ASKEP KLIEN DG DIABETES MELITUS TIPE 1

NURSISWATI, MKep., Sp.KMB

OUTLINE
1. 2. 3. 4. 5. 6. PENGERTIAN ETIOLOGI PATOFISIOLOGI MANIFESTASI KLINIS PENATALAKSANAAN ASKEP

PENGERTIAN
Approximately 5% to 10% of people with diabetes have type 1 Type 1 diabetes is usually diagnosed in children and young adults, and was previously known as judiabetes is usually diagnosed in children and young adults, and was previously known as juvenile diabetes. In type 1 diabetes, the body does not produce insulin.

 diabetes, in which the insulin-producing pancreatic beta cells are destroyed by an autoimmune process. As a result, they produce little or no insulin and require insulin injections to control their blood glucose levels

ETIOLOGI
DESTRUKSI SEL BETA PANKREAS TERJADI AKIBAT KOMBINASI DR FAKTOR GENETIK, IMMUNOLOGIK,DAN FAKTOR LINGKUNGAN (SEPERTI VIRUS) FAKTOR GENETIK DIHUBUNGKAN DG TIPE HUMAN LEUCOCITE ANTIGEN (HLA) TERTENTU. 95 % RAS CAUCASIAN DG DM TIPE 1 MENUNJUKKAN HLA-DR3 ATAU HLA-DR4 RESIKO DM TIPE 1 MENINGKAT 3-4X PD ORG DG KEDUA TIPE HLA TSB.

ETIOLOGI ..CONT
AUTOIMUN MRP RESPON ABNORMAL DIMANA ANTIBODI MENYERANG SEL2 NORMAL KRN DIANGGAP SBG SEL ASING. VIRUS ATAU TOXIN DPT MENGINISIASI KERUSAKAN SEL BETA PANKREAS

PATOFISIOLOGI

PATOFIS..CONT

MANIFESTASI KLINIK
ANAK2 MENGOMPOL TANDA DEHIDRASI KETOASIDOSIS (NAUSEA, VOMIT, ABDOMINAL PAIN)

PENATALAKSANAAN
TERAPI NUTRISI EXERCISE MONITORING INSULIN TH/ EDUCATION

ASKEP
DIET: 50-60% KARBOHIDRAT, 20-30% LEMAK, 1020% PROTEIN REGULARLY INSULIN