Quality of Life in

Diabetes
TUTORIAL 4

Ivany Rizky Rahmadani (130110140024)

Ranisa Larasati (130110140025)
Alfi Husna Shobiyya
(130110140026)
Haifa Albiyola Rafa (130110140028)
Nayunda Sony Putri
(130110140029)
Pia Hadianti Deliana
(130110140030)
Yuni Astuti (130110140120)
Tamia Setia Tartila (130110140124)
Osler Sutanto (130110140045)
Gde Sindu Mega (130110140056)

Diabetes Mellitus An Overview

Definition
Risk

Factor

Genetic
Environmental
Types

Type I (IDDM)
Type II (NIDDM)
Symptoms

Lifestyle as a predisposing factor

c. Sleep

a. Dietary
1. Saturated fats and trans
fatty acid
2. Sugar sweetened drink
3. Eating lot of white rice
Excess food causes obesity

1. Reduction of sleep
increase the incidence of
type 2 diabetes

d. Prenatal environment
IUGR and prenatal
undernutrition

b. Obesity
1. Contribute in 55% cases
2. Chronic obesity lead to
increased insulin resistance

e. Low physical activity

The perspective of laypersons on DM

Theory

of causality what cause

diabetes?
Inherited disease certainty?
Medication lifetime and strict?
Glucose how much should be fine to
consume?

Difficulties to live with DM that doctors

should understand
Example:
Mr. X, 60 tahun telah menderita diabetes mellitus
sejak 5 tahun yang lalu. Selama masa perawatan
beliau mengeluh pola makan yang diatur , yaitu
harus memakan makanan rendah glukosa salah
satunya Nasi merah.
Beliau juga mengeluh karena harus mengkonsumsi
obat seumur hidup. Belum lagi harga obatnya yang
memberatkan beliau karena keadaan ekonomi yang
kurang.

What doctors should do:

What doctors
understand:
Patients

should

economy

Suggesting

that
family has important
role in compliance is
necessary

Explaining

about DM
repetitively
is
necessary as it is a
lifetime disease

Patients

are worried
of complications

Having

concern for the needs of

the patients and their families to
understand the nature of the
illness and the goals and possible
complications of investigations
and treatment

Demonstrating

sensitivity to
patients pain and emotional
state

Ensure

patient that abiding by

the rule while taking medication
can avoid complication

Professional conduct in managing DM

patient
Honesty

Breaking bad news Tell the patient about their diagnosis

without lying or hiding the information

Tell the patient about the treatment

Tell the patient about their prognosis before and after treatment

Normalizing the tendency for patients and doctors to be

reluctant to share information that may be painful or
embarrassing

Negotiating explicitly with a patient around the amount and

detail of information to be discussed comfortably

Professional conduct(contd)
Responsibility

Doctors responsibility to tell the patient on how to do the

self-treatment for DM (Patients with diabetes mellitus
complain that what they eat is too little and not delicious.
Example: Nasi Merah and leafy vegetables. The doctor
should informs that they have to keep their life condition,
observe what they want to eat and always take a medicine
on time and consider their food propotion

THANK YOU