years reported that most patients 61. Diabetes mellitus dm prevalence in indonesia based on the results of basic health research riskesdas year 20 is 2. Diabetes mellitus dm tipe1 merupakan salah satu penyakit kronis yang sampai saat ini belum dapat disembuhkan. Konsensus nasional pengelolaan diabetes mellitus tipe 1 revisi 2 ukk endokrinologi anak dan remaja, idai world diabetes foundation 2015 tabel 1. Pdf diabetes mellitus dm in pregnancy has serious impact on both mother and baby if not optimally.
The american diabetes association is ready to help you every step of the way. Konsensus pengelolaan dan pencegahan diabetes mellitus therapeutic approaches to target inflammation in type 2 diabetes. The types of diabetes are type 1, type 2, and a condition called gestational diabetes, which happens when pregnant. Pencegahan diabetes militus tipe 2 di indonesia yang di terbitkan oleh perkeni 2015, input dari proses ini adalah daftar pertanyaan wawancara untuk mengetahui variabel apa saja yang dibutuhkan sebagai ukuran perhitungan kalori harian dan porsi harian penderita diabetes militus, sehingga output. Pdf indonesian clinical practice guidelines for diabetes in. Penatalaksanaan dm sesuai konsesnsus perkeni 2015 dr. People who are overweight and inactive are also more likely to develop type 2 diabetes. Ketentuan mendiagnosis dm tipe 2 menggunakan kadar glukosa darah dibuat oleh oleh who dan perkeni. The combination of maternal glycemic control and the results of an ultrasound examination can guide clinicians in monitoring and determining perkenni mothers blood glucose targets. Saat ini prevalensi penyakit tidak menular yang didalamnya termasuk dibetes mellitus dm semakin. Therapy failed if target of hba1c 2 3 months for each step 2. They usually have some chronic or even acute cardio cerebro vascular complication.
Learn more about the symptoms, causes, diagnosis, and. Imam fatoni the main problem in type 2 diabetes mellitus is the lack of response to insulin insulin resistance so that glucose cannot enter the cell, to overcome. Awareness, agreement, adoption and adherence to type 2. Four parent guidelines identified from its list of references were from the international diabetes federation idf, american association of clinical endocrinologist aace. Pgdm pada dm tipe 2 disesuaikan dengan pattern regimen terapi. Saat ini prevalensi penyakit tidak menular yang didalamnya termasuk dibetes mellitus dm semakin meningkat di indonesia. However, type 2 diabetes develops most often in middleaged and older people. Diabetes melitus diabetes mellitus type 2 diabetes. Tetapi berkat kemajuan teknologi kedokteran kualitas hidup penderita dm tipe1 tetap dapat sepadan dengan anakanak normal lainnya jika mendapat tata laksana yang adekuat. A study by mangunkusumo on 26 women with gdm reported that in all of the women, blood glucose concentration can be controlled with meal planning. At first, the pancreas makes extra insulin to make up for it. Dm diklasifikasikan menjadi dm tipe 1, dm tipe 2, dm tipe lain, dan. The first step that needs to be taken to confront these critical issues, is that the indonesian endocrinology society perkumpulan endokrinologi indonesia perkeni, has initiated to publish book entitled the management of type 2 and type 1 diabetes.
Combination therapies are often helpful for people who have type 2 diabetes. Diabetes tipe 2 sudah menjadi umum di indonesia, dan angkanya terus bertambah akibat gaya hidup yang tidak. Methods the consensus on the management and prevention of type 2 diabetes in indonesia 2011 is a guideline by the indonesian society of endocrinology perkeni. Type 2 diabetes usually begins with insulin resistancea. Over time your pancreas isnt able to keep up and cant make enough insulin to keep your blood glucose levels normal. Perkeni konsensus pengelolaan dan pencegahan diabetes mellitus tipe 2 tipe 2 di indonesia. Type 2 diabetes may range from predominantly insulin resistance with relative insulin deficiency to a predominantly secretory defect with insulin resistance diagnosis and classification.
In case of no hba1c test, the use of blood glucose level is also permitted. To assess the degree of awareness, agreement, adoption and adherence of physicians in indonesia to type 2 diabetes mellitus guidelines, and their association with characteristics of the responders. Methods the consensus on the management and prevention of type 2 diabetes in indone sia 2011 is a guideline by the indonesian society of endocrinology perkeni. Dua akreditasi untuk pelatihan pb perkeni dan ascend indonesia bertempat di hotel shangrila jakarta, pada tanggal 78 desember 2018, pb perkeni bekerjasama dengan academy for science and continuing education in diabetes ascend yang merupakan lembaga professional internasional bergerak dibidang edukasi diabetes melaksanakan pelatihan diabetes. Penanggulangan diabetes dan komplikasinya tentunya akan berdampak. Classification of diabetes type 1 diabetes due to autoimmune. Learn why hispaniclatino risk is higher, and some ways to prevent type 2 diabetes or manage diabetes if you already have it. Hispaniclatino americans and type 2 diabetes diabetes cdc. International diabetes federation, 2012 clinical guidelines. American diabetes association ada, klasifikasi etiologi diabetes mellitus, menurut ada 2007 adalah dapat dilihat pada tabel dibawah ini. Diabetes mellitus tipe 2 adalah penyakit gangguan metabolik yang di tandai oleh kenaikan gula darah akibat. Dm tipe 2 seringnya menyerang di usia dewasa, dengan usia 40 tahun atau lebih. Most patients with type 2 diabetes are adults, often older adults, but it can also occur in children. Konsesus pengelolaan diabetes mellitus tipe 2 di indonesia.
Perkeni 2015 halaman 2 2 panduan penatalaksanaan dm tipe 2 pada individu dewasa di bulan ramadan daftar isi kata pengantar i. The recommendations include screening, diagnostic, and therapeutic actions that are known or believed to favorably affect health outcomes of patients with diabetes. Sebagian besar kasus diabetes melitus adalah penyandang diabetes tipe 2 yang 90 % penyebabnya adalah perubahan gaya hidup yang cenderung kurang. In type 2 diabetes, your body does not use insulin properly. Slow onset type 1 diabetes that was formerly diagnosed as type 2 diabetes showed a good response to oral therapy, but later they had a clinical symptom consistent with absolute insulin deficiency. Diabetes dikenal juga sebagai mother of disease yang merupakan indukibu dari penyakitpenyakit lain seperti hipertensi, penyakit jantung dan pembuluh darah, stroke, gagal ginjal, dan kebutaan.
If you have been taking an oral medication, your doctor may change your treatment plan to include insulin injections. Adapting clinical guidelines in lowa resources countries. It also has the seventh largest number of diabetic patients 7. Dm tipe 2 adalah jenis dm yang paling umum diderita oleh penduduk di indonesia. Pada diabetes mellitus didapatkan defisiensi insulin absolut atau relatif dan gangguan fungsi insulin. The epidemiology and management of diabetes mellitus in. Standards of care funded out associations general revenues and does not use industry support. Fatimah eliana, sppd, kemd bagian penyakit dalam fk yarsi pendahuluan pb perkeni.
Type 2 diabetes mellitus is a metabolic disorder that is marked by the rise in blood. Pencegahan diabetes militus tipe 2 di indonesia yang di terbitkan oleh perkeni 2015, input dari. Empat pilar penatalaksanaan pasien diabetes mellitus tipe 2. Kebanyakan orang tidak menyadari telah menderita dibetes tipe 2, walaupun keadaannya sudah menjadi sangat serius.
Type 1 diabetes accounts for 5 10% type 2 diabetes accounts for 90 95% other types of dm probably account for 1 2 % undiagnosed. Many of these interventions have also been shown to be costeffective 3. Pdf adapting clinical guidelines in lowresources countries. For more detailed information about management of diabetes, refer to references 1, 2. Whats the difference between type 1 and type 2 diabetes. Weight loss surgery is an option to treat poorly controlled type 2 diabetes when other modalities have failed. Type 2 diabetes may range from predominantly insulin resistance with relative insulin deficiency to a predominantly secretory defect with insulin resistance iii. The frequency of type 2 diabetes varies greatly within and between countries and is increasing throughout the world. Slides correspond with sections within the standards of medical care in diabetes 2017. Banyumas district has an incidence rate of 1,417 in 2014 and sumbang subdistrict has the highest incidence rate of dm type 2. Untuk dapat mencegah terjadinya komplikasi kronis, diperlukan pengendalian dm yang baik perkeni, 2011. Kegagalan sel beta pankreas untuk dapat bekerja secara optimal juga menjadi penyebab dari dm tipe 2 perkeni, 2015. Home pb perkeni perkumpulan endokrinologi indonesia.
Chronic complications that often occur in patients with type 2 diabetes mellitus is diabetic foot. Screening for type 2 diabetes 2 american diabetes association standards of medical care in diabetes. Type 2 diabetes is a longterm medical condition in which your body doesnt use insulin properly, resulting in unusual blood sugar levels. Questionnaire survey among general practitioners gps. Type 2 diabetes mellitus dm is a chronic metabolic disorder in which prevalence has been increasing steadily all over the world. Unduhan pb perkeni perkumpulan endokrinologi indonesia. Glucose is the fuel that feeds your bodys cells, but to enter your cells it needs a key. Thus, for the clinician and patient, it is less important to label the particular type of diabetes than it is to understand the pathogenesis of the hyperglycemia and to treat it effectively. Reviewed and approved by the associations board of directors. Konsensus pengelolaan dan pencegahan diabetes mellitus tipe 2 di inflammation impairs the pancreatic bcell in type 2 diabetes. Type 2 diabetes type 2 diabetes, which used to be called adultonset diabetes, can affect people at any age, even children. The aim of this study was to determine relationship of dietary pattern and physical activity with blood glucose levels in people with type 2 diabetes mellitus outpatient in poly endocrine rsup dr.
Paradigm for the treatment of type 2 diabetes mellitus. Both types of diabetes are chronic diseases that affect the way your body regulates blood sugar, or glucose. Diabetes melitus diabetes mellitus type 2 diabetes mellitus. Idai konsensus nasional pengelolaan diabetes tipe 1. It is intended to be a decision support tool for general practitioners, hospital based clinicians and other primary health care clinicians working in diabetes.
This booklet will help you get started but to get more information, join the living with type 2 diabetes program. The organs of the baby form during the first two months of pregnancy, often before a woman knows that she is pregnant. Type 2 diabetes mellitus is inherited polygenically. Type 2 diabetes may range from predominantly insulin resistance with relative insulin deficiency to a predominantly secretory defect with insulin. The diabetes treatment algorithms are intended to serve as a tool to enhance the information required in treating patients with type 2 diabetes. Indonesian type 2 diabetes mellitus guideline adapted from selected international guidelines. Diabetes mellitus iddm, terjadi karena kekurangan produksi. Hispaniclatino americans make up a diverse group that includes people of cuban, mexican, puerto rican, south and central american, and. Association risk factors among a sample of type 2 diabetic individuals, a pilot study. Adapting clinical guidelines in lowresources countries. Diabetes mellitus dm is a chronic disease characterized by blood glucose levels than normal and impaired metabolism of carbohydrates, fats and proteins caused by insulin deficiency relative or absolute. Diabetes melitus glycated hemoglobin diabetes mellitus. The new idf clinical practice recommendations for managing type 2 diabetes in primary care seek to summarise current evidence around optimal management of people with type 2 diabetes. Namun risiko terserang diabetes tipe 2 dapat meningkat dengan adanya obesitas di masa kanakkanak.
As a result of this trend, it is fast becoming an epidemic in some countries of the world with the number of people affected expected to double in the next decade due to increase in ageing population, thereby adding to the already existing burden for healthcare. Faktorfaktor yang mempengaruhi tingkat kepatuhan diet. Poltekkes kemenkes yogyakarta bab ii tinjauan pustaka a. Blood sugar that is not well controlled in a pregnant woman with type 1 or type 2 diabetes could lead to problems for the woman and the baby birth defects. Diabetes care in the hospital, nursing home, and skilled nursing facility hyperglycemia in the hospital glycemic targets in hospitalized patients antihyperglycemic agents in hospitalized patients preventing hypoglycemia diabetes care providers.
The international diabetes federation idf and the diabetes and ramadan dar international alliance have therefore come together to deliver comprehensive guidance on this subject. It is recognised that in many parts of the developing world the implementation of particular standards of care is limited by lack of resources. Type 1 diabetes betacell destruction, usually leading to absolute insulin deficiency a. Your guide to diabetes national institute of diabetes and. Aug 10, 2018 konsensus pengelolaan dan pencegahan diabetes mellitus tipe 2 di inflammation impairs the pancreatic bcell in type 2 diabetes. Surgical therapy weight loss surgery in patients with obesity and type 2 diabetes results in the largest degree of sustained weight loss and, in parallel, improvements in blood glucose control. Average blood glucose level for a few bg test in one day can be converted to hba1c. Sebagian besar kasus diabetes melitus adalah penyandang diabetes tipe. Peningkatan prevalensi diabetes mellitus di indonesia telah menjadi ancaman. If you have diabetes, your body either doesnt make enough insulin, it cant use the insulin it does make very well, or both. The consensus on the management and prevention of type 2 diabetes in indonesia 2011 is a guideline by the indonesian society of endocrinology perkeni. It is not a substitute for the knowledge and information provided by complete national guidelines or the ihs diabetes standards of care for patients with type 2 diabetes.
979 1103 441 1608 1520 994 874 1614 346 609 778 1392 954 1093 30 487 487 1076 433 1175 1165 988 1519 906 264 931 247 1466 1333 408 307 1476 209 532 1484 1058 171 550 1444 1454 534 1372 168 1295 40 704