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Indonesian Journal of Clinical Pathology and Medical Laboratory

ISSN 0854-4263

Vol. 12 / No. 2 / Published : 2006-03

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Original Article :

Old people and diabetes mellitus

Author :

  1. Hardjoeno*1
  1. Department of Clinical Pathology, Faculty of Medicine, HasanuddinUniversity, Dr. Wahidin Sudirohusodo Hospital, Makassar-Indonesia

Abstract :

Menjadi tua adalah proses mengembangkan hidup yang berkaitan dengan kumpulan perubahan yang di orang lanjut usia (lansia) dapat meningkatkan resiko kematian. Sindroma metabolik merupakan salah satu perubahan tersebut yang dikenal secara klinis dan hasil laboratorik yaitu obesitas, hipertensi, intoleransi glukosa, dislipidemia, proinflammatory dan prothrombotic state. Hal ini dapat meningkatkan prevalensi diabetes mellitus tipe 2 (T2DM) dan komplikasinya. Karena banyak kasus DM tidak terdiagnosis, penyaringan (skrining) yang diikuti pencegahan dan penatalaksanaan sangat diperlukan. Menyaring (skrining) orang lanjut usia dengan satu atau lebih komponen sindroma metabolik yang belum terdiagnosis DM dengan menilai glukosa darah puasa dan dua jam sesudah beban untuk diagnosis DM dan resiko kematiannya. Penyaringan (skrining) dilakukan di 1080 lansia umur 50 tahun atau lebih di Makassar yang diduga DM dengan tes glukosa plasma puasa dan dua jam sesudah beban, kemudian dinilai menurut klasifikasi WHO 1998. Dari 1080 pasien yang terdiri atas 560 (51,85%) laki-laki dan 520 (48,15%) perempuan, ditemukan DM, 420 (38,89%) dengan glukosa plasma puasa >126 mg/dl, 425 (39,35%) dengan 2 jam sesudah beban glukosa > 200 mg/dl dan 517 (47,87%) dengan glukosa plasma puasa >126 mg/dl serta 2 jam sesudah beban > 200 mg/dl. Satu atau lebih komponen sindroma metabolik orang tua merupakan biomarker atau prediktor untuk T2DM dan PJV. Pemeriksaan kesehatan secara reguler atau sedikitnya tes gula darah puasa dan 2 jam sesudah beban glukosa di orang tua perlu dilakukan dan termasuk dalan sistem asuransi kesehatan. Diagnosis dini diabetes dan penatalaksanaannya berarti mengurangi komplikasi, cacat, kematian maupun pembiayaan.

Keyword :

Orang Lanjut Usia, Glukosa Darah, Sindroma Metabolik dan Diabetes Melitus,


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Archive Article

Cover Media Content

Volume : 12 / No. : 2 / Pub. : 2006-03
  1. The manual and automatic tests results of erythrocyte sedimentation rate
  2. Drug resistance of mycobacterium tuberculosis
  3. Analysis of acid fast bacilli (afb) findings and concentrated slides in suspected tuberculosis
  4. The microorganism pattern in the vagina of pregnancy women in dr. soetomo hospital surabaya
  5. Collection and the limit time of using diapers samples for urin related culture
  6. Laboratoric diagnosis of avian influenzae (h5n1)
  7. The habitualis abortion in antiphospholipid syndrome
  8. Evaluation of immunochromatography method for determination of immunoglobulin m and g anti-dengue in dengue pediatric patients)
  9. Quality control in clinical microbiology
  10. Old people and diabetes mellitus
  11. The analysis of serum osteocalcin level on osteopenic and osteoporotic subjects