Jakarta (Lampost.co): Head of the diabetes education clinic at Fatmawati Hospital, Dr. Ida Ayu Made Kshanti Sp.PD, KEMD said that currently treatment for diabetes patients does not only focus on lowering blood sugar but must also focus on treating other complications.
“Currently, the focus of diabetes management has changed to not only focus on blood sugar. “But the focus is on preventing complications, especially cardiorenal complications, and improving blood sugar metabolism, body weight and obesity,” said Ida in a presentation on Tracking Issues in Diabetes Management in Hospital at IMERI FKUI Jakarta, Friday, November 22 2024.
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Ida said that currently diabetes patients do not only focus on treating lowering blood sugar. However, you must carry out a comprehensive assessment or data collection so that treatment is more specific.
This data collection includes diabetes education for patient independence. Then do physical activity or sports that are suitable for the patient to do. Then, determine in detail the management of meal planning, pharmacotherapy and self-monitoring medications for blood sugar.
“The new guideline for patient assessment is more in-depth which relates to planning to determine suitable patients. What is the education regarding physical activity, diet, medication, what is the pattern of GDP (fasting blood sugar). “So there is no treatment that is the same for each individual,” he explained.
The assessment includes whether the patient has risk factors for ASCVD or Atherosclerotic Cardiovascular Disease. This can cause heart failure which can worsen diabetes. Apart from that, patients also have to undergo kidney status, hypoglycemia and complications that affect nerves such as the eyes and liver.
Therapy
Ida said that the target for therapy can be determined from this data according to the patient’s condition and comorbidities. Starting from controlling blood pressure, blood sugar, body weight, physical activity and lifestyle what patients expect.
“Or it needs to involve other disciplines or thoughts from psychologists who are experts in behavior,” he added.
Providing oral diabetes medication such as metformin, type 2 diabetes drug SGLT2 must also pay attention to its efficacy. Because it lowers blood sugar and its effect on a patient’s hypoglycemia. Apart from that, it must be ensured that it is safe for cardiovascular and kidney diseases.
This assessment is also to reduce the diabetes death rate due to cardiorenal complications which include the heart and kidneys.
Ida also said that diabetes patients should not only be treated by internists or internal medicine doctors. However, collaboration from other disciplines is also needed to treat diabetes, which is increasing in Indonesia.
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Diabetes Management: More Than Just Blood Sugar
Jakarta (Lampost.co): Well, folks, hold onto your glucose monitors, because we’ve got some serious updates from the world of diabetes treatment! Dr. Ida Ayu Made Kshanti Sp.PD, KEMD, head honcho of the diabetes education clinic at Fatmawati Hospital, just dropped some knowledge that’s more refreshing than a cold glass of water during a sugar crash.
Now, I know what you’re thinking: “Oh great, just what I needed. More medical jargon and less cake!” But fear not, dear reader! Dr. Kshanti tells us that managing diabetes nowadays isn’t just about lowering blood sugar levels anymore. No, no – it’s a whole buffet of options, aiming not only to keep that pesky blood sugar in check but also to prevent complications, particularly those sneaky cardiorenal issues. Trust me, if you didn’t know what cardiorenal complications were before, you certainly don’t want them crashing your party now!
A Shift in Focus
In a recent presentation at IMERI FKUI Jakarta, Dr. Kshanti broke down the new diabetes management agenda. It’s like a rebranding of diabetes care – think of it as “Diabetes 2.0.” Forget about the old one-size-fits-all treatment. Instead, we’re talking tailored approaches based on a comprehensive assessment. Imagine going to a tailor for a tuxedo as opposed to wearing a potato sack—a little more chic and a lot less lumpy!
Dr. Kshanti stressed the importance of patient independence through diabetes education. Because let’s face it, nobody wants to be that person showing up to the gym and no idea how to operate the treadmill—looking more awkward than a giraffe on roller skates. You’ve got to do your physical activity, meal planning, pharmacotherapy, and self-monitor your blood sugar like a pro. There’s even a detailed investigation into your risk factors, like ASCVD (Atherosclerotic Cardiovascular Disease), because we want to avoid heart failure crashing the diabetes party.
The New Guidelines
Hold the phone! We’re not done yet. Dr. Kshanti reveals that the new patient assessment guidelines are more in-depth than ever. It’s not just about counting carbs anymore; it’s also about getting into the nitty-gritty of diet, physical activity, and medication. And like all the best collaborative efforts, this requires feedback from various experts, including psychologists—because let’s be real, managing diabetes can sometimes feel like something out of a sitcom.
Therapy Targets
The therapy targets? They depend on individual conditions and comorbidities. So, whether your priority is controlling blood pressure, blood sugar, or even your lifestyle, there’s a little something for everyone. But if you think you can just guzzle down metformin and call it a day, think again! Dr. Kshanti highlights that attention must also be paid to the side effects, ensuring that medications won’t zap your blood sugar too low or cause chaos in your cardiovascular or kidney health. It’s a balancing act fit for the most skilled tightrope walker!
Collaboration is Key
And here comes the cherry on top of this informative diabetes sundae: Dr. Kshanti insists that diabetes care shouldn’t fall solely on the shoulders of internists. No, indeed! A collaborative approach is essential to tackle the rising diabetes rates in Indonesia. Because who knew that managing a chronic condition could require a whole team of specialists? It’s like trying to defeat a dragon – you don’t want to go in alone. You need knights of the round table, all equipped with their own set of skills!
So there you have it, folks! Diabetes management has evolved, and so should your perspective. Keep your blood sugar in check, educate yourself, and remember – prevention is the name of the game!