| DIABETES MELLITUS (DM)
(Silent killer that creeps on you while you are ‘enjoying’ your life)
Multisystem chronic disease caused by lack or improper use of insulin with disruption
Disproportionately expensive disease with per-capita cost of health care FIVE time more compare with non-diabetes.
Type 1 DM: inability of pancreas to produce insulin due to autoimmune disease with
Type 2 DM: develops when a diabetogenic lifestyle (ie. excessive caloric intake- makan banyak, inadequate caloric expenditure- kurang bersenam and obesity) is superimposed upon susceptible gene. This is supposed to be adult onset DM, however, thanks and no thanks, due to fat and carbohydrate laden mac Donald and junk foods, we are seeing younger and younger patient, even school children with this type of DM. In fact DM and SMOKING is a highly potent combination for having accelerated Heart attack and stroke.
Secondary DM: In individuals with healthy lifestyles, long-term exposure to traffic-related pollution may contribute to the development of DM. This has implications for future generations who may experience increasing exposure to traffic air pollution with rising urbanization trends.Secondary DM may occur in patients taking steroid or when patients have conditions that antagonize the actions of insulin (eg, Cushing syndrome, acromegaly, pheochromocytoma).
Survey by Ministry of health shows 50% of DM patients did not realised that they have
Treatment of DM is individualised.