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Brittle Diabetes, Ketika Gula Darah Naik Turun dan Sulit Dikendalikan

Brittle Diabetes, Ketika Gula Darah Naik Turun dan Sulit Dikendalikan
Credit: Freepik. Brittle diabetes adalah komplikasi diabetes yang sangat jarang terjadi.

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Anda tentu sudah tidak asing dengan istilah penyakit diabetes, yaitu kondisi ketika kadar gula dalam darah Anda meningkat tajam. Namun pernahkah Anda mendengar istilah brittle diabetes atau diabetes labil?. Kondisi ini biasanya menandakan bahwa diabetes yang dialami sudah cukup parah. Apa itu brittle diabetes dan bisakah kondisi tersebut dicegah?

 

Apa Itu Brittle Diabetes?

Brittle diabetes dikenal juga dengan istilah diabetes labil. Dilansir dari Cleveland Clinic, brittle diabetes atau diabetes labil adalah kondisi dimana kadar gula darah menjadi sulit untuk dikendalikan.

Pengidap brittle diabetes memiliki kadar gula darah yang naik turun. Pasien brittle diabetes dapat mengalami hipoglikemia (rendahnya kadar gula dalam darah) atau hiperglikemia (tingginya kadar gula dalam darah) secara bergantian.

Brittle diabetes sering terjadi pada pasien diabetes tipe 1. Namun bukan berarti semua pasien diabetes tipe 1 dapat mengalami komplikasi ini.

Selain itu, pasien diabetes tipe 2 juga berisiko untuk mengalaminya. Kondisi ini sering dianggap sebagai komplikasi diabetes, namun ada juga yang menganggap brittle diabetes adalah turunan dari diabetes tipe 1.

 

Penyebab dan Faktor Risiko Brittle Diabetes

Dilansir dari Medical News Today, pengidap diabetes tipe 1 merupakan kelompok dengan risiko tertinggi mengalami brittle diabetes. Pada pengidap diabetes tipe 2, kondisi ini lebih jarang terjadi. Kondisi ini juga lebih rentan dialami oleh perempuan jika dibanding para pria.

Hingga saat ini penyebab brittle diabetes masih belum diketahui, namun sebuah artikel di tahun 2021 menyebutkan bahwa kondisi ini dipengaruhi oleh banyak faktor.

Menurut Healthline, beberapa faktor risiko seseorang dapat mengalami brittle diabetes antara lain:

  • Mengalami gangguan ketidakseimbangan hormon
  • Mengalami kelebihan berat badan
  • Hormon tiroid rendah
  • Berusia 20-30 tahun
  • Sering mengalami stres dan depresi
  • Memiliki penyakit celiac atau gastroparesis

 

Gejala Brittle Diabetes

Gejala diabetes labil yang khas adalah sering mengalami kondisi hipoglikemia dan hiperglikemia. Ketika kadar gula darah turun dengan sangat cepat (hipoglikemia), kondisi ini biasanya ditandai dengan gejala berikut:

  • Kepala pusing
  • Kelelahan
  • Mudah lapar
  • Tangan gemetar
  • Pandangan kabur
  • Sakit kepala parah
  • Sulit tidur

Sedangkan ketika kadar gula darah melonjak naik (hiperglikemia), gejala yang dapat muncul antara lain:

  • Badan terasa lemas
  • Sering haus dan buang air kecil
  • Penurunan penglihatan
  • Kulit terasa kering

Secara umum gejala diabetes labil ini mirip dengan gejala diabetes tipe 1. Hanya saja, tingginya kadar gula darah dapat muncul secara tiba-tiba dan bergantian. Pada pasien yang mengalami perubahan kadar gula darah drastis dapat berisiko mengalami koma.

 

Pengobatan dan Pencegahan Brittle Diabetes

Cara paling efektif untuk mengatasi diabetes labil adalah dengan terus mengupayakan agar kondisi gula darah tetap seimbang. Naik turunnya kadar gula darah menyebabkan tubuh sulit merespon insulin.

Dilansir Healthline, beberapa cara mengatasi diabetes labil antara lain:

  • Menggunakan suntikan insulin subkutan (jaringan lemak di bawah kulit)
  • Memantau kadar gula darah secara rutin beberapa kali per hari

Sedangkan untuk mencegah diabetes tipe 1 berkembang menjadi diabetes labil, beberapa cara yang bisa dilakukan antara lain:

  • Menjaga berat badan tetap seimbang
  • Mengelola stres dengan bijak
  • Mengatur pola makan yang aman untuk diabetes
  • Rutin berolahraga

Brittle diabetes adalah komplikasi diabetes yang sangat jarang terjadi. Meskipun demikian, Anda tetap perlu waspada akan risiko mengalami diabetes labil terutama jika Anda memiliki diabetes yang tidak terkontrol.

Apabila Anda didiagnosis mengalami prediabetes atau diabetes tipe 1 sebaiknya segera konsultasikan ke dokter untuk penanganan dan perubahan gaya hidup yang diperlukan. Kadar gula darah yang terkontrol dapat meminimalisir komplikasi diabetes yang tidak diinginkan.

Mau tahu informasi seputar penyakit lainnya? Cek di sini, ya!

 

Writer : Ratih AI Care
Editor :
  • dr Nadia Opmalina
Last Updated : Sabtu, 15 April 2023 | 20:47

Cleveland Clinic. Brittle Diabetes. Available from: https://my.clevelandclinic.org/health/diseases/21499-brittle-diabetes

Ellis, R. (2022). What Is Brittle Diabetes?. Available from: https://www.webmd.com/diabetes/brittle-diabetes-all-about

Diabetes. Brittle Diabetes (Labile Diabetes). Available from: https://www.diabetes.co.uk/brittle-diabetes.html#

Cherney, K. (2019). What Is Brittle Diabetes?. Available from: https://www.healthline.com/health/what-brittle-diabetes#outlook

 

Morales-Brown. (2022). What to know about brittle diabetes. Available from: https://www.medicalnewstoday.com/articles/brittle-diabetes

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      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 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
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      Bindings
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      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 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
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      Bindings
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      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 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
    • article-popular.blade.php#8aicare_prod_new5.65msselect `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` = 9199 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9199
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 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
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      Hints
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      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 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
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      Hints
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      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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      Bindings
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      Hints
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      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      Bindings
      • 0: 9940
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 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
    • related-article.blade.php#8aicare_prod_new5.38msselect `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` = 9866 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9866
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 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
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      Hints
      • Use SELECT * only if you need all columns from table
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      Backtrace
      • view::layouts.v2.web_layout:122
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • 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
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      Hints
      • Use SELECT * only if you need all columns from table
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      Backtrace
      • view::layouts.v2.web_layout:547
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
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      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
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      • Use SELECT * only if you need all columns from table
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      Backtrace
      • view::layouts.v2.web_layout:551
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
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    App\Models\Admin\Category
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