Tanya Dokter

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Pertanyaan Anda
Selasa, 29 Agustus 2023 | 12:43
Endokrin

Obat diabetis melitus

RA
Info Penanya : RA

Menurunkan gula darah 400 minum obat apa?

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Dijawab Oleh
Dijawab Oleh : dr. Vivian Keung

Hai,

Terima kasih telah bertanya di layanan Tanya Dokter Ai Care,

Gula darah berperan sebagai sumber energi untuk tubuh. Normalnya kadar gula dalam darah adalah kurang dari 200mg/dL (gula darah sewaktu), kurang dari 140mg/dL (gula darah 2 jam setelah makan atau GD2PP) dan 100mg/dL normal serta 100-125mg/dL termasuk prediabetes (gula darah puasa).   

Secara umum diabetes mellitus dibagi menjadi 2 jenis, diabetes mellitus tipe 1 terjadi akibat sistem imun tubuh secara keliru menyerang dan menghancurkan sel-sel pankreas yang memproduksi insulin, dan diabetes mellitus tipe 2 karena sel-sel tubuh menjadi kurang sensitif terhadap insulin. 

Kadar gula darah yang sudah melebihi dari angka 240mg/dL dapat dikatakan sudah terlalu tinggi. Jika kadar gula darah konsisten diatas 300mg/dL, maka segeralah mencari pertolongan ke unit gawat darurat karena ini merupakan kegawatdaruratan diabetes yaitu ketoasidosis diabetik (KAD), yang disertai beberapa gejala berikut:

  • Frekuensi buang air kecil meningkat
  • Rasa haus yang tidak kunjung hilang
  • Napas berbau seperti buah-buahan atau aseton 
  • Dehidrasi 
  • Mual, muntah, sakit perut
  • Nyeri kepala dan otot terasa nyeri atau kaku
  • Penurunan kesadaran sampai pingsan 

Selain dari KAD, kegawatdaruratan diabetes lainnya adalah Hiperglikemik Hiperosmolar Nonketotik (HNNK) yang ditandai dengan peningkatan gula darah secara drastis hingga mencapai 600mg/dL atau lebih, disertai gejala seperti sering buang air kecil, haus yang berat, mulut terasa kering, mual, kelemahan pada salah satu anggota gerak tubuh, gangguan penglihatan, linglung atau mengantuk, demam, halusinasi dan lemas.

Dikarenakan kadar gula darah diatas 300mg/dL sudah termasuk kegawatdaruratan, maka pengobatan perlu segera ditangani oleh dokter. Beberapa langkah yang dilakukan adalah:

  • Pemberian terapi cairan infus, untuk mengatasi dehidrasi 
  • Memberikan insulin melalui infus ataupun langsung pada tubuh
  • Memberi pengganti elektrolit untuk menyeimbangkan kadar elektrolit tubuh
  • Pemberian antibiotik jika dibutuhkan 

Untuk membantu mencegah kondisi, ada beberapa cara yang dapat Anda lakukan:

  • Makan makanan yang mengandung indeks glikemik rendah
  • Minum obat diabetes sesuai dengan anjuran dokter
  • Suntik insulin sesuai dengan anjuran dokter dan pastikan untuk menyuntikkan insulin sesuai jadwal
  • Menjaga berat badan ideal
  • Banyak beristirahat dan tidak merokok
  • Olahraga yang rutin, namun selalu ingat jika kadar gula darah mencapai 250mg/dL, maka tidak dianjurkan berolahraga karena risiko peningkatan keton dalam tubuh 

Baca Juga:

Semoga jawaban ini berguna bagi Anda. Bila mengalami keluhan kesehatan atau ingin bertanya seputar informasi kesehatan, dapat berkonsultasi langsung dengan dokter di Aplikasi Ai Care. Unduh Aplikasi Ai Care di Appstore dan Playstore Anda!

 

Tag
diabetes gula darah diabetes mellitus diabetes ketoasidosis
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Baca Juga
Cek Gula Darah Saat Puasa Ramadan: Kapan Sebaiknya Dilakukan? Mengapa Badan Lemas setelah Makan Makanan Manis? Kebiasaan Kecil untuk Mencegah Diabetes Tipe 2 Ketahui Penyebab Sulit Buang Air Kecil Jaga Kebugaran, Ini 5 Olahraga yang Baik Untuk Penderita Diabetes
Silahkan Klik "Tanya Dokter" Untuk Mengajukan Pertanyaan Anda
Tanya Dokter

Diskusi Terbaru

Selasa, 22 April 2025 | 19:55

muncul uban di usia 20 tahun

HD
Info Penanya : HD
Dijawab Oleh :

apakan normal muncul uban di usia 20 tahun?

Belum Dijawab
Kamis, 24 April 2025 | 05:54
Alergi dan Sistem Imun

alergi

RU
Info Penanya : RU
Dijawab Oleh : dr. Reynaldi Syarifu Rachman

saya punya alergi dari kecil, sy sdh cek darah igE total nya 103.9 UI/ml normal atau tidak?

Dibalas
Selasa, 22 April 2025 | 12:29
Sistem Reproduksi & Genitalia

obat alami

MU
Info Penanya : MU
Dijawab Oleh : dr. Ayu Munawaroh, MKK

Dok sodara saya kemaluan pria ny Tersiram obat rumput sehingga menyebab kan koreng pada kemaluan ny ,dan saya boleh mnta resep obat alami ny

Dibalas

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Testing Post 12 Desember 2024 v1
MessagesTimelineExceptionsViews4RouteQueries38Models398Livewire0MailsGateSessionRequest
Request history8.1.29PHP Version657msRequest Duration4MBMemory UsageGET discussions/{slug}Route
    • Booting (269ms)time
    • Application (388ms)time
    • 1 x Application (59.07%)
      388ms
      1 x Booting (40.93%)
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      4 templates were rendered
      • 1x web.v2.discussion.showshow.blade.php#?blade
      • 1x web.v2.partials.article-populararticle-popular.blade.php#?blade
      • 1x web.v2.partials.related-articlerelated-article.blade.php#?blade
      • 1x layouts.v2.web_layoutweb_layout.blade.php#?blade
      uri
      GET discussions/{slug}
      middleware
      web
      controller
      App\Http\Controllers\DiscussionController@show
      namespace
      App\Http\Controllers
      prefix
      where
      as
      web.discussion.show
      file
      app/Http/Controllers/DiscussionController.php:158-228
      38 statements were executed (4 duplicates)Show only duplicates298ms
      • DiscussionController.php#164aicare_prod_new1.33msselect * from `questions` where `slug` = 'obat-diabetis-melitus' and `questions`.`deleted_at` is null limit 1
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        • app/Http/Controllers/DiscussionController.php:164
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      • DiscussionController.php#178aicare_prod_new1.03msselect * from `questions` where `slug` = 'obat-diabetis-melitus' and `questions`.`deleted_at` is null limit 1
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        • app/Http/Controllers/DiscussionController.php:178
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      • DiscussionController.php#191aicare_prod_new3.64msselect column_name as `name`, data_type as `type_name`, column_type as `type`, collation_name as `collation`, is_nullable as `nullable`, column_default as `default`, column_comment as `comment`, extra as `extra` from information_schema.columns where table_schema = 'aicare_prod_new' and table_name = 'questions' order by ordinal_position asc
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        • app/Http/Controllers/DiscussionController.php:191
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        • app/Http/Controllers/DiscussionController.php:191
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        • app/Http/Controllers/DiscussionController.php:199
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        • app/Http/Controllers/DiscussionController.php:200
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        • app/Http/Controllers/DiscussionController.php:209
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        • app/Http/Controllers/DiscussionController.php:210
        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
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        • app/Http/Controllers/DiscussionController.php:213
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        • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
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        • view::web.v2.discussion.show:205
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
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      • show.blade.php#257aicare_prod_new6.76msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 3301 and `categories`.`deleted_at` is null
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        • view::web.v2.discussion.show:257
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      • show.blade.php#257aicare_prod_new5.79msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 6690 and `categories`.`deleted_at` is null
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      • show.blade.php#257aicare_prod_new6.08msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 5541 and `categories`.`deleted_at` is null
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        • view::web.v2.discussion.show:257
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        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • show.blade.php#257aicare_prod_new5.83msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 1178 and `categories`.`deleted_at` is null
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        • view::web.v2.discussion.show:257
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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        • view::web.v2.discussion.show:257
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        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • show.blade.php#366aicare_prod_new780μsselect * from `answers` where `answers`.`question_id` = 341 and `answers`.`question_id` is not null and `answers`.`deleted_at` is null order by `id` desc limit 1
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        • view::web.v2.discussion.show:366
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        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
      • show.blade.php#336aicare_prod_new570μsselect * from `categories` where `categories`.`id` = 9 and `categories`.`deleted_at` is null limit 1
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        • view::web.v2.discussion.show:336
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        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
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