Perubahan Osmolaritas Pasien Hiperglikemia  dengan Terapi Rehidrasi

Introduction: Uncontrolled DM hyperglycaemia will cause an increase in osmolarity which will disrupt the body's fluid and electrolyte balance. Rehydration therapy will replace the composition of body fluids caused by hyperosmolarity. Observation of management of hyperglycaemia only focuses on looking at blood sugar levels after rehydration therapy is given without looking at the body's osmolarity as an indicator of body fluid balance. This study aims to analyse changes in osmolarity in hyperglycaemic patients receiving rehydration therapy.Methods: This study was a comparative study with a prospective cohort approach. The number of samples in this study were 56 respondents with data collection using the consecutive sampling technique. Study sample of hyperglycaemic DM patients receiving rehydration therapy at the emergency room at a hospital in Tulungagung. The research instrument used an observation sheet. Data analysis used paired t-test.Results: Based on bivariate analysis there are changes due to rehydration therapy in the osmolarity variable with p value 0.000.Conclusion: Changes in osmolarity occur due to a decrease in blood glucose levels after fluid rehydration is carried out. This further proves that rehydration therapy is very effective in reducing blood glucose levels (hyperosmolarity) in the blood. Continuous osmolarity and hemodynamic examination are very necessary for hyperglycaemic patients with rehydration therapy to determine the effects of rehydration therapy as well as to determine the side effects of rehydration therapy so prevention can be done so that it does not become a problem causing emergency emergency situations.

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ANALISIS PERUBAHAN HEMODINAMIKA TUBUH PADA PASIEN HIPERGLIKEMIA DENGAN TERAPI REHIDRASI DI IGD RSUD DR. ISKAK TULUNG AGUNG

Jurnal Kesehatan Mesencephalon ◽

10.36053/mesencephalon.v3i2.49 ◽

2017 ◽

Vol 3 (2) ◽

Author(s):

Erik Irham Lutfi ◽

Titin Andri Wihastuti ◽

Heri Kristianto

Keyword(s):

Blood Glucose ◽

Sampling Technique ◽

Pulse Frequency ◽

Bivariate Analysis ◽

P Value ◽

Electrolyte Balance ◽

Glucose Levels ◽

Consecutive Sampling ◽

Blood Glucose Levels ◽

The World

Abstract : Disease patterns change in the World led to significant increases of non infectious diseases, one of which is DM hyperglycemia with Indonesian rank fifth in the World. Uncontrolled DM hyperglycemia will lead an increase in osmolarity that will disrupt the body's fluid and electrolyte balance. The primary management of hyperglycaemia according to ADA is by fluid rehydration therapy. Successful replacement of rehydration fluids can be seen by monitoring continuous and sustained of hemodynamics. This study aims is to analyze the changes in hemodynamics in hyperglycemia patients receiving rehydration therapy.This study included into comparative studies with a cohort approach. The number of samples in this study as many as 56 respondents. Date collection using consecutive sampling technique. From the result of the research based on the bivariate analysis test, there is no change in the hemodynamic variables with p value for each hemodynamic research variable more than 0.005 (p value of pulse frequency variable = 0,825, p value of respiratory frequency = 0,434, p value of systolic blood pressure = 0,534, p value of oxygen saturation = 0,007 and p value of consciousness = 0,368). Changes in osmolarity occur due to a decrease in blood glucose levels after fluid rehydration. This further proves that rehydration therapy is very effective in lowering blood glucose levels (hyperosmolarity) in the blood. Continuous osmolarity and hemodynamic examination is needed for hyperglycemic patients receiving rehydration therapy to determine the effect of rehydration therapy and to know the side effects of rehydration therapy so that prevention can be done to avoid problems causing emergency situations.Keywords : Rehydration Therapy, Osmolarity, Hemodynamics Abstrak : Perubahan pola penyakit di dunia dengan angka penyakit tidak menular mengalami peningkatan. Penyakit tidak menular di Indonesia, yang meningkat salah satunya adalah penyakit DM dengan Indonesia berada pada peringkat ke lima di Dunia. DM Hiperglikemia yang tidak terkontrol akan menyebabkan peningkatan osmolaritas yang akan menganggu keseimbangan cairan dan elektrolit tubuh. Tatalaksana utama hiperglikemia menurut ADA adalah dengan terapi rehidrasi cairan. Keberhasilan penggantian cairan rehidrasi dapat dilihat dengan melakukan pemantauan secara berkesinambungan dan berkelanjutan. Penelitian ini bertujuan untuk menganalisis perubahan hemodinamika tubuh pada pasien hiperglikemia yang mendapatkan terapi rehidrasi. Penelitian ini termasuk kedalam penelitian komparatif dengan pendekatan cohort. Jumlah sampel dalam penelitian ini sebanyak 56 responden dengan pengambilan data menggunakan teknik consecutive sampling. Dari hasil penelitian berdasarkan uji analisis bivariat tidak terlihat perubahan pada variabel hemodinamika tubuh dengan p value untuk masing-masing variabel penelitian hemodinamika lebih dari 0,005 (p value variabel frekuensi nadi = 0,825, p value frekuensi pernapasan = 0,434, p value variabel tekanan darah sistolik = 0,534, p value variabel saturasi oksigen = 0,007 dan p value variabel kesadaran = 0,368). Perubahan osmolaritas terjadi akibat adanya penurunan kadar glukosa darah setelah dilakukan rehidrasi cairan. Hal ini semakin membuktikan bahwa terapi rehidrasi sangat efektif dalam menurunkan kadar glukosa darah (hiperosmolaritas) di dalam darah. Pemeriksaan osmolaritas dan hemodinamika yang berkesinambungan sangat diperlukan bagi pasien hiperglikemia yang mendapatkan terapi rehidrasi untuk mengetahui efek terapi rehidrasi maupun untuk mengetahui efek samping dari terapi rehidrasi sehingga dapat dilakukan upaya pencegahan agar tidak menjadi permasalahan yang menimbulkan situasi kegawat daruratan.Kata kunci : Terapi Rehidrasi, Osmolaritas, Hemodinamika

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The CORRELATION OF BLOOD SUGAR LEVELS WITH THE ELASTICITY OF CORONARY ARTERIES

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) ◽

10.29082/ijnms/2019/vol3.iss1.209 ◽

2019 ◽

Vol 3 (1) ◽

pp. 1-6

Author(s):

INDAH ROHMAWATI ◽

Dora Dayu Rahma Turista

Keyword(s):

Blood Glucose ◽

Blood Sugar ◽

Coronary Arteries ◽

P Value ◽

Cross Sectional ◽

High Blood Glucose ◽

Magnetic Analyzer ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Sugar Levels

Coronary arteries are blood vessels that carry oxygen and nutrients to the heart muscle. These vessels can experience constriction due to the accumulation of plaque which causes atherosclerosis. Atherosclerosis is characterized by reduced coronary artery elasticity. Blood glucose levels are one of the factors that cause atherosclerosis. The aims of this study was to determine whether there was a correlation of blood sugar levels with the elasticity of coronary arteries. This study is an analytical study with cross sectional design. The population in this study were all patients who visited the Gipateda Tulungagung treatment clinic that was more than 30 years old and female. Through accidental sampling technique, 30 respondents were obtained. The study was conducted from March 1, 2016 to May 1, 2016. Data was collected using a quantum resonance magnetic analyzer (QMRA) to determine the value of blood sugar levels and the value of elasticity of coronary arteries. The data obtained were analyzed statistically by bivariate linear regression tests to determine whether there was a significant correlation of blood sugar levels with the elasticity of coronary arteries. The results showed that the p value is 0.000 < 0.05, which means that there was a significant correlation between blood sugar levels and the elasticity of the coronary arteries. High blood glucose levels can damage the vascular endothelium and also increasing platelet agegrat, so that can resulting atherosclerosis. Every individual should be able to control blood sugar levels with a healthy lifestyle and early detection regularly to prevent the decrease of coronary arteries elasticity because that can lead to coronary heart disease (CHD).

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Ankle Brachial Indeks (ABI), Kadar Glukosa Darah dan Nutrisi Pada Ulkus Diabetikum

Jurnal Endurance ◽

10.22216/jen.v4i3.4560 ◽

2019 ◽

Vol 4 (3) ◽

pp. 449

Author(s):

Riwanti Silaban ◽

Pina Lestari ◽

May Daryeti ◽

Diah Merdekawati

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Sampling Technique ◽

P Value ◽

Cross Sectional ◽

Diabetic Ulcer ◽

Control Blood Glucose ◽

Glucose Levels ◽

Blood Glucose Levels ◽

And Control

The increasing number of people with diabetes mellitus each year, the client has also experienced one of the complications, namely ulcers. During this time, the concern of nurses at Raden Mattaher Jambi Hospital is only an ulcer on the client, but no intervention has been made to determine the factors causing the duration of the client's ulcer resolved. The kind of is a cross-sectional. The sample in this study was 27 respondents who had criteria by what was to be studied. The sampling technique is done by accidental sampling that is taking samples by taking cases or respondents who happen to be available or available. Analysis of the data in this study was Univariate and Bivariate. It was held on April 29th until June 29th 2019 with uses observation sheets and questionnaires as aids in data collection. Statistical test results obtained p-value <0.05, meaning that there is a relationship between ABI values, blood glucose levels and nutrients with the area of diabetic ulcer. It can be concluded that the ABI value, blood glucose level and nutrition affect the area of diabetic ulcer. It is expected that Raden Mattaher Jambi Hospital can make ABI examination a Standard Operational Procedure and control blood glucose and nutrition levels as a factor in accelerating wound healing. Semakin meningkatnya angka penderita diabetes mellitus tiap tahunnya, maka semakin meningkat pula klien mengalami salah satu komplikasinya yaitu ulkus. Selama ini, yang menjadi perhatian perawat di RSUD Raden Mattaher Jambi hanya ulkus pada klien, namun belum ada intervensi yang dilakukan guna mengetahui faktor penyebab lamanya ulkus klien teratasi. Jenis penelitian ini adalah penelitian cros sectional. Sampel dalam penelitian ini 27 responden yang memiliki kriteria sesuai dengan yang akan diteliti. Teknik pengambilan sampel dilakukan dengan cara accidental sampling yaitu pengambilan sampel dilakukan dengan mengambil kasus atau responden yang kebetulan ada atau tersedia. Analisa data dalam penelitian ini secarra Univariat dan Bivariat. Penelitian ini dilaksanakan dari 29 April-29 Juni 2019 dengan menggunakan lembar observasi dan kuesioner sebagai alat bantu dalam pengumpulan data. Hasil uji statistik diperoleh nilai p-value < 0,05, artinya ada hubungan antara nilai ABI, kadar glukosa darah dan nutrisi dengan luas ulkus diabetikum. Dapat disimpulkan bahwa nilai ABI, kadar glukosa darah dan nutrisi mempengaruhi luas ulkus diabetikum. Diharapkan kepada pihak RSUD Raden Mattaher Jambi dapat menjadikan pemeriksaan ABI sebagai Standar Prosedur Operasional dan melakukan pengontrolan kadar glukosa darah serta nutrisi sebagai faktor mempercepat penyembuhan luka.

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Relationship between Family Health Tasks and Blood Glucose Levels in Elderly Diabetes Mellitus

JURNAL INFO KESEHATAN ◽

10.31965/infokes.vol17.iss2.301 ◽

2019 ◽

Vol 17 (2) ◽

pp. 134-143

Author(s):

Tyas Aulia Hanani ◽

Diah Ratnawati

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Univariate Analysis ◽

Family Health ◽

The Elderly ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Glucose Levels ◽

Blood Glucose Levels

Elderly as an individual who is at risk of encountering health problems such as diabetes mellitus because the body's functional decline requires a family health task in the form of controlling blood glucose levels that are expected to be able to overcome the problem of diabetes mellitus for the elderly. The objective of this study is to determine the relationship of the implementation of family health tasks with controlling blood glucose levels on the elderly. The research design used was descriptive-analytic with a cross-sectional approach. The population of the families who cared for and lived with elderly suffering from diabetes who are older than 60 years was 136 families, so the researchers determined the sample based on a minimum sample using the Slovin formula. The samples obtained were 102 respondents selected by the stratified random sampling method. The univariate analysis used frequency proportions, and bivariate analysis used the chi-square test. The results of this study indicate that there was a relationship between the implementation of family health tasks with controlling blood glucose levels in the elderly with diabetes mellitus with p-value = 0,000 and OR = 56,893. Based on the results of the study, it was found that the implementation of family health tasks has an important role in controlling blood glucose levels on the elderly with diabetes mellitus. The conclusion of this study was there is a significant relationship between the implementation of family health tasks and controlling blood glucose levels on the elderly with diabetes mellitus in Limo Village, Depok.

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Hubungan Lama Pemakaian Kontrasepsi Suntik Kombinasi Dengan Kadar Glukosa Darah Di Bpm “E” Kecamatan Purwosari, Pasuruan

SEAJOM: The Southeast Asia Journal of Midwifery ◽

10.36749/seajom.v1i1.52 ◽

2015 ◽

Vol 1 (1) ◽

pp. 10-15

Author(s):

Sri Rahayu ◽

Siti Sundari ◽

Erni Widiyani

Keyword(s):

Blood Glucose ◽

Contraceptive Use ◽

Primary Data ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Injectable Contraceptive

Injectable is one of the most widely used contraceptives in Indonesia. Injectable contraceptive often causes the changes in blood glucose levels because it contains a steroid hormone with low anti-insulin. The use in the long term can even cause pancreatitis. Hormones in injectable contraceptive have opposite work against insulin. Insulin resistance causes pancreas to increasingly work harder to produce insulin. Over time the pancreas will not be able to function optimally and will have an impact on blood glucose levels. The objective of this study was to determine the relationship of the length of injectable contraceptive use to blood glucose levels among combined injectable acceptors. This study used cross sectional study design. The source of data was primary data with the respondents combined injectable acceptors in Privately Practising Midwife "E" at Purwosari Sub-district. The sampling technique was non probability sampling with a total sampling of 46 respondents who met the inclusion criteria. Data were analyzed using bivariate analysis with chi-square. In this study, 41% of women were found to have high glucose levels (>125mg/dl). A total of 53.8% of women who used combined injectable contraceptive more than two years had blood glucose levels over 125 mg / dl, but from the results of the analysis, it showed that the length of contraceptive use was not statistically significant with blood glucose levels (p value 0.095). Therefore, injectable contraceptive used in the long term must be taken into account.

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Correlation Between Pre-Operating Patient Anxiety and Increasing Blood Glucose in Patients with Diabetes Mellitus at X Room in X Hospital Sukabumi

KnE Life Sciences ◽

10.18502/kls.v6i1.8650 ◽

2021 ◽

pp. 553-563

Author(s):

Erna Safariyah ◽

Irawan Danismaya ◽

Herlina Lidiyawati ◽

Rizki Abdullah Akbar

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Anxiety Level ◽

Bivariate Analysis ◽

P Value ◽

Patient Anxiety ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Patients With Diabetes ◽

Spearman Test

Patients who are going for surgery usually experience anxiety. This can cause physiological responses including palpitations, increased blood pressure, pulse, and also breathing difficulties. For patients with Diabetes Mellitus, anxiety can increase blood glucose levels. This condition can cause delays in surgery, and could potentially increase the patient care costs during their stay in hospital. This research aims to explore the correlation between heightened anxiety and blood glucose levels amongst patients with Diabetes Mellitus. This research used a correlation study with cross sectional approach, with 22 respondents. The technique selection of respondents are using accidental sampling. The validity test of Zung Rating Anxiety Scale 0.85 and the reliability value of 0.79. Bivariate analysis used the Spearmen test. Research concluded that most of respondents had mild anxiety level (59,1%) while some respondents experience normal anxiety (40,9%). Most of the respondents had high glucose levels (68.2%), while some respondents had normal glucose levels (31,8%). The results of the Spearman test revealed P-value = 0.041. Based on the research concluded that there is a correlation between pre-operation anxiety and blood glucose levels amongst patients with Diabetes Mellitus. It is recommended that nurses act to prevent or reduce anxiety in this patient demographic. Keywords: Anxiety level, Glucose Level, Diabetes Mellitus

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The CORRELATION OF BLOOD SUGAR LEVELS WITH THE ELASTICITY OF CORONARY ARTERIES

INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) ◽

10.29082/ijnms/2019/vol3/iss1/209 ◽

2019 ◽

Vol 3 (1) ◽

pp. 1-6

Author(s):

INDAH ROHMAWATI ◽

Dora Dayu Rahma Turista

Keyword(s):

Blood Glucose ◽

Blood Sugar ◽

Coronary Arteries ◽

P Value ◽

Cross Sectional ◽

High Blood Glucose ◽

Magnetic Analyzer ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Sugar Levels

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PERAN INFORMAL KELUARGA DALAM PENGENDALIAN KADAR GLUKOSA DARAH PADA PENDERITA DIABETES MELLITUS

Jurnal Ilmu Keperawatan Komunitas ◽

10.32584/jikk.v1i2.174 ◽

2018 ◽

Vol 1 (2) ◽

pp. 5

Author(s):

Rosalina Rosalina

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Blood Sugar ◽

Blood Glucose Control ◽

Bivariate Analysis ◽

Glucose Levels ◽

Blood Glucose Levels ◽

The Family ◽

Sugar Levels

Diabetes mellitus is a disease or disorder of chronic metabolism with multiethiology characterized by high blood sugar (hyperglycemia). Diabetes Mellitus can not be cured but can be controlled by regulating blood sugar levels. One important factor in controlling blood sugar levels is the role of the family To know the correlation between family's informal role and the control of blood glucose levels in people with diabetes mellitus at RSUD Ungaran Semarang Regency.The design of this study was descriptive correlational with cross sectional approach with the number of population of 176 people and samples of 64 respondents by using accidental sampling method. Data collection tools used questionnaires. Data analysis used SPSS version 23.0. Bivariate analysis was processed by using chi square test. The informal role of the family in people with diabetes mellitus is mostly in good category (75.0%). Control of blood glucose level in people with diabetes mellitus is mostly in good category (62,5%). There is significant correlation between family informal role and blood glucose control in patients with diabetes mellitus at RSUD Ungaran Semarang Regency, with p value 0,043 <0,05 (α). There is correlation between family's informal role and the control of blood glucose levels in people with diabetes mellitus at RSUD Ungaran Semarang Regency.We recommend that patients with DM further improve the control of blood glucose levels by increasing the role of the family so as to prevent the occurrence of complications

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Status kesehatan dan asupan mikronutrien vegetarian dan nonvegetarian di Bali

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.64443 ◽

2021 ◽

Vol 17 (4) ◽

pp. 157

Author(s):

Ni Ketut Sutiari ◽

Ali Khomsan ◽

Hadi Riyadi ◽

Faisal Anwar ◽

Desak Putu Yuli Kurniati ◽

...

Keyword(s):

Blood Glucose ◽

Fasting Blood Glucose ◽

Cross Sectional Study ◽

Cross Sectional ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Micronutrient Intake ◽

The Mean ◽

Vegetarian Diets ◽

Sugar Levels

Health status and micronutrient intake among vegetarian and non-vegetarian in BaliBackground: Several studies have reported that vegetarian diets have health benefits for those adopting the diets.Objective: This study aimed to compare anemia status and micronutrient intake between vegetarians and non-vegetarians in Bali.Methods: This cross-sectional study was conducted in Bali. A total of 240 samples consisting of 160 vegetarians and 80 non-vegetarians were randomly selected. Hemoglobin (Hb) and fasting blood sugar levels were measured using the cyanmethemoglobin method and enzymatic colorimetric, respectively. Meanwhile, the data on micronutrient intakes were collected by interviews using the semi-quantitative food frequency questionnaire (SQFFQ). The data were analyzed using descriptive statistics, and the Mann-Whitney test was performed to analyze the differences.Results: The study’s results showed that the mean Hb levels in the vegetarian group were significantly lower than non-vegetarians (p=0.002; p<0.05), and the anemia status in vegetarian women were higher (22.5%) than non-vegetarian women (2.5%). The mean fasting blood glucose level in non-vegetarians was significantly higher than in the vegetarian group (p=0.000; p<0.05). There were no differences in zinc (Zn) intake between vegetarians and non-vegetarians, but there were significant differences (p<0.05) in vitamin C, vitamin D, vitamin B12, folic acid, magnesium (Mg), calcium (Ca), and iron (Fe) intakes.Conclusions: There were differences in anemia status and fasting blood glucose levels between vegetarians and non-vegetarians. The fasting blood glucose levels of non-vegetarians were higher than vegetarians, and there were differences in the intake of certain micronutrients between vegetarians and non-vegetarians.

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Influence of Nutrition Education with Calendar Method in Diabetic Patients' Blood Glucose

NurseLine Journal ◽

10.19184/nlj.v3i2.6627 ◽

2018 ◽

Vol 3 (2) ◽

pp. 72

Author(s):

Setyoadi Setyoadi ◽

Heri Kristianto ◽

Siti Nur Afifah

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Nutrition Education ◽

Community Health Center ◽

Control Group ◽

P Value ◽

Diabetic Patients ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Before And After

Diabetes mellitus is a disease that required good self-management. Noncompliance in diet and meal plans cause the instability of blood glucose levels. Nutrition education calendar method can improve knowledge and ability to consume food that matches the number, hours and types with dietary adjustments listed in the calendar diet. This study aimed to determine the effect of nutrition education calendar method on blood glucose levels of patients with type 2 diabetes mellitus in Community Health Center Pakis Malang. Pre-experimental design one group pretest-posttest with purposive sampling was conducted in this study and sample obtained as many as 21 people. Blood glucose levels were measured before and after the nutrition education calendar methods. Compliance in using calendar method with the observation sheet. Statistical analysis values obtained by Wilcoxon, the p-value of 0.007 (p <0.05). The results of the analysis, 16 respondents showed a decrease in blood glucose levels and 5 respondents experienced an increase in blood glucose levels after the given intervention. It can be concluded that there are differences between blood glucose levels before and after nutrition education calendar method. Differences in blood glucose levels can be influenced by controlling diet respondent in accordance with the calendar method in education, but also antidiabetic drugs, and sports. Should be added to the control group to determine objectively the effect of nutrition education on the calendar method.

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