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FARMAKOLOGI 2

Dosen Pengampu :
Zamharira Muslim, M.Farm., Apt
● Disusun Oleh
Kelompok 5

Aflah Mulia Putri(P05150221002)


Bella Rohani Nadeak (P05150221008)
Dina Ramdhan Novlia P (P05150221015)
Elsa Triwahida (P05150221017)
Frisca Zahara (P05150221019)
Rizki Rima Putri (P05150221033)
Sindy Veren Aprillia (P05150221037)
Zelni Fadila Angraini (P05150221048)
DM (Diabetes Mellitus)

Diabetes mellitus (DM) adalah sekelompok gangguan


metabolisme yang ditandai dengan hiperglikemia dan
kelainan metabolisme karbohidrat, lemak, dan protein.
Ini hasil dari cacat dalam sekresi insulin, sensitivitas
insulin, atau keduanya.
ETIOLOGI
FATOSIOLOGI

1. DM tipe 1 2. DM tipe 2

• DM tipe 1 menyumbang 5% • DM tipe 2 menyumbang sebanyak


sampai 10% dari semua kasus 90% kasus DM dan biasanya
diabetes. Biasanya berkembang ditandai dengan adanya resistensi
pada masa kanak-kanak atau insulin dan defisiensi insulin relatif.
awal masa dewasa dan Resistensi insulin dimanifestasikan
dihasilkan dari penghancuran sel oleh peningkatan lipolisis dan
B pankreas yang dimediasi oleh produksi asam lemak bebas,
kekebalan, yang mengakibatkan peningkatan produksi glukosa
defisiensi insulin absolut. hepatik, dan penurunan serapan
glukosa otot rangka.
- Hasil yang diinginkan
Tujuan terapi pada DM adalah untuk memperbaiki gejala hiperglikemia, mengurangi
onset dan perkembangan komplikasi mikrovaskular dan makrovaskular, menurunkan
mortalitas, dan meningkatkan kualitas hidup

-Pendekatan Umum
Perawatan yang tepat membutuhkan penetapan tujuan untuk glikemia, tekanan darah,
dan kadar lipid; pemantauan rutin untuk komplikasi; modifikasi diet dan olahraga;
pemantauan mandiri glukosa darah (SMBG) yang tepat; dan penilaian parameter
laboratorium yang tepat.
TERAPI FARMAKOLOGI

Insulin reguler memiliki onset aksi yang relatif lambat ketika diberikan
subkutan- Insulin umumnya, membutuhkan injeksi 30 menit sebelum makan
untuk mencapai kontrol glukosa postprandial yang optimal dan untuk
mencegah hipoglikemia pasca-makan yang tertunda. lispro, aspart, dan
glulisine adalah analog yang lebih cepat diserap, memuncak lebih cepat, dan
memiliki durasi aksi yang lebih pendek daripada insulin reguler.
TERAPI NON FARMAKOLOGI

Terapi nutrisi medis direkomendasikan untuk semua pasien.


a) Untuk individu dengan DM tipe 1, fokusnya adalah mengatur pemberian insulin
dengan diet seimbang untuk mencapai dan mempertahankan berat badan yang
sehat. Rencana makan itu moderat dalam karbohidrat dan rendah lemak jenuh,
dengan fokus pada makanan seimbang dianjurkan.
b) Selain itu, pasien dengan DM tipe 2 sering memerlukan pembatasan kalori untuk
mendorong penurunan berat badan. Makanan ringan sebelum tidur dan di antara
waktu makan biasanya tidak diperlukan jika penatalaksanaan farmakologis tepat.
PRAMLINTIDE

Pramlintide adalah analog sintetik amylin, hormon sarai yang disekresikan dari sel-B
dengan insulin

*Keuntungan utamanya adalah pada DM tipe 1, yang membantu menstabilkan ayunan


glikemik postprandial yang lebar. Efek samping yang paling umum adalah mual, muntah,
dan anoreksia.
• Sulfonilurea
Sulfonilurea mengerahkan aksi hipoglikemik dengan merangsang sekresi insulin
pankreas. Semua sulfonilurea sama efektifnya dalam menurunkan glukosa darah bila
diberikan dalam dosis yang sama.

• Secretagogues Insulin Kerja Pendek (Meglitinides)


Serupa dengan sulfonilurea, meglitinida menurunkan glukosa dengan merangsang
sekresi insulin pankreas, tetapi pelepasan insulin bergantung pada glukosa dan
berkurang pada konsentrasi glukosa darah rendah. Risiko hipoglikemik tampaknya lebih
kecil dengan meglitinida dibandingkan dengan sulfonilurea.
Minimalist green slides infographics
Mercury is the closest planet to the Sun
01 Mercury and the smallest

Venus has a beautiful name and is the


02 Venus second planet from the Sun

Despite being red, Mars is a cold place.


03 Mars It's full of iron oxide dust
Minimalist green slides infographics

Mercury Jupiter Venus


Mercury is the closest planet Venus has a beautiful name
to the Sun and the smallest and is the second planet from
one in the Solar System the Sun. It’s terribly hot

Neptune
Minimalist green slides infographics

Mercury Venus
It’s the closest planet to Venus has a beautiful
the Sun name

Neptune

Jupiter Saturn
It’s the biggest planet of It’s a gas giant and has
them all several rings
Minimalist green slides infographics

Mon Tue Wed Thu Fri

Project 01

Project 02

Project 02

Project 04

Project 05
Minimalist green slides infographics

Mercury
Mercury is the closest
planet to the Sun

Venus
Venus is the second planet
from the Sun

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Minimalist green slides infographics

Mercury Mars Saturn


Mercury is the closest Despite being red, Mars is Saturn is a gas giant and
planet to the Sun a cold place has rings

Venus Jupiter Neptune


Venus is the second planet Jupiter is the biggest It's the farthest planet from
from the Sun planet of them all the Sun
Minimalist green slides infographics

Mercury
Mercury is quite a
small planet
Jupiter
Jupiter is a very big
planet
Venus
Venus has a beautiful
name
Minimalist green slides infographics

Mars Saturn
Despite being red, Saturn is the ringed
Mars is cold planet

Jupiter Neptune
Jupiter is an enormous Neptune is far away
planet from us
Minimalist green slides infographics

Mercury
Mercury is the closest planet to
the Sun and the smallest of them
all
Minimalist green slides infographics

Mercury

Neptune

Jupiter

Saturn
Minimalist green slides infographics
Mercury Mars
Mercury is the closest Despite being red, Mars is
planet to the Sun a cold place
20% 40%

Venus Jupiter
Venus is the second planet Jupiter is the biggest
from the Sun planet of them all
50% 75%
Minimalist green slides infographics

Saturn

Topic 01 Topic 02

Mercury Venus Saturn Neptune


Mercury is a small Venus has a It’s a gas giant and Neptune is far away
planet beautiful name has rings from Earth
Minimalist green slides infographics
Mars Jupiter
Despite being red, Mars is Jupiter is the biggest
a cold place planet of them all

Mercury Saturn
Mercury is the closest Saturn is a gas giant and
planet to the Sun has rings
Earth
Venus Neptune
Venus is the second planet It's the farthest planet from
from the Sun the Sun
Minimalist green slides infographics
Mercury Mars
75% 80%
Mercury is the closest Despite being red, Mars is
planet to the Sun a cold place

Venus Neptune
50% 25%
Venus is the second planet Jupiter is the biggest
from the Sun planet of them all
Minimalist green slides infographics

Mercury
Mercury is the closest
planet to the Sun

Venus
Venus is the second planet
from the Sun

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Minimalist green slides infographics
Despite being red, Mars is a
Mars cold place

Jupiter is the biggest planet of


Neptune Jupiter them all

Mercury is the closest planet to


Mercury the Sun

Saturn is a gas giant and has


Saturn several rings
Earth
Venus is the second planet
Venus from the Sun
Minimalist green slides infographics

Venus has a beautiful name and is the


second planet from the Sun

Despite being red, Mars is a cold place.


It's full of iron oxide dust
Minimalist green slides infographics

Mars Jupiter
Despite being red, Mars is Jupiter is the biggest
a cold place planet of them all

Mercury Saturn
Mercury is the closest Saturn is a gas giant and
planet to the Sun has rings
Minimalist green slides infographics
Mercury Mars
Mercury is the closest Despite being red, Mars is
planet to the Sun a cold place

Venus Saturn
Venus is the second planet Saturn is a gas giant and
from the Sun has rings

Jupiter Neptune
Jupiter is the biggest It's the farthest planet from
planet of them all the Sun
Minimalist green slides infographics
Mercury
Mercury is the closest
planet to the Sun

Venus
Venus is the second planet
from the Sun

Jupiter
Jupiter is the biggest
planet of them all

Follow the link in the graph to modify its data and then paste the new one here. For more info, click here
Minimalist green slides infographics

Venus Saturn
Venus has a Saturn is the ringed
Mercury beautiful name planet
Mercury is closest
planet to the Sun and
the smallest of them
all
Mars Neptune Jupiter
Mars is a very cold Neptune is far away Jupiter is the biggest
planet from us planet
Minimalist green slides infographics
Mercury Mars
Mercury is the closest Despite being red, Mars is
planet to the Sun a cold place

Venus Saturn
Venus is the second planet Saturn is a gas giant and
from the Sun has rings

Jupiter Neptune
Jupiter is the biggest It's the farthest planet from
planet of them all the Sun
Minimalist green slides infographics
Venus has beautiful name, but also Mercury is the smallest planet of
high temperatures them all

Jupiter is the biggest planet in the Despite being red, Mars is actually
Solar System a very cold planet

Neptune is the fourth-largest Saturn is a gas giant and has


planet several rings

The Sun is the star at the center of Earth is the only planet with life in
the Solar System the Solar System
Minimalist green slides infographics
Earth

01 02 03

Venus is the second planet Jupiter is the biggest Mercury is the closest
from the Sun planet of them all planet to the Sun
Minimalist green slides infographics

Mercury Mars
Mercury is the closest Despite being red, Mars is
planet to the Sun a cold place

Venus Saturn
Venus is the second planet Saturn is a gas giant and
from the Sun has rings
Minimalist green slides infographics

50% 75% 25%

Mercury Jupiter Venus


Mercury is the closest Jupiter is the biggest Venus is the second planet
planet to the Sun planet of them all from the Sun
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