scholarly journals The Acceptance and the Development of Renal Function of People with Diabetes Mellitus

2019 ◽  
Vol 14 (3) ◽  
pp. 419-425
Author(s):  
Laily Isroin

Chronic renal failure (CRF) is a silent killer disease. CRF disease is mainly caused by diabetes mellitus and hypertension.Patients with diabetes mellitus should be able to accept the disease so that it can control blood sugar and blood pressure. Sectional analytic study design to measure self-management that includes cognitive, self-efficacy, psychological, social and environmental patients which associated with decreased renal function, blood pressure and blood sugar. The study was conducted in dr. HarjonoHospital Ponorogo with a sample of patients with hypertension and diabetes mellitus outpatient. Total sample of 42 patients with diabetes mellitus were taken by purposive. Analysis using chi square test and the magnitude of the risk factors using OR. There was a significant correlation between the level of acceptance of the disease with glomerular filtration rate (GFR) and receiving negative disease risk 4 times the decline in GFR compared with positive reception disease. Patients with diabetes mellitus who can not control blood sugar normal it will be at risk of decreased GFR was 2.07 times compared with patients whose blood sugar normal and stable. Patients with diabetes mellitus GFR decreased by 3 to 5 degrees of 64.3%.The decline in GFR at level 5 hemodialysis patients require lifelong therapy. This will reduce the productivity of patients and social and economic burden to both family and government.

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Siti Uswatun Chasanah ◽  
Anida Anida ◽  
Desi Susana

Background: Mellitus Diabetes is a chronic degenerative disease of increasing prevalence. Diabetes Mellitus  has characteristics such  as hyperglycemia that occurs due to abnormal insulin sekreksi. Insulin or both that cause a variety of chronic complications in the eyes of the kidneys, nerves, and blood vessels.Objective: to determine the relationship of the level of knowledge about the blood sugar levels in Diabetes Mellitus patient compliance to blood sugar control in the health center in Depok 3, Sleman, Yogyakarta.Method: Kind of research is observasional analytic with cross sectionalapproach. The study population was all patients with Diabetes Mellitus in thehealth center in Depok 3, Sleman, Yogyakarta, totaling 95 people. A sample size 48 people. Data collection was done bygiving kueaioner to all the respondents of the study. Processing data using Chi Square test with a standard error of 5% and α = 0,05.Result: Based onbiavariate analiysis there is no relationship between the level of knowledge about the blood sugar levels in Diabetes Mellitus patient compliance to blood sugar control in primary Depok 3, Sleman, Yogyakarta is (p = 0,119).Conclusion: There is no relationship between the level of knowledge about the blood sugar levels in Diabetes Mellitus patient compliance to blood sugar control in health center in Depok 3, Sleman. Yogyakarta.


2019 ◽  
Vol 4 (1) ◽  
pp. 50
Author(s):  
I Wayan Suardana ◽  
I Wayan Mustika ◽  
Dewa Ayu Sri Utami

ABSTRAKTujuan: menganalisis hubungan perilaku pencegahan dengan kejadian komplikasi akut pada pasien Diabetes Melitus (DM). Metode: Jenis penelitian yang digunakan adalah penelitian correlational. Tehnik sampling yang digunakan adalah purposive sampling dengan jumlah sampel 85 orang. Instrumen yang digunakan dikembangkan dari instrumen The Diabetes Self-Management Questionnaire (DSMQ) untuk menilai perilaku pencegahan pada pasien DM dan instrumen untuk menilai pengetahuan, sikap, dan perilaku. Data dianalisis secara univariate dan bivariat (chi-square test). Hasil: Hasil penelitian ini menunjukkan bahwa ada hubungan perilaku pencegahan dengan kejadian komplikasi akut pada pasien DM. Pasien DM yang memiliki perilaku pencegahan yang cukup (60-79%) mempunyai 4,73 kali untuk mengalami komplikasi akut pada DM. Diskusi: Tindakan pengendalian DM untuk mencegah komplikasi sangat diperlukan, khususnya dengan menjaga tingkat gula darah sedekat mungkin dengan normal. Kesimpulan: Perilaku pencegahan yang baik dapat mencegah terjadinya komplikasi pada penderita DM Type II.Kata Kunci: Perilaku, pencegahan, komplikasi, Diabetes MelitusRelationship Between Preventive Behaviour with Acute Complications Occurrence in Diabetes Mellitus Patients ABSTRACTAim: to analyze the relationship between preventive behavior with the incidence of acute complications in DM patients. Method: The type of research used is correlational research. The sampling technique used was purposive sampling with 85 samples. The Instruments of this research are developed from The Diabetes Self-Management Questionnaire (DSMQ) to assess the preventive behaviour in DM patients and instrument to assess knowledge, attitude, and behaviour. Data analysis using univariate and bivariate (chi-square test) analysis. Results: The results of this study indicate that there is a correlation between preventive behavior and the incidence of acute complications in DM patients. DM patients who was categorized in moderate preventive behaviour (60-79%) have 4.73 times experience acute complication in DM. Discusion: preventive behavior to prevent complication is necessary, especially by maintaining the blood glucose as close as possible to normal level. Conclusion: Good preventative behavior could prevent complications in patients with Type II of DM.Keywords: behaviour, prevention, complication, diabetes mellitus


2021 ◽  
Vol 2 (6) ◽  
pp. 48-56
Author(s):  
Betty Simanullang

The purpose of this research was to identify and evaluate the major dietary components linked with blood sugar levels in diabetic patients at UPT Puskesmas Narumonda in Toba Regency. This sort of study employs a cross-sectional descriptive analytic survey. The population in this research was 118 individuals, whereas the sample size was 54. Univariate, bivariate, and multivariate analyses were used to analyze the data. The chi-square test results indicate that the sugar level of people with diabetes mellitus is related to the number of calories p = 0.000, the type of food p = 0.000, and the eating schedule p = 0.003, indicating that there is a relationship between obesity, the number of calories, the type of food, and the eating schedule and blood sugar levels in people with diabetes mellitus. The findings of multivariate analysis indicate that the most relevant variable in this research, with an OR value of 53, is the quantity of calories. The research concluded that the quantity of calories consumed is the most important factor influencing blood sugar levels in persons with diabetes mellitus at UPT Puskesmas Narumonda, Toba Regency. To help lower the occurrence of diabetes mellitus, it is intended that the Health Service, puskesmas, and health professionals would collaborate to give frequent counseling about diabetes mellitus and a healthy and balanced diet.


2021 ◽  
Vol 4 (2) ◽  
pp. 511-516
Author(s):  
Eka Anita ◽  
Muhammad Taufik Daniel Hasibuan

Indonesia is the 7th country with the highest incidence of diabetes mellitus (DM) with 8.5 million. Data obtained at Aminah Hospital in 2020 from January to December there were 192 Type 2 DM patients being treated and 3659 patients receiving outpatient treatment. The family has a very important role in the health status of family members who suffer from chronic diseases such as diabetes mellitus. Family support can have a positive impact on compliance with care management in DM patients. The purpose of this study was to determine whether there was a relationship between family support and blood sugar control in type 2 DM patients undergoing treatment at Aminah Hospital. This research method uses descriptive correlation and the sample involved is 48 and to analyze the data using the chi square test. The results of this study showed that there was a significant relationship between family support and blood sugar control in type 2 DM patients with p = 0.000 or p <0.005. Family support is very important to influence blood sugar control and it is hoped that families always provide support to sick family members.   Abstrak Indonesia  merupakan  negara dengan urutan ke 7 dengan kejadian diabetes  melitus (DM)  tertinggi  yaitu dengan  jumlah  8,5  juta. Data yang didapat di RS Aminah pada tahun 2020 dari bulan Januari sampai Desember terdapat 192 pasien DM Tipe 2 yang dirawat dan 3659 pasien yang berobat jalan. Keluarga memiliki peran yang sangat penting terhadap status kesehatan pada anggota keluarga yang mengidap penyakit kronis seperti diabetes mellitus. Dukungan keluarga dapat memberikan dampak positif terhadap kepatuhan manajemen perawatan pada pasien DM. Tujuan penelitian ini untuk melihat ada tidaknya hubungan dukungan keluarga dan kontrol gula darah pada pasien DM tipe 2 yang menjalani perawatan di rumah sakit aminah. Metode penelitian ini menggunakan deskriptif korelasi dan sampel yang terlibat sebanyak 48 serta untuk menganalisis data menggunakan uji chi square. Hasil penelitian ini menunjukan ada hubungan yang signifikan antara dukungan keluarga dengan kontrol gula darah pasien DM tipe 2 dengan nilai p = 0,000 atau p<0,005. Dukungan keluarga sangat penting untuk mempengaruhi kontrol gula darah dan diharapkan keluarga selalu memberikan dukungan kepada anggota keluarga yang sakit.


Author(s):  
Titik Taufikurohmah ◽  

COVID-19 virus has spread almost all over the world, including Indonesia until now. COVID-19 in people with diabetes mellitus have a risk of exacerbating symptoms. Diabetes is a disease caused by high blood sugar levels. Nanogold has a very strong anti-oxidant capability, while nanosilver has anti-bacterial properties. In this research, nanogold-nanosilver was presented in the form of health drinking water packaged in 1 L bottles and could be consumed directly. This research aimed to determine the effect of nanogold-nanosilver to boost the immunity of people affected by COVID-19 with comorbidities of diabetes mellitus on Jl. Merr Surabaya to Juanda highway, Surabaya City. The method in this research was the lecture method at the beginning of the activity. Health Drinking Water Materials were distributed once a week, namely on Friday, July 31 to August 28, 2020. The sampling technique used accidental sampling with a total sample of 100. Interviews recording medical conditions were collected and analysed. The results obtained were a decrease in blood sugar levels to normal in patients with diabetes mellitus and the immunity of the participant volunteers was well maintained in the midst of the COVID-19 pandemic. The age group under 39 years had the greatest decrease in blood sugar levels. In accordance with the research results, Nanogold-Nanosilver Health Drinking Water has succeeded in increasing and maintaining the immunity of participants who have comorbidities with diabetes mellitus and are affected by COVID-19. Besides, the participant survived not to be affected to COVID-19 during activities.


Author(s):  
Hayat Mushcab ◽  
William George Kernohan ◽  
Jonathan Wallace ◽  
Roy Harper ◽  
Suzanne Martin

Purpose: The efficacy of one remote monitoring system was reviewed in order to explore if optimal self-management of diabetes was achieved. Methods: Medical records of 214 patients with diabetes were reviewed from seven diabetes clinics within a single Health & Social Care trust using a remote monitoring solution to help patients self-manage their condition. Data on HbA1c, blood glucose, blood pressure and body mass index were obtained from the patient's medical record, before and after using the remote monitoring solution. Results: The average age of users was 61 years: 60% of the sample were male. The average time living with diabetes was 14 years; the mean duration with remote telemonitoring was 147 days. A greater reduction in HbA1c was seen with female users compared to males 2.37% and 0.87%, respectively. Conclusion: Remote telemonitoring provided the opportunity to collect comprehensive data, allowing patients to be maintained at home, while showing significant improvement in their HbA1c and better overall management of their diabetes


2019 ◽  
Vol 9 (2) ◽  
pp. 84
Author(s):  
Tri Ardianti Khasanah ◽  
Zul Fina Fitri

Diabetes mellitus is a chronic metabolic disorder due to the pancreas not producing enough insulin or the body cannot use insulin that is produced effectively. Indonesia has 10.3 million sufferers and standon 7th position in the world after China, India, United States of America, Brazil, Russia, Mexico, on 2017 at the province of South Kalimantan’s on 2nd position that were 10.875, at Banjarbaru in 2017 is held on 2nd ranked which had 2.968 cases, at Idaman Banjarbaru Hospital on the Internal Medicine Polyclinic  there were 394 patients from January till April and estimated that will be 100 diabetes mellitus patients. This research is aimed to knowing the correlation of knowledge and compliance of diet with blood sugar levels of patients with  diabetes mellitus  at the Internal Medicine Polyclinic in Banjarbaru Hospital 2018. This type of research is a description of correlation research using cross sectional design. This research was carried out to 55 respondents. The results that tested using Chi-Square with a value of α=0.1 proved to have no correlation of knowledge with blood sugar levels (p=0.234) and proved to have a correlation of adherence to diet with blood sugar levels (p=0.00). From this study it can be concluded that knowledge proved to have not correlation with blood sugar levels and dietary compliance was shown to have a correlation with blood sugar levels in diabetes mellitus patients at Internal Medicine Polyclinic Idaman Banjarbaru Hospital 2018.


2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Finisia Noviyanti ◽  
Eva Decroli ◽  
Susila Sastri

AbstrakHipertensi seringkali menjadi kondisi komorbid yang menyertai diabetes melitus tipe 2. Diabetes melitus, hipertensi dan peningkatan LDL kolesterol merupakan keadaan yang sering dijumpai saling berkaitan. Tujuan penelitian ini adalah untuk melihat perbedaan kadar LDL kolesterol penderita diabetes melitus tipe 2 dengan dan tanpa hipertensi. Penelitian ini menggunakan desain cross sectional comparatif. Pengumpulan data dilakukan dengan observasi data rekam medis pasien diabetes melitus tipe 2 dengan dan tanpa hipertensi tahun 2011 di RS. Dr. M. Djamil Padang. Analisis statistik menggunakan uji chi-square dan uji t-berpasangan. Hasil penelitian menemukan kadar LDL kolesterol pada pasien diabetes melitus tipe 2 dengan hipertensi (137,56±41,43 mg/dl) lebih tinggi dibandingkan tanpa hipertensi (94,39±35,36 mg/dl). Uji chi-square menunjukkkan adanya hubungan yang bermakna antara peningkatan kadar LDL kolesterol dengan kejadian hipertensi (p<0,05). Uji t-berpasangan menunjukkan bahwa adanya perbedaan bermakna kadar LDL kolesterol antara kelompok pasien diabetes melitus dengan hipertensi dan tanpa hipertensi (p<0,05). Penelitian ini menyimpulkan adanya perbedaan yang bermakna kadar LDL kolesterol pada pasien diabetes melitus tipe 2 dengan hipertensi dan tanpa hipertensi di RS. Dr. M. Djamil Padang.Kata kunci: LDL kolesterol, diabetes melitus tipe 2, hipertensi AbstractHypertension is often a comorbid conditions that accompany diabetes mellitus type 2. Diabetes mellitus, hypertension and increased LDL cholesterol is a condition that is often be found related one another. The objective of this study was to determine difference LDL cholesterol level among diabetes melitus type 2 with hypertension and without hypertension.This research used cross-sectional comparatif design. The data was collected through observation of the patient’s medical records diabetes mellitus type 2 with hypertension and without hypertension in 2011 at the hospital Dr. M. Djamil Padang. The statistical analysis used was chi-square test and paired-T test. The results found that the levels of LDL cholesterol in patients with diabetes mellitus type 2 with hypertension (137,56±41,43) was higher than without hypertension (94,39±35,36). Chi square test was found that a significant correlation between elevates levels of LDL cholesterol to the incidence of hypertension (p<0,05). Paired-t test showed that there were significant differences of LDL cholesterol levels between groups of diabetes mellitus type 2 with hypertension and diabetes mellitus type 2 without hypertension (p<0,05).This research conclude that there are differences in the levels of LDL cholesterol in patients with diabetes melitus type 2 with hypertension and without hypertension in the hospital Dr. M. Djamil Padang in 2011.Keywords: LDL cholesterol, diabetes mellitus type 2, hypertension


2019 ◽  
Vol 1 (1) ◽  
pp. 55-66
Author(s):  
Almaini Almaini ◽  
Hendri Heriyanto

Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels exceeding normal and impaired metabolism of carbohydrates, fats and proteins due to a relative or absolute deficiency of insulin hormones. This study aimed to determine the relationship between dietary compliance, physical activity, and adherence to taking medication with blood sugar levels when in patients with type 2 diabetes mellitus. This type of research was analytical with a cross-specific approach that uses a sample of 46 Rejang tribal diabetes mellitus patients who come to Curup Health Center, Prumnas Health Center and Delima Village Health Center during the period of August to October 2018 which met the criteria for inclusion and exclusion. The instruments used were food recall forms, questionnaires, medical records and glucometers. The results of the study were processed by bivariate analysis using the chi square test and multivariate analysis with logistic regression test. The results of the bivariate statistical test dietary compliance variable p = 0.001 OR = 15,343, CI = 3,327-67,636, and the medication adherence variable p = 0,035, OR = 4,038, CI 1,061-15,370. There was a significant relationship between diet compliance, adherence to taking medication with blood sugar levels when in patients with diabetes melititus Rejang tribe Rejang Lebong District. DM patients are expected to always adhere to diet, physical activity and medication treatment.


2013 ◽  
Vol 141 (1-2) ◽  
pp. 22-28
Author(s):  
Zorana Vasiljevic ◽  
Nada Dimkovic ◽  
Katarina Lazarevic ◽  
Snezana Burmazovic ◽  
Nebojsa Krstic ◽  
...  

Introduction. Losartan, the angiotensin type 1 receptor blocker (ARB) exercises its main antihypertensive effect by vasodilatation of peripheral arteries. Objective. The aim of this study was to evaluate the antihypertensive effect and safety of losartan in patients with mild and moderate arterial hypertension (AH). Methods. This was an open post-marketing study with losartan as monotherapy in previously treated or untreated patients with AH. Primary efficacy parameter was the percentage of patients that achieved target blood pressure after 8-week treatment with a single daily dose of losartan of 50-100 mg. Safety parameters were assessed according to the percentage of adverse events and metabolic effects of therapy. Results. The study included 550 patients with AH (59% female and 41% male), mean age 56.8?11.4 years, BMI=27?4 kg/m2. Losartan was applied in 31% of untreated and 69% of previously treatment-resistant patients After 8 weeks target blood pressure was achieved in 67.8% (SBP) and in 81.1% (DBP) of patients, respectively. The mean decrease was 21.8% for SBP and 21.1% for DBP (p<0.001). Out of all, 65% of patients achieved both target SBP and DBP values. Hydrochlorothiazide was added to the therapy in 11.6% of patients. There were no significant differences in drug efficacy between the entire group and subgroups of patients with diabetes mellitus and impaired renal function (p=ns). Adverse events were rare and metabolic effect was favorable. Conclusion. Monotherapy with losartan in a dosage of 50-100 mg applied during 8 weeks resulted in achieving target values of blood pressure in 65% of patient with mild and moderate hypertension, also including the patients with diabetes mellitus and impaired renal function. Losartan is a safe and metabolically neutral medication.


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