Oleh Admin Kalbe Medical pada November 02, 2018 06:00

Manfaat Pemberian Nutrisi Enteral pada Pasien Diabetes

Kontrol glikemik yang ketat, salah satunya dengan komposisi diet primer, memiliki dampak yang positif terhadap outcome klinis jangka panjang pada pasien diabetes dengan memperlambat progresivitas komplikasi yang dikaitkan dengan diabetes. Beberapa pasien diabetes membutuhkan suplementasi tambahan nutrisi yang disebabkan oleh asupan nutrisi yang kurang atau undernutrition. Selain itu, terdapat peningkatan jumlah pasien yang mendapatkan nutrisi enteral di rumah, termasuk di antaranya yang mendapatkan nutrisi standar dengan komposisi tinggi karbohidrat (KH), rendah lemak, dan rendah serat. Nutrisi standar ini umumnya memiliki jenis KH yang cepat diserap, sehingga menyebabkan terjadinya hiperglikemia pada pasien diabetes.

Pada sebuah tinjauan sistematis, nutrisi enteral khusus diabetes yang memiliki kandungan MUFA (monounsaturated fatty acid) dan fruktosa dapat memberikan efek kadar glukosa darah setelah makan dan kadar glukosa dibawah kurva (AUC) yang lebih rendah secara bermakna jika dibandingkan dengan formula standar. Akan tetapi, belum terdapat tatalaksana khusus pada pasien diabetes yang memiliki risiko malnutrisi yang membutuhkan dukungan nutrisi. Beberapa dekade terakhir, muncul argumentasi terkait akan jumlah penggunaan MUFA untuk memperbaiki profil nutrisi pada nutrisi enteral khusus diabetes dengan menurunkan kadar KH dan meningkatkan kadar MUFA.

Pada sebuah penelitian, suplementasi nutrisi enteral tinggi MUFA dapat memperbaiki profil HbA1c dan kadar albumin. Akan tetapi, pada studi lainnya, pemberian nutrisi enteral khusus diabetes dengan persentase distribusi kalori lemak yang lebih rendah, memberikan perbaikan pada parameter berat badan dan kadar protein tanpa menimbulkan gangguan metabolik. Selain itu, pada pasien diabetes lanjut usia penting adanya tatalaksana untuk menentukan kandungan MUFA yang ideal yang terkandung di dalam nutrisi khusus diabetes untuk memperbaiki parameter metabolik dan juga berat badan.

Sebuah penelitian terbaru yang dilakukan secara acak membandingkan efek dari pemberian nutrisi khusus diabetes yang memiliki kandungan tinggi MUFA pada 2 dosis yang berbeda selama 10 minggu terhadap 27 pasien lanjut usia (>65 tahun) dengan diabetes melitus tipe 2 dengan kehilangan berat badan >5% pada 3 bulan terakhir. Pasien diacak dan dibagi menjadi 2 kelompok dan menerima 2 saji (kelompok 1) atau 3 saji (kelompok 2) nutrisi enteral khusus diabetes tinggi MUFA. Hasilnya terdapat penurunan kadar HbA1c pada kedua kelompok secara bermakna jika dibandingkan dengan basal (p<0,05), peningkatan kadar albumin dan prealbumin secara bermakna terlihat pada kedua kelompok jika dibandingkan dengan basal (p<0,05), dan perbaikan berat badan secara bermakna terjadi pada kedua kelompok jika dibandingkan dengan basal (p<0,05). Tidak terdapat efek samping, seperti mual, muntah, nyeri abdomen, dan cramp yang dilaporkan, serta tidak terdapat drop-out akibat intoleransi. (LAI)
    
Simpulan:
Berdasarkan studi tersebut, pemberian nutrisi enteral dengan kandungan tinggi MUFA dapat memperbaiki HbA1c dan status nutrisi. Perbaikan terlihat lebih baik pada kelompok dengan 3 saji per hari jika dibandingkan dengan 2 saji per hari, akan tetapi tidak bermakna secara statistik.

Image : Ilustrasi
Referensi:
1.de Luis DA, Izaola O, de la Fuente B, Terroba MC, Cuellar L, Cabezas G. A randomized clinical trial with two doses of an enteral diabetes-specific suplements in elderly patients with diabetes mellitus type 2. Eur Rev Med Pharmacol Sci. 2013;17(12):1626-30.
2.Pohl M, Mayr P, Mertl-Roetzer M, Lauster F, Haslbeck M, Hipper B, et al. Glycemic control in patients with type 2 diabetes mellitus with a disease-specific enteral formula: Stage II of a randomized, controlled multicenter trial. JPEN J Parenter Enteral Nutr. 2009;33(1):37-49.

Related Articles

Manfaat Suplementasi Omega-3 pada Ibu hamil dan Menyusui Asam lemak omega 3 rantai panjang sejak lama telah diketahui sangat penting untuk perkembangan sistem saraf bayi yang optimal pada awal kehidupannya. ...
Pemberian Methylprednisolone Preoperatif Bermanfaat Mengurangi Cedera Endotel Pasca-Total Knee Arthroplasty Tindakan total knee arthroplasty adalah tindakan penggantian sendi lutut dengan prosthesis. Tindakan ini biasanya dilakukan atas indikasi osteoartriti...
Granisetron Transdermal untuk Gastroparesis Gastroparesis merupakan salah satu dari 2 gangguan neuromuskuler pada lambung, di mana yang satu lagi adalah dispepsia fungsional. Walaupun gastropare...
Suplementasi Vitamin D Bermanfaat Mengurangi Frekuensi Kejadian Eksaserbasi PPOK PPOK (Penyakit Paru Obstruktif Kronik) adalah penyakit peradangan kronik pada saluran napas bawah yang ditandai oleh sesak napas dan batuk dengan prod...
Early vs Late Pemberian Nutrisi Parenteral pada Pasien Critical Ill, Kapankah Waktu yang Tepat? Critical ill memicu terjadinya anoreksia dan ketidakmampuan untuk makan secara normal, kondisi ini menyebabkan terjadinya defisiensi nutrisi, hilangny...

Comments

zzzzz zzzzz
## zzzzz zzzzz
Wednesday, November 07, 2018 1:22 PM

nike shoes


kate spade outlet


jordan 4


christian louboutin shoes


skechers shoes


fitflops clearance


moncler outlet


coach outlet online


canada goose outlet


mbt shoes


moncler jacket


christian louboutin


tory burch outlet


christian louboutin outlet


pandora


kate spade outlet


ralph lauren


reebok outlet


canada goose outlet


ugg outlet


adidas yeezy


manolo blahnik


jordan shoes


mbt shoes


canada goose outlet


hogan shoes


ralph lauren polo


pandora charms


coach outlet


kate spade outlet


nike blazers


vibram five fingers


red bottom shoes


christian louboutin shoes


adidas shoes


prada handbags


coach outlet


ugg boots


true religion jeans outlet


michael kors outlet


dsquared2


canada goose outlet


michael kors outlet


canada goose outlet


moncler outlet


prada shoes


salomon shoes


ray ban sunglasses


ugg outlet


pandora outlet


lacoste polo


christian louboutin shoes


air max 90


canada goose outlet


giuseppe zanotti


nike shoes


ralph lauren uk


off white outlet


valentino shoes


off white clothing



jordan clothing


soccer shoes


true religion


louboutin shoes


pandora outlet


moncler outlet


off white jordan


kate spade outlet


christian louboutin outlet


clarks outlet


red bottom shoes


ralph lauren polo


new balance shoes


canada goose


james harden shoes


louboutin shoes


issey miyake


stussy


coach outlet


canada goose outlet


ugg boots clearance


adidas clothing


moncler outlet


louboutin shoes


ray ban sunglasses


coach outlet online


basketballl shoes


moncler outlet


supreme clothing


coach factory outlet


jordan shoes


true religion jeans


ralph lauren polo


christian louboutin outlet


moncler jackets


asics shoes


canada goose


pandora jewelry


coach outlet factory


coach outlet


bottega veneta


fitflops clearance


true religion


fidget spinner


canada goose outlet


christian louboutin outlet


adidas yeezy


nike tn


clarks shoes


supreme clothing


christian louboutin shoes


coach outlet


christian louboutin outlet


christian louboutin outlet


clarks shoes


moncler jackets


air max 90


adidas superstar


nba jerseys


air max 90


nike shoes


christian louboutin


nike shoes outlet


ralph lauren polo


ferragamo belt


hermes belt


adidas outlet



coach outlet


ferragamo shoes


christian louboutin


ugg boots clearance


yeezy boots 350


nike clothing


louboutin shoes


jordan uk


coach outlet online


ralph lauren uk


canada goose outlet


nhl jersey


kate spade handbags


louboutin shoes


red bottom shoes


louboutin shoes


coach outlet


nike shoes


canada goose jackets


coach outlet


coach outlet


kate spade outlet


nike huarache


true religion jeans


mbt shoes


ugg boots



ray ban sunglasses


jordan 8


coach outlet


hugo boss


champion clothing


ralph lauren polo


dsquared2


ultra boost 3.0


adidas nmd


adidas clothing


ray ban sunglasses


true religion jeans outlet


ralph lauren polo


ugg outlet


coach outlet


ugg outlet clearance


coach outlet


jordan shoes


hogan shoes


ralph lauren polo


mlb jerseys


jordans


canada goose jackets


ugg outlet


canadian goose


oakley sunglasses


longchamp


ralph lauren polo


coach factory outlet


coach outlet


supreme


nike shoes


ecco shoes


jordans


nike air max


ugg boots


north face


ecco shoes


pandora charms


michael kors outlet


canada goose clothing


pandora charms


fitflops clearance


hermes belt


coach factory outlet


converse trainer


longchamp outlet


tod's outlet


pandora jewelry


canada goose outlet


superdry uk


asics shoes


coach handbags


hugo boss


pandora outlet


clarks outlet


ugg outlet boots


fitflops clearance


champion sportswear


birken stock


ray ban sunglasses


christmas presents


nike outlet


coach outlet online


pandora jewelry


christian louboutin


off white shoes


coach outlet


nike outlet factory


ugg boots


coach outlet


coach factory outlet



true religion jeans


canada goose outlet


ralph lauren uk


salomon shoes


canada goose jacket


north face


longchamp outlet


ugg boots outlet


michael kors outlet


red bottom shoes


moncler outlet


pandora charms


canada goose


ed hardy uk


kate spade


jordan shoes


michael kors outlet


zzzzz2018.11.7
chenlixiang chenlixiang
## chenlixiang chenlixiang
Friday, November 09, 2018 10:36 AM
2018.11.9chenlixiang

adidas


adidas outlet


converse chuck taylor


marc jacobs handbags


kobe 9


jordan


bottega veneta sunglasses


jordan xx9


nike free


ugg outlet


iphone cases


michael kors outlet


tommy hilfiger


nike air max 90


ugg boots


asics gel


moncler outlet


wedding dresses


dyson hair dryer


nike kyrie 2


reebok outlet store


kevin durant shoes


freshjive clothing


nike air force


sac michael kors


jordan 1


ugg outlet


arcteryx jackets


timberland


curry 3


balmain


alife clothing


kobe 10


mizuno running shoes


longchamp bags


hollister outlet


ray ban


kenzo clothing


cartier love bracelet


michael kors


hogan


beats headphones


michael kors outlet


jordan 3


kyrie irving jersey


mont blanc


clarisonic


givenchy bags


jimmy choo sunglasses


coach outlet


kate spade outlet


lacoste jeans


nike air max


bottega veneta


nike blazer


adidas outlet


new balance


nike air max


tory burch outlet


cheap nfl jerseys


burberry outlet


nike outlet


softball bats


ralph lauren


air max 97


oakley


nike blazer


ghd


kd 9


huf


jordan 2


true religion


kevin durant shoes


a bathing ape


bose headphones


adidas zx flux


roshe run


salvatore ferragamo


mulberry outlet


jordan 4


baseball bats


yves saint laurent


new balance


sac longchamp


true religion jeans


fendi sunglasses


stuart weitzman


converse shoes


stuart weitzman


antonio brown jersey


ed hardy


true religion jeans


prada


air max


hermes uk


nike air max 90


christian louboutin


chi flat iron


guess


nike air max


fitflops


gucci outlet


chloe handbags


chrome hearts


longchamp


isabel marant


michael kors handbags


pandora jewelry


designer sunglasses


nike air max plus


bcbg max


supra


soccer shoes


jordan shoes


louboutin


curry 4


gentle monster sunglasses


jordan 7


links of london


wedding dresses


rolex


jordan 32


jordan 9


moncler jackets


skechers shoes


ray ban


adidas uk


oakley glasses


air max 2017


guess


true religion outlet


france world cup jersey


bape


hogan


instyler ionic styler


nike air max


vans


carson wentz jersey


nike blazer pas cher


germany world cup jersey


jordan 10


mac makeup


oakley vault


jordan clothing


nike store


yeezy shoes


louboutin


fendi


bvlgari sunglasses


nike store


kate spade


hollister


uggs outlet


ray ban sunglasses


nike canada


longchamp


roshe run


timberland boots


dansko shoes


adidas outlet store


replica watches


kate spade outlet


nike factory


10 deep clothing


barbour


jimmy choo


abercrombie


armani handbags


jordan 6


argentina world cup jersey


calvin klein


alexander mcqueen


flip flops


champion


air jordan


jordan 13


ray ban


michael kors outlet


vanessa bruno


nike roshe run


salvatore ferragamo shoes


kd 10 elite


gucci handbags


air max 95


pandora jewelry


dolce & gabbana


christian louboutin


vans shoes


mac makeup


prada outlet


roshe run


gucci bags


guess


fendi


tods shoes


air max 2017


ferragamo


herve leger


jordans


adidas outlet


jordan


converse


cheap uggs


nike free


ray ban sunglasses


nike foamposite


jordan


golden goose sneakers


ralph lauren outlet


wedding dresses


dolce & gabbana sunglasses


oakley


burberry


calvin klein jeans


curry 5


air max


michael kors


beats


nike air force


reebok


omega watches


converse


michael kors canada


oakley sunglasses


converse shoes


michael kors outlet


michael kors


adidas trainers


clarks shoes


ray ban


nike outlet


kyrie 4


adidas running shoes


nike tn


kristaps porzingis jersey


pandora


lululemon outlet


balenciaga shoes


mont blanc


nfl jerseys


insanity workout


converse outlet store


jordans


air more uptempo


hermes outlet


aaron rodgers jersey


nike shoes


beats headphones


chloe sunglasses


basket store


chanel


michael kors outlet


chopard jewelry


marc jacobs handbags


nike air


supra


sac guess


nike air max


bulgari jewelry


michael kors outlet


coach outlet


dolce & gabbana


hermes jewelry


jordan shoes


bcbg


ray ban sunglasses


mizuno


madrid jersey


manolo blahnik


kobe 12


cheap toms


seahawks jerseys


ferragamo belt


coach outlet


jordan 11


carrera sunglasses


abercrombie


nike outlet


lululemon outlet


jordan 12s


nike air max


kobe 11


ugg boots


tommy hilfiger


longchamp


james harden jersey


g-star jeans


jerseys


asics


uggs outlet


coach outletr


adidas crazy


louboutin pas cher


curry 2


nike mercurial


nike air max 2018


kate spade outlet


armani jeans


jordan 31


jordan 8


polo ralph lauren


burberry outlet


nike free


prada outlet


oakley sunglasses


boy london clothing


oakley sunglasses


valentino


nike free run


chloe handbags


true religion jeans


puma shoes


nike


asics


karen millen


converse


replica watches


dolce and gabbana


tory burch outlet


dior handbags


oakley sunglasses


nike mercurial


moncler jackets


salomon shoes


nike huarache


england world cup jersey


tory burch outlet


air zoom pegasus


ralph lauren


oakley sunglasses


timberland boots


canada goose jackets


polo ralph lauren


red bottoms


beats by dre


hermes


canada goose jackets


burberry handbags


tiffany & co


belgium world cup jerseys


new balance


armani sunglasses


michael kors


air max 90


celine


dak prescott jersey


nike air force


basket nike


burberry outlet


ghd hair straighteners


coach purse


nike vapor max


diesel jeans


true religion outlet


givenchy jewelry


montre pas cher


sac burberry


ray ban


nike roshe run


marc jacobs


abercrombie


keen


gucci belt


nike pas cher


harry winston jewelry


louboutin


jordan retro


vans shoes


nike air max


cheap oakley sunglasses


polo ralph lauren


louboutin


jordan 5s


nike free run


hogan shoes


ferragamo shoes


abercrombie


michael kors borse


versace handbags


basketball shoes


designer sunglasses


jordans


adidas soccer


jordan


chanel handbags


chanel


fossil


cheap nfl jerseys


babyliss


uggs outlet


tommy hilfiger


nike free


adidas flip-flops


oakley vault


nike air max 90


lebron james shoes


adidas soccer cleats


pandora


barbour


miu miu shoes


spain world cup jersey


air max 90


ray ban sunglasses


roshe run


new balance shoes


kevin durant jersey


nike air force 1


eagles jersey


nike outlet store


air jordan


nike outlet online


toms outlet


asics


longchamp handbags


lebron shoes


parajumpers


ralph lauren outlet


jordan 14


lebron 11


bally


giannis antetokounmpo jersey


jimmy choo


nike roshe run


christian louboutin


karen millen uk


burberry sunglasses


burberry


chrome hearts jewelry


swarovski


nike air max


coach handbags


dansko


ghd


giuseppe zanotti


dsquared2 jeans


rolex watches


basketball jersey


rolex


nike air max


jordan 6s


vibram fivefingers


coach outlet online


mizuno running shoes


fitflop


kids jordans


cartier sunglasses


furla handbags


dsquared2 outlet


soccer jerseys


ugg outlet


ray ban outlet


swarovski


gucci outlet


timberland


adidas outlet


ralph lauren


jbl speakers


michael kors outlet


longchamp


kobe 10


nike clothing


swarovski


jordans


ugg boots


adidas superstar


portugal world cup jersey


jordan shoes


oakley


insanity


pandora charms


fitflops outlet


adidas clothing


pandora


mac cosmetics


montre pas cher


vans


adidas outlet


insanity


christian louboutin


nike shoes


birkin bag


pandora jewelry


goyard handbags


montre


adidas slides


rolex watches


swarovski crystal


nike air max 95


iphone x case


ferragamo sunglasses


coach outlet


ferragamo


brazil world cup jersey


nike store


2018.11.9chenlixiang
xiaojun xiaojun
## xiaojun xiaojun
Tuesday, December 11, 2018 10:41 AM

christian louboutin outlet


chaussures christian louboutin


christian louboutin outlet


adidas yeezy


pandora charm


coach outlet


michael kors outlet


coach outlet


nike outlet


air jordan retro


coach factory outlet


fitflops sale


ugg outlet


ugg outlet


coach outlet


christian louboutin outlet


ugg boots


moncler outlet


canada goose jackets


christian louboutin shoes


canada goose jackets


coach outlet store online


nike outlet


canada goose outlet


coach factory outlet


pandora charms


ugg boots


pandora outlet


canada goose jackets


christian louboutin outlet


pandora charms


lacoste outlet


uggs outlet


canada goose jackets


coach outlet online


ugg boots


pandora charms


ugg boots


christian louboutin shoes


pandora outlet


ugg boots


coach outlet online


pandora charms


coach factory outlet


coach outlet


coach outlet


clarks outlet


canada goose jackets


canada goose outlet


ed hardy clothing


coach outlet


canada goose jackets


ugg boots


coach outlet


coach outlet canada


coach outlet


canada goose outlet


pandora jewelry


coach outlet


ugg boots clearance


coach outlet online


cheap ugg boots


uggs outlet


coach outlet


canada goose outlet


canada goose


uggs outlet


coach outlet


canada goose outlet


adidas outlet


canada goose jackets


christian louboutin outlet


canada goose jackets


christian louboutin outlet


uggs canada


coach outlet online


nfl jerseys


coach outlet


coach outlet online


coach outlet online


canada goose outlet


pandora jewelry


pandora outlet


pandora jewelry outlet


coach outlet


coach outlet online


canada goose outlet


christian louboutin outlet


coach outlet online


coach outlet


pandora outlet


coach outlet


coach outlet


ugg boots


coach outlet


coach outlet online


christian louboutin outlet


christian louboutin outlet


kate spade bags


canada goose outlet


clarks shoes


christian louboutin outlet


puma outlet


christian louboutin outlet


canada goose outlet


polo outlet


coach outlet


coach outlet online


ugg outlet


canada goose jackets


canada goose jackets


pandora charms


canada goose outlet


uggs outlet


ugg boots


prada handbags


coach outlet online


uggs canada


coach outlet


lacoste polo


christian louboutin outlet


canada goose outlet


ugg boots clearance


ugg boots


adidas yeezy shoes


ugg boots


kate spade outlet


coach outlet


ugg boots


coach outlet online


pandora jewelry


canada goose outlet


coach outlet


coach factory outlet


pandora charms


polo ralph lauren


pandora outlet


canada goose outlet


coach outlet


adidas shoes


nike outlet


christian louboutin shoes


ugg outlet


nike shoes outlet


uggs canada


nike shoes


canada goose jackets


adidas nmd shoes


nike shoes outlet


lacoste shirts


christian louboutin outlet


pandora outlet


coach outlet online


coach outlet


ugg outlet


coach outlet


canada goose outlet


christian louboutin outlet


coach outlet online


mbt shoes


christian louboutin outlet


pandora outlet


coach outlet


pandora jewelry


coach outlet


coach outlet


christian louboutin outlet


christian louboutin


coach outlet online


pandora charms


canada goose


coach outlet


kate spade handbags


canada goose outlet


coach factory outlet


christian louboutin outlet


coach outlet


pandora charms sale clearance


vibram fivefingers


canada goose outlet


canada goose jackets


coach outlet online


coach factory outlet


cheap snapbacks


coach outlet


coach outlet


ugg outlet


coach outlet


pandora charms


canada goose outlet


coach outlet


coach outlet canada


christian louboutin outlet


fred perry polo


christian louboutin outlet


canada goose jackets


canada goose outlet


pandora charms


canada goose outlet


pandora outlet


canada goose outlet store


canada goose outlet


canada goose jackets


pandora jewelry


christian louboutin outlet


canada goose jackets


canada goose jackets


pandora outlet


cheap jerseys


canada goose outlet


coach outlet


pandora outlet


pandora outlet


coach outlet


adidas outlet online


coach factory outlet


christian louboutin boutique


mulberry handbags


ugg outlet


coach outlet


coach outlet


ugg boots


valentino outlet


ugg boots


coach outlet


pandora outlet


canada goose outlet


christian louboutin outlet


canada goose jackets


coach factory outlet


canada goose


pandora jewelry


pandora jewelry


coach outlet


canada goose outlet


coach outlet


canada goose jackets


canada goose jackets


canada goose outlet


fitflops sale clearance


canada goose outlet


canada goose outlet


christian louboutin outlet


fred perry outlet


coach factory outlet


coach outlet


ugg boots


coach outlet


pandora jewelry


christian louboutin outlet


pandora outlet


canada goose jackets


coach outlet online


uggs outlet


pandora outlet


coach outlet


canada goose outlet


ugg boots


canada goose jackets


christian louboutin outlet


pandora jewelry


coach outlet online


christian louboutin outlet


canada goose jackets


chenlili20181211
djc luv
## djc luv
Sunday, December 23, 2018 3:30 PM
thanks for this blog!! multiplayer racing games
qzyfffff qzyfffff
## qzyfffff qzyfffff
Saturday, December 29, 2018 2:58 PM

goyard bag


jordan shoes


off white clothing


yeezy boost 350 v2


ferragamo belts


michael kors purses


lebron 16


adidas stan smith


adidas crazy explosive


michael kors handbags


air jordan 13


nike max


yeezy 700


jordans


adidas nmd


nike kd 11


golden goose outlet


hermes online shop


goyard handbags


lebron 11


converse outlet


adidas eqt


golden goose outlet


balenciaga shoes


nike air max 2017


fila shoes


lacoste polo


hermes birkin


adidas nmd runner


chrome hearts online


hermes handbags for sale


goyard bag


kyrie 4 shoes


red bottoms


kd 11


off white


balenciaga shoes


adidas iniki


yeezy boost 350


ralph lauren uk


hermes handbags bag


timberland outlet


chrome hearts


jordan 11


yeezy 500


nike air force 1


supreme hoodie


moncler jacket


nba jerseys


nike roshe run


nike flyknit


kd 10


valentino shoes


cheap mlb jerseys


michael kors handbags


michael kors outlet


lebron 15


kyrie irving shoes


jordan 13


jordan 6


mbt shoes outlet


air max


cheap jordans


louboutin shoes


jordans


pandora jewelry


nike polo shirts


nmd


air force 1


nike sneakers


retro jordans


kobe basketball shoes


kyrie shoes


birkin bag


nike epic react


stephen curry 5


hermes outlet online


nike air max


kobe sneakers


adidas nmd


nike lebron 16


lacoste outlet


fila shoes


adidas yeezy


kd shoes


tory burch shoes


michael kors factory outlet


yeezy shoes


adidas ultra boost


nmd


yeezy boost 350


coach factory outlet


nike shoes


vans outlet


kd shoes


goyard st louis tot


lebron shoes


nike foamposite


goyard bags


adidas superstar


adidas zx flux


chrome hearts online


moncler outlet


michael kors outlet


vans shoes


nike air max


nfl jerseys


fake rolex


timberland boots


air jordan


jimmy choo shoes


fila shoes


lacoste outlet


coach outlet sale


off white hoodie


golden goose sneakers


yeezy boost


cheap nfl jerseys


yeezy boost 350


adidas ultra boost


adidas stan smith


michael kors


golden goose sneakers


rolex replica


yeezy boost 350


michael kors outlet


fake rolex


nike epic react


crazy explosive


yeezy boost 350


coach outlet online


tory burch outlet


chrome hearts


longchamp outlet


ferragamo belt


off white clothing


coach outlet sale


birkin bag


jordan retro


adidas yeezy


off white x jordan 1


jordan retro 12


golden goose


nike air max 2018


nike air force


james harden shoes


off white hoodie


Kanye West shoes


calvin klein outlet


yeezys


red bottom heels


stephen curry 5


yeezy 500


tory burch sandals


coach handbags


yeezy boost 350


yeezy boost


air jordan


iniki


ultra boost


longchamp bags


adidas eqt support


cheap nba jerseys


nike vapormax


cheap jordans


balenciaga shoes


polo ralph lauren


links of london


adidas shoes


westbrook shoes


kd 11


yeezy boost 350 v2


adidas stan smith sneakers


adidas outlet online


michael kors outlet online


jordan 4


adidas nmd r1


nike air max 2019


zx flux


adidas stan smith shoes


kyrie 3


balenciaga


coach outlet


nike sneakers for women


yeezy boost 350 v2


off white jordan 1


nike cortez


fila


yeezy boost 350 v2


fila


adidas tubular shadow


yeezy shoes


longchamp


yeezy


lacoste online shop


curry 5


yeezy boost 350 v2


nike hyperdunk


adidas tubular


curry 4


kd shoes


basketball shoes


fitflops sale clearance


michael kors outlet


air yeezy


vapormax


adidas shoes online


yeezy boost 350 v2


golden goose


yeezy boost


michael kors outlet online


nike shox


kyrie 4


michael kors handbags outlet


baseball jerseys


golden goose


adidas tubular


balenciaga sneakers


goyard handbags


nike air max 270


bape hoodie


nike basketball shoes


golden goose


lacoste polo


cat boots


coach outlet


adidas nmd


lebron 15 shoes


yeezy


hermes handbags


nike cortez men


adidas outlet


michael kors handbags


mbt shoes


adidas superstars


off white shoes


christian louboutin


jordan 12


cheap nba jerseys


hermes belts for men


canada goose jacket


lebron shoes


off white clothing


michael kors


golden goose sneakers


cheap jordans


hermes belt


fake rolex watches


ysl handbags


lacoste


coach outlet online


converse outlet store


air max 2018


hermes belt


golden goose outlet


100% real jordans for cheap


air max 270


goyard wallet


chrome hearts


fila disruptor


asics shoes


caterpillar boots


adidas yeezy


kobe shoes


yeezy shoes


fila shoes


kate spade handbags


jordan retro 6


bape hoodie


curry 4


mbt shoes online


michael kors outlet


kobe shoes


yeezy boost


balenciaga


russell westbrook shoes


nike air max


adidas gazelle


michael kors handbags


nfl store


adidas yeezy


ysl


adidas yeezy boost


yeezy boost 700


goyard


hogan outlet


golden goose


off white shoes


nike flyknit racer


valentino


fila


kobe 11


cheap jordans


kobe byrant shoes


reebok shoes


lebron 16 shoes


kevin durant shoes


nike air max 90


birkin bag


hermes bags


louboutin shoes uk


nike react


balenciaga triple s


reebok outlet


lebron 16


lebron 16 shoes


kobe 9


adidas ultra boost uncaged


yeezy boost


yeezy shoes


off white nike


longchamp handbags


yeezy shoes


yeezy boost


coach outlet


coach factory outlet


calvin klein outlet online


fila sneakers


jordans


michael kors outlet online


nike react


yeezy shoes


nike huarache


jordan shoes


nike roshe


supreme hoodie


ralph lauren uk


michael kors handbags


pandora bracelet


pure boost


lebron 10


yeezy boost 500


curry 4 shoes


nike shox for men


nike sneakers for men


tory burch


golden goose


harden shoes


jordan shoes


supreme clothing


lebron james shoes


yeezys


adidas ultra


nike air max


asics running shoes


ferragamo belts


red bottom shoes


canada goose


golden goose sneakers


kobe 9


fila


yeezy boost 350


kobe 11


nike huarache


chrome hearts online


birkin bag


michael kors uk


jordan shoes


moncler jackets


michael kors outlet


links of london outlet store


goyard


adidas shoes outlet


goyard bags


jordan 11 retro


lacoste polo


nhl jerseys


adidas tubular


off white


yeezy


nike polo


goyard handbags


golden goose outlet


nike jordans


gucci belt


off white


replica rolex


yeezy shoes


coach outlet


nike air huarache


paul george shoes


gucci belts


kd 11 shoes


balenciaga


retro jordans


air jordans


fitflops


hermes handbags


jordan sneakers


lebron 16


ferragamo belt


air max 2019


air max 90


moncler jackets


hogan outlet online


curry 5


yeezy boost 350


yeezy boost 350


hermes belt


michael kors handbags


yeezy boost


michael jordan shoes


jordan shoes


golden goose outlet


offwhite


lacoste polo shirts


adidas pure boost


air jordan 4


mlb jerseys


qzyfffff
L M
## L M
Wednesday, January 09, 2019 6:51 PM

Today we introduce the history of Yamaha outboards For Sale motor.

It’s the new time all over the world. New people, new thing, new atmospherescene.

The speed is very low if we go from the shore to the other side. We swiping the boat

by our hands. We need 10 minutes to ask the boat go only 50 meter.


However, it’s the new time now. Everything can go faster by the new technology.

For example, we can driver the car instead of walking by our feet. We can save more

time to finish the process. Outboard motors for sale is the example for fisher.


As the fisher, they hope that can take least time to catch the most fishes. Then they can earn more money for their families and take more time to do the thing they love. To solve the problem, outboard motor is proposed. With the help of outboard engine, the fishers can catch about 200 fishes in 2 hours. By Yamaha 4 stroke for sale,well begun is half done


With engine, it’s a great progress of human history.

However, it’s not conducive to sustainable development. Human catch more and more fish and the sea environment is worse and worse. With outboard engines For Sale ,the sea is not beautiful and blue again. The fish is less and less.


We would notice our action if we hope the next generation can taste the fish and seethe fish they can’t touch before. We are the special company import and export 300hp outboard for sale. We can supply the 2019 brand new and genuine Yamaha, Suzuki and Honda outboard motor with wholesale price and free shipping.



Post Comment

Only registered users may post comments.