TTHE RELATIONSHIP OF KNOWLEDGE ABOUT DIABETIC KETOACIDOSIS WITH INSULIN USE IN DM PATIENTS PREGNANT WOMEN

Sara Tania
Lisnawati
Lulu Lutfiah
Marlina Diana Kristiant
Keywords: Diabetic Ketoacidosis, Use of Insulin

Abstact

Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both. Seeing the tendency for an increase in the frequency of diabetes globally to be mainly caused by an increase in the affluence of a population, it is thus understandable that one day or more precisely within the next 1 or 2 decades the frequency of DM in Indonesia will increase drastically. This is in accordance with the estimates put forward by WHO, Indonesia will be ranked number 5 in the world with the number of people living with diabetes as many as 12.4 million people in 2025, up 2 levels compared to 1995 which amounted to 4.5 million people. 1 In line with WHO data 2016 , the population aged 30-69 years in Indonesia has a death rate due to diabetes of 48,300 with a predominant number of women at 58.3%. There are two acute complications of DM, namely hypoglycemia and hyperglycemia. Hyperglycemia occurs in diabetic ketoacidosis (DKA), non-ketotic hyperosmolar (HNK) and lactic acidosis (AL). DKA ranks first as an acute complication followed by hypoglycemia DKA is a severe and acute insulin deficiency resulting from a DM disease course. 3 DKA is a state of metabolic decompensation-disorder characterized by the triad of hyperglycemia, acidosis and ketosis, mainly caused by absolute or relative insulin deficiency. 1 DKA and hypoglycemia are

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