Hampir separuh penghidap kencing manis di Malaysia tidak tahu mereka menghidapinya. Jawab 5 langkah ringkas untuk mengetahui sama ada anda perlu membuat saringan diabetes, berdasarkan kriteria Panduan Amalan Klinikal (CPG) Kementerian Kesihatan Malaysia. Sulit sepenuhnya.Almost half of people with diabetes in Malaysia do not know they have it. Answer 5 short steps to find out whether you need diabetes screening, based on the criteria in the Ministry of Health Malaysia Clinical Practice Guidelines (CPG). Fully private.
Sediakan tinggi dan berat badan anda. Jika tahu, ukur lilit pinggang juga membantu.Have your height and weight ready. If you know it, your waist size also helps.
Tinjauan Kebangsaan Kesihatan dan Morbiditi (NHMS) mendapati 48.6% penghidap diabetes tidak tahu mereka menghidapinya semasa disaring. Sehingga separuh penghidap diabetes tidak mempunyai simptom, jadi saringan berdasarkan faktor risiko ialah cara terbaik untuk mengesannya awal, sebelum komplikasi pada mata, buah pinggang, saraf dan jantung berlaku.The National Health and Morbidity Survey (NHMS) found 48.6% of people with diabetes did not know they had it when screened. Up to half of people with diabetes have no symptoms, so risk-based screening is the best way to catch it early, before complications affect the eyes, kidneys, nerves and heart.
Semakan ini mengikut Jadual 2-1 CPG Management of Type 2 Diabetes Mellitus (Edisi ke-6, 2020): wanita yang pernah menghidap diabetes semasa hamil; dewasa berat berlebihan (BMI 23 ke atas, atau pinggang 80 cm ke atas bagi wanita dan 90 cm ke atas bagi lelaki) dengan mana-mana faktor risiko; semua yang disahkan pra-diabetes; dan dewasa berumur 30 tahun ke atas walaupun tanpa faktor risiko. Mereka yang bersimptom perlu disiasat terus.This check follows Table 2-1 of the CPG Management of Type 2 Diabetes Mellitus (6th Edition, 2020): women who had diabetes during pregnancy; overweight adults (BMI 23 or more, or a waist of 80 cm or more for women and 90 cm or more for men) with any risk factor; everyone with prediabetes; and adults aged 30 and over even without risk factors. People with symptoms should be investigated directly.
Baca 7 tanda awal diabetes, punca dan faktor risiko kencing manis, bacaan gula darah normal dan komplikasi kencing manis.Read 7 early signs of diabetes, causes and risk factors, normal blood sugar readings and diabetes complications.
Rujukan: Kementerian Kesihatan Malaysia. Clinical Practice Guidelines: Management of Type 2 Diabetes Mellitus, 6th Edition, 2020, Seksyen 2.2 & 2.3, Jadual 2-1.References: Ministry of Health Malaysia. Clinical Practice Guidelines: Management of Type 2 Diabetes Mellitus, 6th Edition, 2020, Sections 2.2 & 2.3, Table 2-1.
Pakar Endokrinologi dan Perubatan Dalaman Hospital Pakar An-Nur mentafsir keputusan saringan, mengesahkan diagnosis dan merancang rawatan diabetes. Lihat profil & tempah terus.An-Nur's endocrinology and internal medicine specialists interpret screening results, confirm the diagnosis and plan diabetes care. View profiles & book directly.
Butang Tempah membawa anda ke sistem tempahan qmed untuk mengunci slot temu janji.The Book button opens the qmed booking system to lock an appointment slot.
Menurut CPG KKM 2020, saringan disyorkan bagi dewasa berumur 30 tahun ke atas setiap tahun, wanita yang pernah menghidap diabetes semasa hamil, mereka yang pernah disahkan pra-diabetes, dan dewasa yang berat berlebihan (BMI 23 ke atas, atau ukur lilit pinggang 80 cm ke atas bagi wanita dan 90 cm ke atas bagi lelaki) yang mempunyai sekurang-kurangnya satu faktor risiko lain.
According to the KKM CPG 2020, screening is recommended every year for adults aged 30 and over, women who had diabetes during pregnancy, people with prediabetes, and overweight adults (BMI 23 or more, or a waist of 80 cm or more for women and 90 cm or more for men) with at least one other risk factor.
Orang Asia mempunyai risiko diabetes dan penyakit jantung yang lebih tinggi pada BMI yang lebih rendah berbanding orang Barat. Oleh itu CPG Malaysia menggunakan BMI 23 ke atas sebagai berat berlebihan untuk tujuan saringan diabetes.
Asians have a higher risk of diabetes and heart disease at a lower BMI than Western populations. So the Malaysian CPG uses a BMI of 23 or more as overweight for diabetes screening.
Diabetes disahkan melalui ujian gula darah berpuasa (puasa sekurang-kurangnya 8 jam), HbA1c, atau ujian toleransi glukosa oral (OGTT). Jika bacaan glukometer jari rawak 7.8 mmol/L ke atas, atau berpuasa 5.6 mmol/L ke atas, ia perlu disahkan dengan salah satu ujian ini.
Diabetes is confirmed with a fasting plasma glucose test (fast for at least 8 hours), HbA1c, or an oral glucose tolerance test (OGTT). If a random finger-prick reading is 7.8 mmol/L or more, or a fasting reading is 5.6 mmol/L or more, it needs to be confirmed with one of these tests.
Ya, jika anda memenuhi kriteria saringan. Tinjauan Kebangsaan Kesihatan dan Morbiditi (NHMS) mendapati hampir separuh penghidap diabetes di Malaysia tidak tahu mereka menghidapinya. Sehingga 50% penghidap diabetes tidak mempunyai simptom.
Yes, if you meet the screening criteria. The National Health and Morbidity Survey (NHMS) found almost half of people with diabetes in Malaysia did not know they had it. Up to 50% of people with diabetes have no symptoms.
Simptom termasuk letih dan lesu, kerap kencing termasuk pada waktu malam, sentiasa dahaga, kerap lapar, berat badan turun tanpa sebab, dan gatal di kemaluan. Jika anda ada simptom ini, jumpa doktor untuk ujian gula.
Symptoms include tiredness and lethargy, passing urine often including at night, constant thirst, frequent hunger, unexplained weight loss, and genital itching. If you have these symptoms, see a doctor for a sugar test.
Bagi mereka yang memenuhi kriteria saringan, CPG mengesyorkan ujian setiap tahun jika keputusan normal. Mereka yang disahkan pra-diabetes juga perlu diuji setiap tahun.
For people who meet the screening criteria, the CPG recommends testing every year if results are normal. People with prediabetes should also be tested every year.
⚠️ Penafian:Disclaimer: Semakan ini menggunakan kriteria saringan CPG KKM untuk tujuan pendidikan. Ia bukan diagnosis: diabetes hanya disahkan melalui ujian darah dan penilaian doktor. Jika anda ada simptom, jumpa doktor walaupun hasil semakan menunjukkan risiko rendah.This check uses the KKM CPG screening criteria for educational purposes. It is not a diagnosis: diabetes is only confirmed with a blood test and a doctor's assessment. If you have symptoms, see a doctor even if the check shows low risk.
Disemak Panel Pakar Perunding Hospital Pakar An-NurReviewed by the An-Nur Panel of Consultants
