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Liza
032010101075
DM tipe II
Dipengaruhi genetik dan faktor lingkungan
Pe resistensi seluler thd insulindan disusul
disfungsi sel pankreas
1. Keterlambatan sekresi insulin fase-1 (fase cepat)
2. Jumlah reseptor di perifer kurang
3. Kualitas reseptor jelek
4. Kelainan pasca reseptor shg proses glikolisis
intraseluler terganggu
5. Campuran no 1,2,3, dan 4
G
E
J
A
L
A
1.
2.
3.
Akut :
Hipoglikemi
Koma Lakto-Asidosis
Ketoasidosis DiabetikKoma Diabetik
Koma Hiperosmoler Non-Ketotik
Kronis :
Mikroangiopati (nefropati DM, retinopati
DM)
Makroangiopati (PJK, diabetic feet, stroke)
Mikro-makroangiopati (neuropati, mudah
infeksi)
Lain-lain (artropati, kardiomiopati)
Edukasi
Terapi gizi medis
Latihan jasmani
Intervensi farmakologis
- obat hipoglikemik oral
- insulin
- kombinasi
5. Kendalikan kolesterol, tekanan darah, asam urat
1.
2.
3.
4.
Apa itu 3J ?
Prinsip pengaturan makan pada diabetesi hampir sama dengan
anjuran untuk masyarakat umum. Hanya saja pada diabetesi perlu
ditekankan pentingnya keteraturan makan dalam hal Jenis
makanan, Jumlah makanan dan Jadwal makan (3J).
Karbohidrat 60 %
Lemak 25 %
Protein 15 %
LOW
GI
Type A Polymer
Cinnulin PF
Cinnulin PF
Cinnulin PF
(B.Mang, et al., Effects of a Cinnamon Extract on Plasma Glucose, HbA1C, and serup lipids in diabetes mellitus Type 2,
(B.Mang,
al., Effects
of a Cinnamon
Extract
on 36,
Plasma
Glucose, HbA1C, and serup lipids in diabetes mellitus Type 2,
Europeanet
Journal
of Clinical
Investigation
(2006)
340-344
European Journal of Clinical Investigation (2006) 36, 340-344
Cinnamon Menurunkan
Fasting Blood Glucose
P <0.05
Doses of Cinnamon
Placebo
Table. Effects of cinnamon on glucose levels in people with type 2 diabetes (18-29%)
(ALAM KHAN, DIABETES CARE, DECEMBER 2003)
Cinnamon Menurunkan
Total Cholesterol
P <0.05
Doses of Cinnamon
Placebo
Cinnamon Menurunkan
LDL- Cholesterol
P <0.05
Doses of Cinnamon
Placebo
Table. Effects of cinnamon on LDL cholesterol in people with type 2 diabetes (7-27%)
(ALAM KHAN, DIABETES CARE, DECEMBER 2003)
8.4
P = 0.16 (NS)
8.2
- 0.37%
- 0.83%
A1C %
7.8
7.6
7.4
7.2
Final A1C
Type of Inulin
Native inulin DP9-10 (Frutafit HD/ IQ)
Long Chain Inulin DP 23 (Frutafit TEX!)
FOS (Frutalose L85)
FOS (Frutalose L60)
The glycemic response was determined in human volunteers by comparing the glycemic response
of 25 g of carbohydrate with that of 25 g glucose (100%). All data from sensus
Salovaana et al., Dietary Fibre Component and Functions, 2007, Wegeningen Academic Publisher, p. 257-269
IG = 36
DIANERA
L
Menit
N = 35 subyek sehat
Metoda : Subjek adalah orang dewasa sehat, laki-laki dan perempuan usia
1845 tahun yg memenuhi kriteria penelitian dng Indeks massa tubuh (IMT)
18,525,0 kg/m2
Membandingkan respon glikemik formula DIANERAL dgn respon glikemik
makanan standar roti putih dgn kandungan KH 50 g
Brouns E, Bjorck I, Fraya KN, Gibbs AL, Lang V, Slama G, et al. Glycaemic index methodology. Nutr Res Rev 2005;18;14571 .
T.E.R.I.M.A
K.A.S.I.H