Handling
DM management goal is short-term loss of the complaint and a sense of DM and maintain comfortable and healthy, whereas long-term goal is prevented and late progressives difficult mikroangiopati, makroangiopati and neuropati will purpose end morbidity's decrease in early mortality DNA DM.
Pillars of DM consists of 4 things, namely:
1. Education, which includes an understanding of:
• Diseases DM
• The meaning and the need for control and monitoring of DM
• difficult DM
• pharmacologist intervention and non-pharmacologist
• Hypoglycemia
• Problems faced special
• How to develop a support system and teaching skills
• How to handle health care facilities
2. Planning Meals
Planning meals is one of the pillars of the management of Diabetes, although so far none of the appropriate meal plan for all patients. Planning must be adjusted according to the eating habits of each individual.
Standard is recommended that food with the composition:
• 60-70% carbohydrate
• Protein 10-15%
• 20-25% Fat
The number of calories in compliance with the growth, nutritional status, age, there is no acute stress and physical activity. For the determination of nutritional status, can be used Body Mass Index (IMT) and the Broca formula.
Body Mass Index can be calculated with the formula:
IMT = BB (Kg) / TB (m) 2
IMT Classification (Classification Asia Pacific):
• Poor BB <18.5> 120% BBI
3. Physical Exercise
4. Intervention Pharmacologist
• Oral medicine Hypoglycemic (OHO), based on the way work is divided into 3 groups:
o Triggers sekresi insulin, for example sulfonilurea and glinid
o Add insulin sensitivity, such as metformin, tiazolidindion
o prevent absorbs glucose, namely glukosidase alpha (acarbose)
• Insulin, for example, required in the reduction of rapid weight loss, weight hyperglycemia with the ketosis and ketoasidosis diabetic
• Terapy combination, is a combination of insulin and OHO
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