DIABETES

Difinisi

Gangguan metabolisme kronik karena kekurangan insulin atau kerjanya,
akibat dari abnormalnya metabolisme karbohidrat, protein dan lemak.
Normal kadar glukosa < 120 mg/dl  dalam keadaan puasa,  < 140mg/dl setelah makan glucosa.

Hypoglycemia
Also called low blood glucose or low blood suger, occurs when blood glucose drops below normal levels
Symptoms of Hypoglycemia :
Shaking, Fast Heartbeat, Sweating, Dizziness, Anxious, Hunger, Impaired Vision, Weakness Fatique, Headache, Irritable

How should you treat low blood sugers ?
If you suger is 70 or lower you should treat it with
1/2 glass of juice
1/4 glass of soft drinkirculates in the blood plasma
2 or more glucose tablets if necessary

What is Hyperglycemia ?
Hyperglycemia or high blood suger is a condition in which an excessive amount of glucose circulates in the blood plasma

Symptoms of Hyperglycemia :
Extreme thirst, need to urinate often, Dry Skin, Hungry, Blurry Vision, Drowsy, Slow Healing Wounds

How should you treat a high blood suger ?
If your suger above 240 you should do the followings :
Drink lots of suger-free fluids like water or diit drinks
Eat the right food and the right amounts
Check your blood sugers more often
Check keytones if ovrr 240
Call doctor or nurse if you have a positive keytones

What should your suger range be ?
19 years or older 70-140 mg/dl
13-19 years. 70-150 mg/dl
6-12 years. 70-180 mg/dl
Under 6 years. 80-200 mg/dl
Normal level 70-120 mg/dl

Beat Diabetess :
Be physical active
Eat healthy diet
Abcs (know and control) aic, blood pressure, cholesterol, smoking

TAKE YOUR MEDICATION

Types of Diabetes
Type 1 Diabetes ( Juvenil Diabetes )
Type 2 Diabetes ( adult onset )

Type 1
An autoimune disease in which a person’s pancreas stops producing insulin
Sudden onset
Present in children and adult but mostly in children
Insulin dependent

Sign and Symptons of type 1 diabetes
Extreme Thirst
Frequen urination
Drownsiness or lethargy
Increased appetite
Sudden weight loss
Sudden vision changes

Complications of Diabetes
Heart disease and Stroke
High blood pressure
Blindness
Kidney disease or kidney failure
Neuropathy
Amputation

Ti Type 2 Diabetes ( adult onset )
The most common form of disease
Either the body does not produce enough insulin or the cells ignore the insulin
Person 45 years of age or older are at highest risk

Signs and Symptom of Type 2 Diabetes
Increased thirst
Increased hunger
Dry mouth
Nausea and occasional vomiting
Frequent urination
Fatique
Blurred vision
Numbness or tingling of the hands and or feet
Sores that are slow to heal

Those who are highest risk of Type 2 Diabetes are
45 years of age or older
Are obese or overweight
Have had Gestational Diabetes
Have family members who have Type 2 Diabetes
Have prediabetes
Are inactive
Have high blood pressure

Complications associated with Type 2 Diabetes :
* Retinopathy : Damage to the blood vessels in the retina, Most common diabetic eye disease and is the leading cause of blindness
* Poor blood sirculation and nerve damage : diabetic neuropathy
* Renal failure : Kidney failure, Treated with kidney dialysis until Transplant is done

Type 2 Diabetes ( adult onset )
The most common form of disease
Either the body does not produce enough insulin or the cells ignore the insulin
Person 45 years of age or older are at highest risk

Signs and Symptom of Type 2 Diabetes
Increased thirst
Increased hunger
Dry mouth
Nausea and occasional vomiting
Frequent urination
Fatique
Blurred vision
Numbness or tingling of the hands and or feet
Sores that are slow to heal

Those who are highest risk of Type 2 Diabetes are
45 years of age or older
Are obese or overweight
Have had Gestational Diabetes
Have family members who have Type 2 Diabetes
Have prediabetes
Are inactive
Have high blood pressure

Complications associated with Type 2 Diabetes :
* Retinopathy : Damage to the blood vessels in the retina, Most common diabetic eye disease and is the leading cause of blindness
* Poor blood sirculation and nerve damage : diabetic neuropathy
* Renal failure : Kidney failure, Treated with kidney dialysis until Transplant is done

Type 2 Diabetes ( adult onset )
The most common form of disease
Either the body does not produce enough insulin or the cells ignore the insulin
Person 45 years of age or older are at highest risk

Signs and Symptom of Type 2 Diabetes
Increased thirst
Increased hunger
Dry mouth
Nausea and occasional vomiting
Frequent urination
Fatique
Blurred vision
Numbness or tingling of the hands and or feet
Sores that are slow to heal

Those who are highest risk of Type 2 Diabetes are
45 years of age or older
Are obese or overweight
Have had Gestational Diabetes
Have family members who have Type 2 Diabetes
Have prediabetes
Are inactive
Have high blood pressure

Complications associated with Type 2 Diabetes :
* Retinopathy : Damage to the blood vessels in the retina, Most common diabetic eye disease and is the leading cause of blindness
* Poor blood sirculation and nerve damage : diabetic neuropathy
* Renal failure : Kidney failure, Treated with kidney dialysis until Transplant is done

DIABETES MELITUS TIPE 1

Diabetes Melitus tipe 1 disebut insulin dependent diabetes IDDM dengan ciri rusaknya sel beta penghasil insulin pada pulau-pulau langerhans sehingga terjadi kekurangan insulin pada tubuh. Diabetes tipe ini dapat diderita oleh anak anak maupun orang dewasa.

Etiologi DM tipe 1
Faktor Genetik
Penderita DM tidak mewarisi DM tipe 1 tetapi mewarisi suatu predisposisi ( kecenderungan genetik ) kearah terjadinya DM tipe 1.
Faktor Imunologi
Terjadi respon autoimun yqng abnormal dimana antibodi terarah pada jaringan normal tubuh tetapi dianggap seolah jaringan asing.
Faktor lingkungan
Virus dan toksin dapat memicu penghancuran sel beta.
Pola sehari hari.

Manifestasi klinik :
Poliuri Polidipsi Poliphagia Penurunan berat badan Glukosuria Mata kabur dan Ketoasidosis.

Patofisiologi DM tipe 1 :

Sel sel pankreas mengalami kesukaran untuk memproduksi insulin – ( insulin defisiensi ) atau jumlahnya cukup tetapi fungsinya kurang – relatif insulin defisit.
Sari makanan yang tidak dapat diolah oleh insulin menjadi glukosa darah meningkat ( hiperglikemia ). Gukosa darah ini tidak dapat disimpan dalam hati seterusnya ginjal tidak mampu mereabsorbsi glukosa terjadi glukosuria. Glukosa berlebihan diekskresi ke bentuk urin disertai dengan pengeluaran cairan dan elektrolit yang berlebihan ( diuresis osmotik ) – poliuri dan polidipsi.
Defisiensi insulin mengganggu metabolisme protein dan lemak – penurunan berat badan, menurunkan simpanan kalori sehingga meningkatkan nafsu makan ( polifagia ).
Terjadi juga pemecahan lemak memproduksi keton , bila berlebihan terjadi ketoasidosis diabetik dengan gejala nyeri abdomen , mual, muntah, hiperventilasi , nafas bau keton. . . bisa berlanjut penurunan kesadaran , koma.

TANAMAN ANTI DIABETES

BEBERAPA TANAMAN HERBAL YANG TELAH DIPERCAYA DAPAT MEMBANTU UNTUK PENGOBATAN DIABETES ADALAH :
* LIDAH BUAYA ( ALOE VERA )
* KUNYIT ( CURCUMA DOMESTICA )
* SAMBILOTO ( ANDROGRAPHIS PANICULATA NEES )
* SALAM ( SYZYGIUM POLYANTHUM )
* KEDELAI ( GLYCINE MAX ..L MERR )

FORMULA DAN CARA PEMBUATAN

LIDAH BUAYA
* AMBIL 2 BATANG DAUN LIDAH BUAYA
* CUCI DAN BUANG DURINYA LALU POTONG2X
* REBUS DENGAN 3 GELAS AIR HINGGA MENDIDIH
* SARING AIR REBUSAN TERSEBUT
MINUM 1/2 GELAS – 3X SEHARI SESUDAH MAKAN

KUNYIT
* 3 RIMPANG KUNYIT , 1/2 SENDOK GARAM
* REBUS DENGAN 1 LITER AIR SAMPAI MENDIDIH, SARING
* MINUM 2X SEMINGGU 1/2 GELAS

SAMBILOTO
* 1/2 GENGGAM DAUN SAMBILOTO DICUCI
* REBUS DENGAN 3 GELAS AIR SAMPAI HANYA TERSISA 2 GELAS , SARING
* MINUM SESUDAH MAKAN, 3X SEHARI , TIAP MINUM 3/4 GELAS

SALAM
* CUCI 7-15 LEMBAR DAUN SALAM SEGAR, REBUS DALAM 3 GELAS AIR SAMPAI TERSISA 1 GELAS
* SETELAH DINGIN , SARING DAN AIR SARINGANNYA DIMINUM SEKALI GUS SEBELUM MAKAN
* LAKUKAN SEHARI 2X

KEDELAI
* SATU GENGGAM BIJI KEDELAI
* REBUS DENGAN 3 GELAS AIR SAMPAI MENDIDIH HINGGA TINGGAL 1 GELAS, SARING AMBIL AIRNYA
MINUM 1X SEHARI

( aemxx )

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