DIABETES

JUVENILE
Dosen Pembimbing Ns. Murniati., M. Kep
Oleh
Sarah Noviani 200103065
Siti Fatimah 200103067
Tresna Kusnuraini 200103071
Umi Sarah Fauziah A 200103082
Vina kurnia anggreni 200103073
Winda eka astute 200103075
Zenitha muktar 200103079
 Diabetes Juvenile
Gangguan metabolisme kronik yang
ditandai dengan peningkatan kadar
gula darah (hiperglikemia) . Diabetes
mellitus (DM) tipe-1 adalah DM
akibat insulin tidak cukup diproduksi
oleh sel beta pankreas, sehingga
terjadi hiperglikemia (WHO, 2017).
Tipe -1 ini ditandai dengan
berkurangnya sel beta pankreas
yang diperantarai oleh imun atau
antibodi, sehinga sepanjang hidup
penderita ini tergantung pada
insulin eksogen (Chiang JL, 2014).
It’s the eighth and farthest-known
solar planet from the sun
 ETIOLOGI

Faktor Genetik Faktor Imunologi Faktor Lingkungan

Penderita diabetes tidak respons abnormal dimana virus atau toksin
mewarisi diabetes tipe I itu antibodi terarah pada jaringan tertentu dapat memicu
sendiri; tetapi mewarisi suatu normal tubuh dengan cara proses autoimun yang
predisposisi atau bereaksi terhadap jaringan menimbulkan destruksi
kecenderungan genetik ke tersebut yang dianggapnya sel beta
arah terjadinya DM tipe I seolah-olah sebagai jaringan
asing
MANIFESTASI KLINIS

Sering Kencing Nyeri Perut

Variasi lain adanya Pada penderita DM
enuresis setelah tipe 1, nyeri perut
sebelumnya anak tidak ditemui pada keadaan
pernah enuresis lagi. ketoasidosis.

Berat Badan Turun Tidak Sadar

atau Naik
keadaan ketoasidosis
dapat kemungkinan
Sesak Napas diagnosis seperti
Nafas Kusmaull (naps malaria serebral,
cepat dan dalam) meningitis, ensefalitis,
adalah tanda dari ataupun cedera kepala
 PATOFISIOLOGI
Periode
ketergantungan
2
Periode manifestasi
insulin yang
menetap
klinis Pada periode
ini, gejala klinis DM
mulai muncul
4
1 3
Periode pra-diabetes, Periode honey-
Pada periode ini gejala- moon Periode ini
gejala klinis diabetes disebut juga fase
belum nampak remisi parsial atau
sementara
 PENATALAKSANAAN

Treatment Treatment

Insulin Aktivitas Fisik

Terapi yang mutlak harus Meningkatkan sensitivitas insulin dan

diberikan pada penderita menurunkan kebutuhan insulin
DM Tipe 1
Edukasi
Berpengaruh baik pada kontrol
glikemik dan keluaran psikososial

Diet Monitor Kontrol Glikemik

Untuk mengoptimalkan proses
Pemeriksaan gula darah berkala
pertumbuhan, tumbuh kembang anak dalam sehari.Setiap 3 bulan
optimal, serta mencegah komplikasi memeriksa HbA1c
akut dan kronik
 KLASIFIKASI

DM TIPE 1
d. Gangguan endokrin Akromegali,
a) Immune Mediated
Sindrom Cushing, Glukagonoma,
b) Idiopatik.
Feokromositoma, Hipertiroidisme,
DM TIPE 2 Somatostatinoma, Aldosteronoma.

e. Terinduksi obat dan kimia Vakor,

Pentamidin, Asam Nikotinik,
DM TIPE 3 Glukokortikoid, Hormon tiroid,
a. Defek genetik fungsi pankreas sel Diazoxid, Agonis-adrenergik: Tiazid,
Dilantin -interferon
b. Defek genetik pada kerja insulin
c. Kelainan eksokrin pankreas
 Diabetes infographic
Neptune Venus
It’s the farthest planet from Venus is the closest planet
the sun of the sun

Saturn Uranus
It’s a gas giant and has Uranus is the seventh planet
several rings from the Sun

Earth Pluto
Earth is the third planet Pluto is a dwarf planet in the
from the sun Kuiper belt
 Diabetes infographic

Jupiter Venus
Jupiter is the biggest It’s the closest planet
planet of them all of the sun

Neptune Earth
It’s the farthest planet It’s the third planet
from the sun from the sun

Saturn Mars
It’s a gas giant and has Despite being red, it’s
several rings actually a cold place
 Diabetes infographic

Jupiter Venus
Jupiter is the biggest It’s the closest planet
planet of them all of the sun

Neptune Earth
It’s the farthest planet It’s the third planet
from the sun from the sun

Saturn Mars
It’s a gas giant and has Despite being red, it’s
several rings actually a cold place
 Diabetes infographic

Earth
It’s the third planet
from the sun

Jupiter Mars Neptune

Jupiter is the biggest Despite being red, it’s It’s the farthest planet Diabetes data
planet of them all actually a cold place from the sun

1995
60%
Saturn 2000
It’s a gas giant with 88%
an average radius 2005
2000 2005 2010 2015
of about nine 30% Venus is the
times that on Earth 2010 closest planet Uranus is the seventh
46% to the sun planet from the Sun
 Diabetes infographic
Jupiter Venus
Jupiter is the biggest It’s the closest planet
planet of them all of the sun

Neptune Earth
It’s the farthest planet It’s the third planet
from the sun from the sun

Saturn Mars
It’s a gas giant and has Despite being red, it’s
several rings actually a cold place
 Diabetes infographic

2.9M TREATMENT

Jupiter is the biggest

planet of them all

Saturn
Earth is the only Venus is the It’s a gas giant and has
known planet to closest planet to several rings
harbor life the sun

AREAS AFFECTED
Neptune
It’s the farthest planet from
the sun
Kidney Heart Sight Brain Feet Ears
 Diabetes infographic
Venus
It’s the closest 1
planet to the sun

Mars
2 It’s actually a really
cold place

Earth
Earth is the third 3
planet from the sun

Jupiter
4 It’s the biggest
planet of them all

Neptune
It’s the farthest 5
planet from the sun
 Diabetes infographic
Jupiter Neptune
Jupiter is the biggest It’s the closest planet
planet of them all of the sun

Mars Earth

Avoid

Enjoy
It’s the farthest planet It’s the third planet
from the sun from the sun

Saturn Venus
It’s a gas giant and Despite being red, it’s
has several rings actually a cold place
 Diabetes infographic

Venus
It’s the closest
planet to the sun

Mars
It’s actually a really
cold place
Earth
Earth is the third
planet from the sun

Jupiter
It’s the biggest
planet of them all
Neptune
It’s the farthest
planet from the sun
 Diabetes infographic
33% 25%
Jupiter is the biggest It’s the closest planet
planet of them all of the sun

14% 28%
It’s the farthest planet It’s the third planet
from the sun from the sun

14% 14%
It’s a gas giant and has Despite being red, it’s
several rings actually a cold place

What is diabetes?
Saturn is the sixth planet from the
Sun and the second-largest in the
Solar System, after Jupiter.
Diabetes infographic
How is it diagnosed? What are the symptoms?
Saturn is the sixth planet from the
Sun and the second-largest in the
Solar System, after Jupiter.
Fatigue Tingling
No healing Weight lose
 Diabetes infographic

Saturn
25%
INSULI

It’s a gas giant with an average radius

of about nine times that on Earth
N

Jupiter
It’s the fifth planet from the sun and 75%
the largest in the solar system
 Diabetes infographic

SYMPTOMS DIABETES STATS

Slow healing Sweating

It’s a gas giant with an average radius of

about nine times that on Earth

Venus

Saturn
Sugar control Thirst
Mars
 Diabetes infographic

55% Symptoms

Saturn is the sixth planet from the Sun and

the second-largest in the Solar System, 50% 65% 75%
after Jupiter. Weight loss Thirst Fatigue

Prevention and treatment Illness increase

1995 60%
2000 40%
2005 70%
Healthy food Exercise Insulin 2010 20%
 Diabetes infographic

Jupiter Venus
Jupiter is the biggest It’s the closest planet
planet of them all of the sun

Neptune Earth
It’s the farthest planet It’s the third planet
from the sun from the sun

Saturn Mars
It’s a gas giant and has Despite being red, it’s
several rings actually a cold place
 Diabetes infographic
Affects of Diabetes Percentages

Eye disease
75% 50%

Heart disease Jupiter Saturn

Kidney disease
Saturn
70%
Jupiter
Nerve damage 90%
Venus
55%
Feet damage Uranus
75%
 Diabetes infographic
Saturn Neptune
It’s a gas giant with an It’s the eighth and
average radius of about farthest-known solar
nine times that on Earth planet from the sun

Jupiter Mars
It’s the fifth planet from It’s the fourth planet
the sun and the largest from the sun and it’s
in the solar system a cold place

Saturn
Venus
Venus Venus is the second,
closest and brightest
planet from the sun
Uranus
 Diabetes infographic
14% Saturn
A
33% Venus Saturn is the sixth planet
25% from the Sun and the
Mars second-largest in the Solar
System, after Jupiter.
28% Pluto
0 B

It’s a gas giant and It’s the farthest Jupiter is the biggest Venus is the closest
has several rings planet to the sun planet of them planet of the sun
 Diabetes infographic
Jupiter
Jupiter is the biggest Prevention
planet of them all

Neptune
It’s the farthest planet
Pluto is the ninth Uranus is seventh
from the sun
planet from the sun planet from the sun

Saturn
It’s a gas giant and Treatment
has several rings

Venus
Venus is the closest
Despite being red, it’s It’s the biggest planet
planet of the sun
actually a cold place of them all
 Diabetes infographic

Saturn Jupiter
It’s a gas giant and has Jupiter is the biggest
several rings planet of them all

Uranus Mars
Uranus is the seventh It’s a gas giant and has
planet from the Sun several rings

Earth Venus
It’s the third planet Venus is the closest
from the sun planet of the sun
 Diabetes infographic
Symptoms Prevention

Wounds heal High blood Weight Healthy Exercise

slowly sugar

Treatment

Always Extreme
thirsty fatigue Insuline Medicine Control
 Diabetes infographic
Hydration Type
Jupiter is the biggest Venus is the closest
planet of them all planet of the sun

Evolution Medicine
It’s the farthest planet Uranus is seventh
from the sun planet from the sun

World Stats Diet

It’s a gas giant and Pluto is the ninth
has several rings planet from the sun
 Diabetes infographic

Jupiter
It’s the fifth planet from
the sun and the largest
in the solar system

Mars
25% It’s the fourth planet

5.8 75%
from the sun and it’s a
cold place

Saturn
It’s a gas giant with an
average radius of about
nine times that on Earth
 Diabetes infographic

Jupiter 8.5 Venus

Jupiter is the biggest Venus is the closest
planet of them all planet of the sun

Neptune Uranus
It’s the farthest planet Uranus is seventh
from the sun planet from the sun