scholarly journals Prediction of blood Sugar Regulation based on Healthy Boundaries, Ego Boundary and Post-trauma Growth in Patients with Diabetes.

Author(s):  
Masoumeh Abrandabadi ◽  
Maryam Mashayekh

Aims: The aim of this study was prediction of blood sugar regulation based on ego boundary, healthy boundary and post trauma growth in patient with Diabetes. Methods: For this purpose 50 people with diabetes were selected by multistage cluster sampling. The questionnaires used in this study were the post trauma growth inventory (PGI), the ego strength (PIES), and Healthy Boundaries (HB) Questionnaire. Results: Stepwise regression analysis showed that there were a significant positive relationship between blood sugar level (HbA1c) and ego strength, health boundaries and post-trauma growth (PTG). Conclusion: The findings indicate a significant correlation between hyperglycemia and health boundaries, ego strength and post-traumatic growth. This means that controlling and recognizing the boundaries of mental health and post-traumatic emotions prevents high blood (HbA1c) sugar and Type 2 diabetes.

2021 ◽  
Vol 1 (2) ◽  
pp. 112-117
Author(s):  
Fahruddin Kurdi ◽  
Zainal Abidin ◽  
Ratna Puji Priyanti ◽  
Anja Hesnia Kholis

Elderly are high risk for the development of type 2 diabetes due to the combined effects of increasing insulin resistance and impaired pancreatic function with aging. Diabetes mellitus is a chronic disease that causes insulin in the pancreas is not effective one of the treatments that can be done by diabetics to reduce blood sugar levels One of them with physical activity, the activity is taichi exercises.The purpose of this study was to investigate the effect of taichi exercises on reducing blood sugar levels in patients with type II diabetes mellitus.The design of this study was pre-experiment one group pre-test and post-test design with a population of 88 patients and a sample of 44 respondents. Research sampling technique used purposive sampling. Data collection with observation sheets. The intervention was carried out four times during 4 weeks. Before the intervention, sugar levels of type II diabetics were classified as moderate as 24 people (54.5%) and high as many as 20 people (45.5%). After the management of taichi exercises sugar levels experienced changes in the categories of good as many as 16 people (36.4%), moderate as many as 20 people (45.5%) and high as many as 8 people (18.2%). Data analized with Wilcoxon Signed Rank test with a significant level α = 0.05, the result ρ-value = 0.001 means ρ-value <α so that there is a significant effect of taichi exercises on decreasing blood sugar levels in patients with type II diabetes mellitus. Blood sugar levels in patients with diabetes mellitus before doing taichi exercises with the number of respondents 44 people mostly experienced changes, evidenced by the level of blood sugar levels from moderate levels to good. Keywords: Elderly, Taichi, Diabetes Mellitus, Blood sugar level


2021 ◽  
Vol 1 ◽  
pp. 1088-1096
Author(s):  
Regina Merdekari Rizki Ananda ◽  
Dafid Arifiyanto

AbstractDiabetes Mellitus is a group of metaboloc disoreders with sysptoms of increased blood sugar levels(hyperglycaemia) which results in damages to insulin secretion, insulin secretion,insulin activity, or both wrong behaviour ina diabetic diet will make blood sugar levels unstable and will have an impact in patients health problems. This study aimed to describe compliance in patients with type 2 diabetes mellitus through a literature review. The method used in the literature review wa to search for articles from 2011-2021 through NCBI searchles and the Garuda Portal. The searching results were obtained in the from of full text and pdf,rhen reviewed by using the strobe instrument,extracted then discussed, and concluded. The results of a literature review of 5 articles showed that there was an effect of dietary compliancr in patients with diabetes mellitus with results. Dietary adherence of diabetes patients was 324 respondents (58%) non-adherence and 235 respondents (42%) obedient in dientary compliance in type 2 diabetes mellitus patients. It can be concluded thet non-adherence diabetic patients can experience unstable blood sugar levels. Nurses should be able to increase the understanding of the importance of dietary compliance for patients with diabetes mellitus.Keywords: Compliance, Diet, Diabetes Mellitus. AbstrakDiabetes melitus merupakan sekumpulan hambatan metabolik dengan gejala peningkatan kadar gula darah (hiperglikemia) yang berdampak kerusakan sekresi insulin,aktivitas insulin, atau keduanya. Perilaku yang salah dalam diet diabetes akan menjadikan kadar gula darah tidak stabil dan akan berdampak pada gangguan kesehatan pada pasien. Penelitian ini bertujuan untuk mengetahui pengaruh kepatuhan diet pada penderita diabetes melitus tipe 2 melalui literatur review. Metode yang digunakan dalam literature review adalah mencari artikel tahun 2011-2021 melalui penelusuran Ncbi dan Portal Garuda. Hasil pencarian yang didapatkan berupa fulltext dan pdf, kemudian direview dengan menggunakan Intrumen strobe, diekstraksi kemudian dibahas dan disimpulkan. Hasil penelitian literature review dari 5 artikel menunjukkan bahwa adanya pengaruh terhadap kepatuhan diet pada pasien diabetes mellitus dengan hasil Kepatuhan diet pasien diabetes 324 responden (58%) tidak patuh dan 235 responden (42%) patuh dalam Kepatuhan Diet Pada Penderita Diabetes Mellitus Tipe 2. Pada penelitian ini didapatkan hasil penderita diabetes tidak patuh menjalani diet sehingga kadar gula darah dalam tubuh tidak stabil. Bagi perawat hendaknya dapat meningkatkan pemahaman tentang kepatuhan guna dapat memperbaiki diet bagi pasien Diabetes mellitus.Kata kunci: Kepatuhan , Diet, dan Diabetes Mellitus.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Petra Algenstaedt ◽  
Alexandra Stumpenhagen ◽  
Johannes Westendorf

Background. The effect of the daily consumption ofMorinda citrifolia(Noni) fruit juice on the physiological status of patients with diabetes type 2 (DT2) was tested over a period of two months.Methods.Morinda citrifolia(Noni) fruit juice (NFJ), 2 ml per kg bw per day, was consumed by twenty patients with DT2 after they underwent a standard treatment regimen including carbohydrate reduced diet and treatment with an antidiabetic drug and/or insulin. NFJ consumption started only after no further improvement was achieved. The intake of NFJ was terminated after eight weeks. The fasting blood sugar level was monitored every morning during the entire treatment period. Blood samples were taken before, at, and four and eight weeks after the start of NFJ intake. The analysis of the blood samples included the concentration of blood glucose, HbA1c, C-peptide, hs-CRP, triglycerides, total cholesterol, LDL, and HDL.Results. The consumption of NFJ by 20 patients with DT2 resulted in a significant mean decrease of the morning blood sugar level monitored over a period of eight weeks. While NFJ reduced the blood glucose level in several but not all hyperglycemic patients, it did not cause hypoglycemia in normoglycemic patients. NFJ consumption also reduced the mean HbA1c value significantly (p= 0.033). Significant decreases (p= 0.01) were also achieved for high sensitive CRP values in patients starting with high levels (>2 mg/L), whereas no change was observed in patients with normal values (< 2 mg/L). The level of C-peptide showed a significant mean increase after four weeks of NFJ consumption in those patients who started with low levels (<3 μg/l, p=0.004, N=11) but not in patients with higher levels (> 3 μg/L).Conclusion. The daily consumption of NFJ has the potential to regulate elevated blood sugar levels and some other pathological parameters in patients with DT2. NFJ therefore serves as a suitable additive to the diet of diabetic patients.


Author(s):  
Mohammad Javad Zibaee Nezhad ◽  
Kamran Aghasadeghi ◽  
Hossein Hakimi ◽  
Hassan Yarmohammadi ◽  
Farzad Nikaein

2021 ◽  
Vol 4 (IAHSC) ◽  
pp. 83-90
Author(s):  
Febriana Lulu Safitri ◽  
Wahyu Nuraini Hasmar

Introduction: The selection of appropriate drugs in patients with diabetes mellitus can control the blood sugar levels of a patient. When blood sugar levels can be controlled, then the incidence of complications can be avoided and the numbers of mortality and morbidity in diabetes mellitus will be decreased. The goal of this study is to determine the profile of the use of oral antidiabetic, insulin, or a combination, as well as to assess rationality the use of antidiabetic agents in patients with diabetes mellitus type 2 (DMT2) in the inpatient installation of one of the private hospitals in Bekasi 2020. Method: The research design used was an observational, descriptive, retrospective approach. Data derived from the medical records of DMT2 patients treated as inpatients at a private hospital in Bekasi Timur 2020. Results: Results for profile use of the drug antidiabetic agents most widely used in sequence, i.e., drug combinations of insulin with insulin, oral with oral, and insulin with oral. The evaluation of the accuracy of the use of the drug is set based on four parameters, namely the proper indication of 100%, the right drug of 58,33%, the right of the patient to 100%, and the right dose of 97,62%. Conclusion: It can be concluded that the evaluation of the use of the drug in patients with DMT2 still needs to be done so that the numbers of mortality and morbidity in patients with diabetes mellitus decrease.


This case focuses on how to treat patients with intensive and conservative blood sugar levels due to type 2 diabetes by asking the question: Should doctors target a “normal” blood glucose level in patients with type 2 diabetes? In the ACCORD trial, physicians could use any available diabetes medications to achieve the blood glucose targets. A target hemoglobin HbA1c (HbA1c) level of 6% or less was associated with increased mortality compared with a target of 7%–7.9%. Targeting an HbA1c ≤6% was associated with reduced early-stage microvascular disease, however. The optimal HbA1c target in patients with diabetes remains an area of active investigation.


2016 ◽  
Vol 94 (8) ◽  
pp. 623-627
Author(s):  
Oleg V. Udovichenko

Patients with diabetes mellitus (DM) are at risk of development of both diabetic foot syndrome and ulcers on the lower legs due to chronic venous insufficiency and other factors. The main group in this study was comprised of diabetic patients with ulcers of different etiology (venous, post-traumatic, mixed) treated at the Diabetic Foot Cabinet during 5 years (n=101). The group of comparison included simultaneously treated patients with diabetic foot syndrome (n=721). Patients of the main group was dominated by women (71%) and patients with type 2 DM. Ulcer healingdue to the treatment, persistent non-healing ulcers, and high-level amputations occurred equally often in the two groups: 60 and 58%, 18 and 15%, 4 and 5% respectively (р>0,05). Lower leg ulcers in DM are very persistent and constitute a serious medico-social problem to be addresses based at Diabetic Foot cabinets. The frequency of such ulcers and related amputations must be taken into consideration in epidemiological surveys.


2020 ◽  
Vol 3 (2) ◽  
pp. 9
Author(s):  
Cut Husna ◽  
Bahagia Akmal Saputra

Hypoglycemia is a condition characterized by measured blood sugar levels that are lower than normal values in type 2 diabetes mellitus (DM) patients. The impact of hypoglycemia cause a decrease in peripheral tissue perfusion resulting in decreased consciousness. Hypoglycemia detection is useful to early detect of the symptoms of hypoglycemi, hence it could be treated quickly and accurately. The purpose of this study is to determine the related factors (age, knowledge, long-term of diabetes mellitus, and the availability of blood glucose measuring devices) with the ability to detect hypoglycemia in patients with diabetes mellitus tipe 2 at a provincial hospital of Banda Aceh. This study used a descriptive correlative design. The study population was all diabetes mellitus type 2 patients who experienced hypoglycemia who visited to the Endocrine Polyclinic at a provincial hospital in Banda Aceh in 2018 totaling 1,364. The sampling used in this study is a purposive sampling technique for 99 respondents. Data collection using a questionnaire in a Gutman scale totaling 25 statements. The questionnaire reliability tested used Cronbach alpha = 0.955. Data were analyzed using the Chi-square test (α = 0.05). The results showed that no relationship between patient’s age with hypoglycemia detection ability (p=0.322), there was a relationship between knowledge with hypoglycemia detection ability (p=0.003), there was no relationship between long-term of diabetes mellitus with hipoglycemia detection ability (p=0.157), and there was a relationship between the availability of an independent glucose check (glucometer) with hypoglycemia detection ability (p=0.049). Based on the results, patient knowledge, availability of glukometer have a significantly affects on the ability to detect hypoglycemia. It is recommended to nurses in hospitals to increase knowledge of early detection of hypoglycemia in patients, education in using glucose check, and routine blood sugar checks in patients with diabetes mellitus.


2005 ◽  
Vol 11 ◽  
pp. 16
Author(s):  
Sandeep Kumar Mathur ◽  
Piyush Chandra ◽  
Sandhya Mishra ◽  
Piyush Ajmera ◽  
Praveen Sharma

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