Ta Larasati
Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung

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Journal : Medula

Peran Diet Kalium sebagai Pencegahan Resistensi Insulin Pramastha Candra Sasmita; ade yonata; TA Larasati
Medula Vol 11 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v11i4.299

Abstract

The incidence and prevalence of type II diabetes is increasing worldwide that makes clinicians must try to identify, prevent, and treat patients appropriately. Diabetes mellitus is divided into 2 types, namely type I and type II. Type I diabetes mellitus occurs genetically because the body cannot produce insulin, while type II diabetes mellitus occurs due to acquired insulin resistance. Diabetes mellitus is a group of metabolic disorders with manifestations of hyperglycemia due to damage to pancreatic cells that causes insulin deficiency (type I diabetes) to insulin resistance (type II diabetes). High levels of potassium in the blood can help increase insulin secretion in pancreatic cells through a membrane potential that triggers depolarization, so that the sensitivity of β cells to the incidence of hyperglycemia increases. Potassium intake is very important in helping to increase insulin secretion of pancreatic cells so as to prevent hyperglycemia and reduce the risk of insulin resistance. Potassium as an electrolyte in the body, both serum levels and dietary intake are associated with the incidence of diabetes. Lower potassium levels have been found to be associated with an increased risk of diabetes in several studies.
Hipertiroid pada Wanita Lansia Usia 60 Tahun dengan Pendekatan Kedokteran Keluarga di Campang Raya Josepin kevina inka wijaya; TA Larasati
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.420

Abstract

The number of people with hyperthyroidism according to the World Health Organization (WHO) worldwide in 2000 was estimated at 400 million, and it was more common in women than men with a ratio of 5: 1.7. This disease is important to be managed comprehensively because this disease is chronic so the patient must know about the disease and have the awareness to make lifestyle modifications so the treatment goals can be achieved and needs to be carried out through a family approach. This case report describes a woman Mrs. J 60 years old who was diagnosed with hyperthyroidism since 2 years ago came with complaints of heart palpitations, shaking hands, accompanied by complaints of frequent sweating even in a cold room. Mrs. J has internal risks in the form of inappropriate diet and eating habits of the patient, lack of knowledge about the causes, dangers and prevention of the disease suffered, as well as the treatment pattern of patients who only take medicine when there are complaints. External risk factors in patients, namely the lack of family support in reminding patients to manage a good lifestyle. So that pharmacological and non-pharmacological management is carried out holistically in accordance with the approach of family doctors and evidence based medicine. Enforcement of diagnosis and management of these patients has been carried out holistically, patient centered, family approach and community oriented based on several theories and recent research. In the process of behavior change, the patient has reached the trial stage.