Minggu, 18 Mei 2014
Let's identify type 2 diabetes mellitus and its treatment
Okay guys here I want to talk about a disease that is often in suffering people of Indonesia. Yeah this is diabetes mellitus . In addition to a description of the illness I also would love info on prevention and treatment . But that I will discuss here is Type 2 Diabetes Mellitus .CHEK THIS OUT --- JDiabetes
mellitus ( DM ) is also called insulin-dependent diabetes mellitus (
non - insulin - dependent diabetes mellitus / NIDDM ) or adult-onset
diabetes is a metabolic disorder characterized by high blood glucose
levels in the context of insulin resistance and relative insulin
deficiency . Well
Type 2 diabetes is the opposite of diabetes mellitus type 1 , type 1 if
it is an absolute insulin deficiency due to destruction of islet cells
in the pancreas . The classic symptoms include excessive thirst , frequent urination , and constantly hungry . Diabetes
type 2 amounted to 90 % of all cases of diabetes and 10 % were mainly a
type 1 diabetes mellitus and gestational diabetes . OBESITY Obesity alias ! ! ! believed to be the major cause of type 2 diabetes in people who are genetically predisposed disease . Hayoo ati - ati for that body fat yaaaa .Type 2 diabetes is initially managed by increasing exercise and dietary modification . When blood glucose levels do not go down this way , for example by METFORMINATAU INSULIN treatment , may be necessary . Patients who use insulin should check blood glucose levels regularly yaa JDiabetes rates over the last 50 years increased rapidly with increasing obesity rates . Ya
in 2010 there were an estimated 285 million people have the disease ,
compared to only 30 million patients in 1985 . Term complications that
may occur as a result of high blood glucose levels include heart disease
, stroke , diabetic retinopathy that affect the eye sight , kidney
failure requiring dialysis , and the lack of blood circulation in the limbs requiring an amputation . Acute complications such as ketoacidosis , which is a hallmark of type 1 diabetes , are rare . However, patients can experience nonketotik hyperosmolar coma .Well now we discuss prevention. Type 2 diabetes can be prevented denganpengaturan nutrition and regular exercise . Intensive lifestyle changes can reduce the risk by half . The benefits of exercising will keep you going no matter how early a person's weight or how much weight is lost . However
, evidence of benefits due to changes in diet alone is still limited ,
there is some evidence with a diet high in green vegetables and limiting
consumption of sugary drinks . Make
those with impaired glucose tolerance , diet and exercise alone or
combined with metformin or acarbose may reduce the risk of diabetes . Lifestyle intervention was more effective than metformin .And finally . how does the treatment of diabetes mellitus ? ?There are several classes of anti - diabetic drugs . Metformin is generally recommended as first-line therapy because there is some evidence that these drugs reduce mortality . The
second oral medications from different classes can be used when
metformin is not enough . [ Other drug classes including : sulfonylurea ,
nonsulfonylurea secretagogue , alpha -glucosidase inhibitor , a
thiazolidinedione , glucagon - like peptide - 1 analogues , dipeptidyl
peptidase - inhibitors and 4 . Metformin should not be used in patients with impaired renal and liver weight . Giving insulin injections can be in addition to oral medication or used alone as well .Generally, most patients initially do not need insulin . When used , the long -acting insulin is usually added at night , with continued oral medication . The dose was increased to give effect ( controlled blood glucose levels ) . When insulin given night is not enough , insulin given twice daily can provide better control . Long-acting
insulin , glargine and detemir , does not look better than neutral
protamine Hagedorn insulin ( NPH ) but has a cost that is much larger ,
such as in 2010 , which is not cost-effective . For patients who are pregnant usually insulin is the main option .Whatever the cure , it depends on ourselves - each for guys healthy lifestyle . Important that we adjust our diet and exercise diligently J . okay so a discussion of type 2 diabetes mellitus hope you like it and useful for all . See u next time yaaa
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