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DM Dewasa

EVA DECROLI
Problems
Increased of prevalence
Cronic complications
ex. Diabetic Foot
Problems
Prevention, primer, secunder
tertier
Etiology of Insulin Resistence
Weight gain
Obexisity
Circulation FFA
Lipoatrophy
adipokines
Insulin Resistance
The subnormal biologic response to
a given concentration of insulin
Physical
inactivity
Aging
Genetica
Etiology of -Cell Dysfunction
Genetics
Lipotoxicity
Glucose
toxicity
-Cell Failure
Inadequate compentation for insulin
resistance and selective
non-responsivoness to glucose
Loss of
-cell ?
Cytokines ?
Amyloid
accumulation
The Role of Genes and the Environment
Normal
GENES
Environment
Insulin
resistance
Diabetes genes
insulin resistance genes
-cel function genes
Obesity genes
Decreased Insulin
secretion
Type DM

Diet Activity
Toxins
Risk Factors for Type 2 Diabetes
Genetic factors
-Ethnicity
-Family history
Gastational
Diabetes polycystic
Ovarian syndrome,
and party
Type 2
Diabetes
Increasing
age
Central
obesity
Physical
inactivity
Diet
Pathophysiology of DM
Hepatic glucose
Production (HGP
Peripheral Glucose
Uptake
Blood Glucose
Macrovascular Complication of
Type 2 Diabetes
80% of people with type 2 diabetes thr from CVD
~ Coronary heart disease (CHD)
- eg, angina, heart attack, heart failure
- 2-to 4-fold increased risk
~ Cerebrovascular disease
- eg, stroke, transient ischemic attacks
- 2-to 4-foid increased risk
~ Peripheral vascular disease
- eg. Intermittent claudication, gangrene,
amputations

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