TATALAKSANA NUTRISI PASIEN DIABETES MELLITUS TIPE 2 DENGAN OBESITAS PADA KEHAMILAN

Authors

  • Kadek Sinta Dwi Saraswati Program Studi Pendidikan Dokter Spesialis Penyakit Dalam, Fakultas Kedokteran Universitas Udayana/RS Ngoerah, Denpasar, Bali, Indonesia
  • Wira Gotera Departemen/KSM Penyakit Dalam, Fakultas Kedokteran Universitas Udayana/RS Ngoerah, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.31004/prepotif.v10i1.54845

Keywords:

Diabetes mellitus tipe 2, obesitas, kehamilan, terapi nutrisi medis

Abstract

Diabetes mellitus merupakan masalah kesehatan global yang signifikan. Di antara gangguan metabolik, diabetes mellitus tipe 2 merupakan yang paling sering terjadi. Patogenesis diabetes mellitus tipe 2 melibatkan berbagai faktor. Obesitas berkontribusi terhadap perkembangan diabetes mellitus tipe 2 melalui mekanisme yang melibatkan resistensi insulin. Kontrol glikemik yang baik pada pasien diabetes dapat mengurangi risiko komplikasi diabetes. Terapi nutrisi medis merupakan komponen fundamental dalam penatalaksanaan diabetes mellitus. Komposisi, proporsi, dan kebutuhan kalori pasien diabetes disesuaikan dengan tingkat aktivitas, berat badan, serta kondisi stres atau pascaoperasi. Kondisi khusus lain pada pasien diabetes dengan obesitas, seperti kehamilan, juga memerlukan penatalaksanaan khusus terkait kenaikan berat badan ibu yang ideal pada masa kehamilan. Oleh sebab itu, penting untuk mengetahui pendekatan terapi nutrisi pada wanita hamil dengan diabetes mellitus tipe 2 dan obesitas.

References

Abayomi, J., & Charnley, M. (2012). Dietary management of obesity and diabetes in pregnancy: Challenging the current guidelines. Journal of Diabetes Nursing, 16(1).

Adel El N. (2016). Case report of new onset of adult diabetes due to obesity with socioeconomic barrier. JOJ Case Studies, 1(1).

Dambha-Miller, H., Day, A. J., Strelitz, J., et al. (2019). Behaviour change, weight loss and remission of type 2 diabetes: A community-based prospective cohort study. Diabetic Medicine, 37, 681–688.

Dolatkhah, N., Hajifaraji, M., & Shakouri, S. K. (2018). Nutrition therapy in managing pregnant women with gestational diabetes mellitus: A literature review. Journal of Family & Reproductive Health, 12(2), 57–72.

Ekaidem, I. S., Bolarin, D. M., Udoh, A. E., et al. (2011). Plasma fibronectin concentration in obese/overweight pregnant women: A possible risk factor for preeclampsia. Indian Journal of Clinical Biochemistry, 26(2), 187–192.

Feig, D. S., Berger, H., Donovan, L., et al. (2018). Diabetes and pregnancy. Canadian Journal of Diabetes, 42(Suppl. 1), S255–S282.

Hassapidou, M., Vlassopoulos, A., & Kalliostra, M. (2023). European Association for the Study of Obesity position statement on medical nutrition therapy for the management of overweight and obesity in adults developed in collaboration with the European Federation of the Associations of Dietitians. Obesity Facts, 16, 11–28.

Janssen, J. (2021). Hyperinsulinemia and its pivotal role in aging, obesity, type 2 diabetes, cardiovascular disease and cancer. International Journal of Molecular Sciences, 22, 7797.

Kapoor, N., Sahay, R., Kalra, S., et al. (2021). Consensus on medical nutrition therapy for diabesity (CoMeND) in adults: A South Asian perspective. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14.

Langi, Y. A., Waspadji, S., Eliana, F., et al. (2021). Diagnosis dan penatalaksanaan hiperglikemia dalam kehamilan. Jakarta: Pengurus Besar Perkumpulan Endokrinologi Indonesia (PB PERKENI).

Lean, M. E. J., Leslie, W. S., Barnes, A. C., et al. (2018). Primary care-led weight management for remission of type 2 diabetes (DiRECT): An open-label, cluster-randomised trial. The Lancet, 391, 541–551.

Neall, K., Ullah, S., & Glastras, S. J. (2022). Obesity class impacts adverse maternal and neonatal outcomes independent of diabetes. Frontiers in Endocrinology, 13.

Petroni, M. L., Brodosi, L., Marchignoli, F., Sasdelli, A. S., Caraceni, P., Marchesini, G., & Ravaioli, F. (2021). Nutrition in patients with type 2 diabetes: Present knowledge and remaining challenges. Nutrients, 13(8), 2748.

Ringholm, L., Nørgaard, S. K., Rytter, A., Damm, P., & Mathiesen, E. R. (2022). Dietary advice to support glycaemic control and weight management in women with type 1 diabetes during pregnancy and breastfeeding. Nutrients, 14(22), 4867.

Rolls, B. J. (2017). Dietary energy density: Applying behavioural science to weight management. Nutrition Bulletin, 42(3), 246–25

Saisho, Y. (2015). β-cell dysfunction: Its critical role in prevention and management of type 2 diabetes. World Journal of Diabetes, 6(1), 109–124.

Soelistijo, S. A., Suastika, K., Lindarto, D., et al. (2021). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia. Jakarta: Pengurus Besar Perkumpulan Endokrinologi Indonesia (PB PERKENI).

Wesling, M., & D’Souza, J. J. (2022). Diabetes: How to manage overweight and obesity in type 2 diabetes mellitus. Drugs in Context, 11, 2021-11-7.

Wilding, J. P. H. (2014). The importance of weight management in type 2 diabetes mellitus. International Journal of Clinical Practice, 68(6), 682–691.

Wilmot, E., & Idris, I. (2014). Early onset type 2 diabetes: Risk factors, clinical impact and management. Therapeutic Advances in Chronic Disease, 5(6), 234–244.

Wondmkun, Y. T. (2020). Obesity, insulin resistance, and type 2 diabetes: Associations and therapeutic implications. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, 3611–3616.

Xie, J., Wang, M., Long, Z., et al. (2022). Global burden of type 2 diabetes in adolescents and young adults, 1990–2019: Systematic analysis of the Global Burden of Disease Study 2019. BMJ, 379.

Yamamoto, J. M., Kellett, J. E., Balsells, M., et al. (2018). Gestational diabetes mellitus and diet: A systematic review and meta-analysis of randomized controlled trials examining the impact of modified dietary interventions on maternal glucose control and neonatal birth weight. Diabetes Care, 41(7), 1346–1361

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Published

2026-02-20

How to Cite

Saraswati, K. S. D., & Gotera, W. (2026). TATALAKSANA NUTRISI PASIEN DIABETES MELLITUS TIPE 2 DENGAN OBESITAS PADA KEHAMILAN. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 10(1), 373–382. https://doi.org/10.31004/prepotif.v10i1.54845

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