Role of Water In Diabetes Mellitus Dr. Diyah Eka Andayani, MS, SpGK (PDGMI-Jaya) INTRODUCTION Diabetes mellitus (DM) or known as diabetes is a disease of increasing incidence rates in Indonesia. It is estimated that, in 2030, there will be more than 20 million diabetes sufferers in Indonesia and this is more worrying is that this disease not only affects the elderly, but the tendency to occur earlier in life (adult), young growing. Diabetes mellitus did not directly cause death, but complications caused to lower the quality of life to end in death. In addition to its heredity, obesity and habits of life that one becomes an important trigger factor. When blood sugar levels can be controlled well, then the complications caused by this disease can be prevented. WHAT THE SIGN OF A DIABETES AFFECTED? Beware the following signs: • Frequent urination, especially at night • Often feel thirsty or fast • excessive hunger or eat a lot • rapid weight down • Feeling weak and tired easily • Often feel tingling, especially in the feet and hands • blurred vision, dry or itchy skin, frequent infections or bruises, which need healing in a long time • Examination of fasting blood sugar reached 126 mg / dL or even more, and checking blood sugars 2 hours after fasting reach 180 mg / dL. When the examination was not done while fasting, is said to suffer from diabetes when blood sugar levels reach between 140 mg / dL and 200 mg / dL, especially when above 200 mg / dL THEN, WHAT COMPLICATIONS MAY OCCUR? Here is a complication of diabetes 1. Neurological disease, affects nearly all the body's nervous system 2. Eye disease, can cause vision problems 3. Cardiovascular disease (heart) 4. Kidney disease; impaired renal function 5. Digestive disorders such as stomach upset, abdominal pain, constipation, diarrhea, gallstones 6. Easy to infection, such as infections due to poor healing wounds HOW THE ROLE OF WATER IN THIS DISEASE? Water is an important substance for the body. Water what we choose our times will be saving us in the future. Simple habit of choosing what water we drink, can cause spikes in blood sugar levels are high in the future that leads to obesity and risk for diabetes. White water, a glass of tea without sugar, fresh fruit juices without sugar is the right choice of beverages to help keep blood sugar levels remain well preserved. In people with diabetes, the body no longer able to control blood sugar levels because the hormone insulin (a hormone produced by the pancreas, which is responsible for controlling blood sugar levels) no or few in number. As a result, the kidneys can not filter glucose (sugar) to go back into the blood, then the kidneys will draw additional water from the blood to destroy the glucose released through urine of patients. This causes people with diabetes frequent urination. When this condition is not addressed by either the patient's body would be prone to become dehydrated. It is very important in diabetics to keep his body remains well hydrated. Advice Change the wrong living habits, can reduce the risk for the occurrence of diabetes. Applying a healthy lifestyle by eating a balanced diet (increased fruit and vegetable consumption and reducing foods high in carbohydrates and fat), get enough rest and regular exercise can prevent disease kecing sweet and keep blood sugar in the body remains stable. Do not forget, drink at least eight glasses of water a day; than sufficient for the body also helps the various processes in the body, such as the process of detoxification, body temperature regulation, blood circulation and facilitate the digestive function. HOW TO SEE OUR BODY hydration status? Many ways can be done to determine the body's hydration status. Of course, each method has advantages and disadvantages. Cara2 include: 1) measure total body water by dilution, 2) measure the osmolality and plasma volume: 3) concentration of urine; 4) bioelectrical impedance, and 5) measurement of body mass. Although cara2 are very sophisticated and precise to determine the hydration status of the body, but difficult and expensive to do at any time. Well, there is a practical, easy and no cost that can be done anytime and anywhere, whether at home or at work. The trick is to compare the color of our urine with a row of color in visual aids PURI (check your own urine.) By using this PURI then we can immediately corrected if the body is not well hydrated by drinking water consumed immediately clean, safe, and healthy.