Oleh : Kelompok 4
S1-VII A
SEKOLAH TINGGI ILMU FARMASI RIAU T.A 2016/2017
Kasus 1
A 53-year old male (height: 5 feet, 10 inches; weight 265 pounds) was
diagnosed with insulin resistance and type 2 diabetes mellitus. His fasting
plasma glucose (FPG) level was 174 mg/dL (normal 70-110 mg/dL) and his
hemoglobin (Hb) A1c value was suboptimal at 8.4%. The patient had
normal renal and hepatic function. The patient stated that his
consumption of alcohol was moderate and that he was not currently
taking any medications other than an occasional ibuprofen. He stated that
he had gained a significant amount of weight over the past 2 years, and
he largely attributed this to both his increasingly stressful workload and
sedentary lifestyle since switching jobs. He was instructed by his physician
to modify his diet, increase his level of activity as much as possible, and
was prescribed oral metformin (500 mg bid) to be taken with meals.
Lanjutan...
At his next office visit, the patient brought his current prescription
bottle that still contained metformin tablets, but should have been empty.
The patient admitted that he had not been taking his metformin twice
everyday. He stated that he sometimes only took the medication once a
day, and occasionally missed a day completely because he “forgot or was
too tired". He also stated the he had "a few more" metformin tablets in
his medicine cabinet at home which were stored in a non-prescription
container.
Kasus 2
Seorang pria berusia 53 tahun (tinggi: 5 kaki, 10 inci (177,8cm); berat
badan 265 pon(120,31kg)) di diagnosis dengan resistensi insulin dan
diabetes melitus tipe 2. tingkat glukosa plasma puasa (FPG) adalah 174 mg /
dL (70-110 mg / dL normal) dan hemoglobin-nya (Hb) nilai A1c adalah
suboptimal, yaitu 8,4%. Pasien memiliki fungsi ginjal dan hati yang normal.
Pasien menyatakan bahwa mengkonsumsi alkohol moderat dan ia tidak
sedang mengkonsumsi obat selain ibuprofen sesekali. Dia menyatakan
bahwa dia telah mengalami peningkatan berat badan selama 2 tahun
terakhir, dan sebagian besar disebabkan oleh beban kerjanya yang stres dan
gaya hidupnya sejak beralih pekerjaan. Dia diperintahkan oleh dokter untuk
memodifikasi diet, meningkatkan aktifitas sebanyak mungkin, dan
diresepkan metformin oral (bid 500 mg) harus diminum berasaan dengan
makanan.
Kasus 2