Management of Type 2 Diabetes Melitus Patient with Diabetic Neuropathy and Retinopathy Through The Family Medicine Approach

Authors

  • Yuwandita Tamara Putri D Medical Faculty Lampung University
  • Azelia Nusadewiarti Medical Faculty Lampung University

Keywords:

diabetes mellitus, family medicine, hyperglicemia

Abstract

Diabetes mellitus (DM) is a group of metabolic disorders characterized by hyperglycemia. Currently DM has become a global health threat. 415 million people worldwide suffer from DM in 2015 and are expected to increase to 642 million by 2040. Application of family doctor based services based on evidence based medicine in patients by identifying risk factors, clinical problems, and patient management based on the framework of solving patient problems with approached and family approached patient. Analysis of this study is a case report. Primary data is obtained through history taking, physical examination and home visits to supplement family data, psychosocial and environmental data. Assessment is based on a holistic diagnosis from the beginning, the process, and the end of the study quantitatively and qualitatively. Patient ny. S 56 years old was diagnosed with Type 2 Diabetes Mellitus. Patients had internal risk aspects such as obesity, non-physical activity, offspring of diabetes mellitus, history of DM drug breakdown, curative treatment patterns. The external risk aspect of the patient is that the family does not understand the patient's disease and its complications, the family economy is low. Furthermore, the management consists of education about DM and its care for patients and families as well as initial GDS measurements. After evaluating, a decrease in GDS is obtained in patients.

References

Setiati S, Alwi I, Sudoyo AW, Stiyohadi B, Syam AF. 2014. Buku Ajar Ilmu Penyakit Dalam Jilid II Edisi VI. Jakarta: Interna Publishing: 2323-27

Kementerian Kesehatan RI. 2013. Riset Kesehatan Dasar: RISKESDAS 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI.

American Diabetes Association. Standards of Medical Care in Diabetes. J Clin Appl Res Educ. 2017;40(Suppl 1):S1-130.

Taylor RB. Family Medicine: Current Concepts and Future Practice. Springer International Publishing Switzerland. 2014; 1-12.

Tong WT, Vethakkan SR, Ng CJ. Why do Some People with Type 2 Diabetes Who are Using Insulin Have Poor Glycemic Control? A Qualitative Study. BMJ Open. 2015 Jan 29;5(1):e006407.

Hu J, Wallace D, McCoy T, Amirehsani K. A Family-Based Diabetes Intervention for Hispanic Aduls and Treir Family Members. Diabetes Educ. 2014 Jan-Feb;40(1):48-59.

Perkeni. 2015. Konsensus Pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia. Jakarta: PB Perkeni

Hancock T, Perkins F. The mandala of health: a model of the human ecosystem. Fam Community Heal. 1985;8(3):1–10.

Liswati EM. Hubungan Tingkat Pengetahuan Tentang Pengelolaan DM dan Dukungan Keluarga dengan Pengendalian Kadar Glukosa Darah Puasa (GDP) Pasien DM Tipe 2 Rawat Jalan di RS PKU Muhammadiyah Surakarta. Universitas Muhammdiyah Surakarta; 2014.

Achmad A. 2013. Korelasi Lama Diabetes Melitus Terhadap Kejadian Nefropati Diabetik: Studi Kasus di Rumah Sakit Dokter Kariadi Semarang. Semarang: Universitas Diponegoro.

Bril V, Ari B, Bruce A P, Douglas Z. Neuropathy. Canadian Journal of DIabetes. 2018; S217-21.

Nentwich M M, Michael W U. Diabetic retinopathy - ocular complications of diabetes mellitus. World Journal of Diabetes. 2015;6(3):489-99.

Idris AM, Jafar N, Indriasari R. Pola Makan Dengan Kadar Gula Darah Pasien DM Tipe 2. Jurnal MKMI: 2014;211-18.

Putri N H K, Muhammad A I. Hubungan Empat Pilar Pengendalian DM Tipe 2 dengan Rerata Kadar Gula Darah. Jurnal Berkala Epidemiologi. 2013;1(2):234-43.

Published

2021-04-30

How to Cite

Yuwandita Tamara Putri D, & Azelia Nusadewiarti. (2021). Management of Type 2 Diabetes Melitus Patient with Diabetic Neuropathy and Retinopathy Through The Family Medicine Approach. Medical Profession Journal of Lampung, 9(4), 631-638. Retrieved from http://journalofmedula.com/index.php/medula/article/view/227

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