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Pratiwi Nasir Hamzah
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Journal : Jurnal EduHealth

The Effect Of Obesity On Diabetic Ulcers In Diabetes Mellitus Patients Muhammad Salman Naguib; Pratiwi Nasir Hamzah; Nur Nasri Arsyad
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Diabetes mellitus ( DM ) is disease metabolic characterized with hyperglycemia Because lack of insulin secretion, insulin action, or both of them. Diabetes was diagnosed when blood sugar fasting >126 mg/dL and 2-hour blood sugar >200 mg/dL. Diabetic foot ulcers is one of complications chronic from Diabetes mellitus (DM) disease in the form of surface wound skin of the feet of diabetics accompanied by with damage network part in or death network. Risk factors can influence incident DM ulcers are cigarettes, obesity, increasing work physique especially in men. Method: Review literature review using Google Scholar, National Center for Biotechnology Information (NCBI) & Research Science 20 journals obtained from criteria inclusion & exclusion. Results: Complications ulcer diabetic in patients with diabetes mellitus type 2 is one of the the most cases treated at home sick. There are several modifiable factors, including obesity. Condition obesity can cause insulin resistance which results in atherosclerosis so that happen disturbance circulation blood in the legs that can cause ulcer diabetic. Conclusion: Risk factors can influence incident DM ulcers are obesity, condition obesity can cause insulin resistance which results in atherosclerosis so that happen disturbance circulation blood in the legs that can cause ulcer diabetic.
Narrative Review: Pathogenesis and Management Of Diabetic Retinopathy Febriansyah, Febriansyah; Marlyanti Nur Rahmah; Muhammad Jabal Nur; Pratiwi Nasir Hamzah; Sri Irmandha Kusumawardhani
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Abstract

Diabetic Retinopathy is a microvascular disorder that occurs due to the long-term effects of diabetes mellitus. Diabetes mellitus (DM) is caused by metabolic disorders that occur in the pancreas organ which is characterized by increased blood sugar or often referred to as hyperglycemia which is caused by a decrease in the amount of insulin from the pancreas. This can cause damage to the retina that threatens vision and can cause blindness. Effective management requires a multidisciplinary approach that includes glucose control, medical intervention, and patient education. This study aims to determine the pathogenesis and management of Diabetic Retinopathy. This research is a literature study with a narrative review approach. The literature reviewed is literature obtained from databases that have been accredited or indexed by Sinta. The results of this literature study show that vascular dysfunction including loss of pericyte cells, formation of acellular capillaries (endothelial cell death), thickening of the basement membrane and increased capillary permeability to the closure of blood vessels leading to retinal ischemia-infarction is the pathogenesis of diabetic retinopathy. Management of diabetic retinopathy depends on the severity of the symptoms. Treatment does not only consist of observing blood sugar control, systemic hypertension and hypercholesterolemia, but also therapy such as laser photocoagulation, administration of Anti-Vascular Endothelial Growth Factor (Anti-VEGF), intravitreous steroids or IVTA (Intra Vitreous Triamcinolone Acetonide), and other procedures. pars plana virectomy.