SIGN AND SYMPTOM
Sigh of diabetes patient like polyuria, polydipsia, polifagia at diabetes generally not exist. On the contrary often bothers patient is sigh as result of degenerative komplikasi of kronik at vein and nerve. At diabetes elderly there is change of patofisiologi as result of stripper process, so that image of the klinis varies from case without symptom until case with komplikasi which wide. Sigh that is often emerges is existence of eyesight trouble because cataract, ant taste at feet and muscle weakness ( neurophathy perifer) and hurt at tungkai which is difficult recovered with inveterate therapy.
According To Supartondo, symptoms as result of diabetes at the age of continuation often is found is :
1. Cataract
2. Glaucoma
3. Retinopati
4. Itchy from head to foot
5. Pruritus Vulvae
6. infection of Skin bacterium
7. infection of Mushroom in skin
8. Dermatopati
9. Neurophathy perifer
10. Neurophathy viseral
11. Amiotropi
12. Ulkus Neurotropik
13. Kidney ailment
14. Vein disease perifer
15. Coroner disease
16. Brain vein disease
17. Hypertension
Osmotik diuresis as result of glucosuria delays caused [by] high renal threshold, and can emerge sigh of nokturia is accompanied [by] sleep trouble, or even urinary incontinence. Thirsty feeling at diabetes patient elderly unable to be felt, as a result they don't react adekuat to dehydration. In consequence not happened polydipsia or has just happened at continuation stadium.
Ordinary just medium and light first thing disease there is at alterable old age diabetes patient sudden, if patient experience infection of acute. Insulin deficiencies that is at first had the character of relative now becomes is absolute and arises situation of ketoacidosis with symptom typical of hyperventilation and dehydration, awareness declines with hiperglikemia, dehydration and cetonemia. Symptom that is usualy happened at hipoglikemia like peckish taste, evaporates and sweaty many generally there is no at old age diabetes. Usually seems to manifestasi as sudden headache and confusion.
At the age of continuation reacted is vegetative can disappear. While confusion symptom and comma which is metabolism trouble of serebral seen clearer.
MANAGERY OF DIABETES MELLITUS
Purpose of main of diabetes mellitus therapy is try normal of insulin activity and blood glucose rate in the effort to lessen vascular komplikasi and neurophathy. Purpose of therapeutic in each type diabetes is reach normal blood glucose rate.
There is 5 component in managery diabetes :
1. Diet
2. Practice
3. Watcher
4. Therapy ( if it is required)
5. Education
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