Tatalaksana Diabetes Melitus pada Pasien Geriatri
DOI:
https://doi.org/10.55175/cdk.v46i6.435Keywords:
Diabetes melitus, geriatri, target glikemikAbstract
Diabetes melitus merupakan kelompok penyakit metabolik dengan karakteristik hiperglikemia karena kelainan sekresi insulin, kerja insulin, atau keduanya. Perawatan pasien lanjut usia dengan diabetes sulit karena heterogenitas status klinis, mental, dan fungsionalnya. Skrining gangguan kognitif dan risiko hipoglikemia direkomendasikan pada pasien lansia. Direkomendasikan simplifikasi rejimen pengobatan dan penggunaan obat dengan efek hipoglikemia minimal.
Diabetes mellitus is a group of metabolic disorder with characteristics of hyperglycemia due to abnormalities of insulin secretion, insulin action, or both. Treatment of diabetes in geriatrics was complicated because of the heterogeneity of clinical, mental, and functional status. Screening for cognitive disorders and risk of hypoglycemia is recommended in geriatric patients. Simplification of treatment regimens and use of medication with low risk of hypoglycemia are recommended
Downloads
References
Kasper DL, Hauser SL, Jameson JL, Fauci AS, Longo DL, Loscalzo J, editor. Harrison’s principles of internal medicine. 19th edition. New York: McGraw Hill Education; 2015.
Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S. Buku ajar ilmu penyakit dalam. 6th ed. Jakarta: Internal Publishing; 2014.
Soelistijo SA, Novida H, Rudijanto A, Soewando P, Suastika K, Manaf A. Konsensus pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia. Jakarta: PB PERKENI; 2015.
International Diabetes Federation. IDF diabetes atlas. 7th ed. Brussels, Belgium; 2015.
Centers of Disease Control and Prevention. National diabetes statistics report: Estimates of diabetes and its burden in the United States [Internet]. 2014 [2017 November 28]. Available from: http://www.cdc.gov/diabetes/data/statistics/2014statisticsreport.html
Kimbro LB, Mangione CM, Steers WN, Duru OK, McEwen L, Karter A, et al. Depression and all-cause mortality in persons with diabetes mellitus: Are older adults at higher risk? Results from the translating research into action for diabetes study. J Am Geriatr Soc. 2014;62(6):1017–22.
DeFronzo RA. From the triumvirate to the ominous octet: A new paradigm for the treatment of type 2 diabetes mellitus. Diabetes. 2009;58(4):773–95.
American Diabetes Association. 11. Older adults: Standards of medical care in diabetes. Diabetes Care. 2018;41(Supplement 1):119–25.
Roberts RO, Knopman DS, Przybelski SA, Mielke MM, Kantarci K, Preboske GM, et al. Association of type 2 diabetes with brain atrophy and cognitive impairment. Neurology. 2014;82(13):1132–41.
Institute of Medicine. Cognitive aging: Progress in understanding and opportunities for action [Internet]. 2015 [2018 March 6]. Available from: http://nationalacademies.org/hmd/Reports/2015/Cognitive-Aging.aspx
American Psychological Association. Guidelines for the evaluation of dementia and age-related cognitive change. Am Psychol. 2012;67(1):1–9.
Feinkohl I, Aung PP, Keller M, Robertson CM, Morling JR, McLachlan S, et al. Severe hypoglycemia and cognitive decline in older people with type 2 diabetes: The Edinburgh type 2 diabetes study. Diabetes Care. 2014;37(2):507–15.
Selvin E, Coresh J, Brancati F. The burden and treatment of diabetes in elderly individuals in the U.S. Diabetes Care. 2006;29:2415–9.
Inzucchi SE, Lipska KJ, Mayo H, Bailey CJ, McGuire DK. Metformin in patients with type 2 diabetes and kidney disease: A systematic review. JAMA. 2014;312(24):2668
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 https://creativecommons.org/licenses/by-nc/4.0/
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
