scholarly journals PROLANIS IMPLEMENTATION EFFECTIVE TO CONTROL FASTING BLOOD SUGAR, HbA1c AND TOTAL CHOLESTEROL LEVELS IN PATIENTS WITH TYPE 2 DIABETES

Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 88
Author(s):  
Musfirah Ahmad ◽  
Rini Rachmawaty ◽  
Elly L. Sjattar ◽  
Saldy Yusuf

Introduction: Diabetes mellitus (DM) is a global disease endemic and causing of 4.6 million deaths in the world. The Indonesian government and health insurance [BPJS Kesehatan] formulate a Chronic Disease Care Program [Program Pengelolaan Penyakit Kronis (PROLANIS)] for type 2 diabetes that aimed at controlling the glycemic status and the risk factors of macro and microvascular complications. The purpose of this study was to analyze the correlation between the implementation of PROLANIS and fasting blood sugar, HbA1c, and total cholesterol levels in patients diagnosed with type 2 diabetes at Antang and Pampang community health centers, Makassar, Indonesia. Methods: This study used descriptive correlation design with cross sectional study approach. Subjects were 40 patients diagnosed with type 2 diabetes who joined PROLANIS at PUSKESMAS Antang and Pampang, Makassar, with sampling technique used was total sampling. The data were analyzed using correlation test to assess the significance (p), the direction (+/-), and the strength of the correlation (r). The implementation of PROLANIS was measured by using the observation sheets developed based on BPJS Kesehatan criteria, while the fasting blood sugar, HbA1c, and total cholesterol levels were checked by laboratory. Results: The mean of the implementation of PROLANIS was 15.05 (SD ± 5.62), while the mean levels of fasting blood sugar, HbA1c, and total cholesterolwere as followed: 191.80 mg/dL (SD ± 85.15); 8.4% (SD ± 2.08); and 192.87 mg/dL (SD ± 45.07). Using the Spearman's rho test, the study result showed that there was a significant and negative correlation between the implementation of PROLANIS and the levels of fasting blood sugar (p= 0.001; r= -0.724), HbA1c (p= 0.001; r= -0.870), and total cholesterol (p= 0.029; r= -0.35) in patients diagnosed with type 2 diabetes at Puskemas Antang and Pampang, Makassar. Conclusions: The optimal implementation of the PROLANIS is very effective to control the levels of fasting blood sugar, HbA1c, and total cholesterol in patients type 2 diabetes. 

Jurnal Gizi ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 87
Author(s):  
Efina Amanda ◽  
Salsa Bening

Diabetes Mellitus (DM) type 2 occurs because of insulin resistance, on of the contributing factors is the lack of intake of micronutrients (zinc and magnesium) and macro (fiber). The prevalence of DM in Temanggung is 1,6%. There are 45 patients suffering from type 2 diabetes at PKU Muhammadiyah Hospital in Temanggung which have zinc, magnesium, and fiber intake below normal (deficit). The study aims to analyze the relationship of zinc, magnesium, and fiber intake with fasting blood sugar levels at PKU Muhammadiyah Hospital in Temanggung. The research is a cross sectional design with 45 responden taken with purposive sampling technique. Statistical analysis using kolmogorov smirnov normality test was tested using the spearman correlation test. Data collection of zinc, magnesium, and fiber intake using the 2x24 hour recall and FFQ form while the blood sugar level data is obtained from the patient’s medical record book. The result showed that there was a relationship between zinc intake to fasting sugar levels of patients (p=0,000), there was a correlation between magnesium intake to fasting blood sugar levels in patients (p=0,000). There is a relationship between zinc, magnesium, and fiber intake to fasting blood sugar levels. Keywords: Zink Intake, Magnesium Intake, Fiber Intake, Fasting Blood Sugar Level, Type 2 Diabetes Mellitus


2018 ◽  
Vol 9 (02) ◽  
pp. 145
Author(s):  
Engkartini .

ABSTRAKLatar belakang : Diabetes Melitus (DM) merupakan masalah kesehatan nasional yang mengalami peningkatan setiap tahun. Data epidemologi diperkirakan pada tahun 2030 prevalensi DM di Indonesia mencapai 21,3 juta orang. Peningkatan penderita DM disebabkan berbagai faktor antara lain jenis kelamin, umur, riwayat keluarga, hipertensi, kolesterol dan tempat tinggal. Tujuan penelitian: untuk mengetahui karakteristik penderita DM tipe 2 di RSUD Cilacap tahun 2015 berdasarkan kadar kolesterol . Metode: Desain penelitian yang digunakan deskriptif kuantitatif. Metode penelitian menggunakan cross sectional.  Populasi semua penderita DM tipe 2 di RSUD Cilacap tahun 2015 dan sampel sebanyak 221 dari rekam medis penderita DM tipe 2 yang dirawat di RSUD Cilacap. Analisis data dengan menggunakan statistik deskriptif dan teknik pengambilan sampel dengan  random sampling. Hasil: Hasil penelitian menunjukan sebagian besar berjenis kelamin perempuan dengan kadar kolesterol tinggi sebanyak  58%, usia sebagian besar > 45 tahun sebanyak 56% dengan kolestorl tinggi dan tempat tinggal di kota sebanyak 59% dengan kadar kolesterol tinggiKata kunci: Diabetes Melitus, Usia, Jenis Kelamin, Kolesterol, Tempat Tinggal.CHARACTERISTICS OF TYPE 2 DIABETES MELITUS (DM)  PATIENTS IN THE GENERAL HOSPITAL (RSUD) CILACAP 2015 BASED ON KOLESTEROL RESEARCHABSTRACTBackground: Diabetes Meilitus (DM) is a national health problem that increase every year. Epidemiologi data are show approximately in 2030 the DM prevalence in Indonesia is 21.3 million patient. This increased of DM patient ls causes by many factors such as DM gender, age, family history, hypertension, cholesterol and residence. Objective: characteristics of type 2 DM patients in the general hospital (rsud) cilacap 2015 based on kolesterol research. Methods: Population of all patients with type 2 diabetes in RSUD Cilacap 2015 and 79 samples from medical records of patients with type 2 diabetes treated in RSUD Cilacap. Data analysis using descriptive statistics and sampling technique with random sampling.  Results: The results showed most of the female sex with high cholesterol levels as many as 58%, age most> 45 years as many as 56% with high kolestorl and residence in the city as much as 59% with high cholesterolKeywords: Diabetes Meilitus Age, Gender, Live


2020 ◽  
Vol 9 (1) ◽  
pp. 241-247
Author(s):  
Ninik Ambar Sari ◽  
Ceria Nurhayati ◽  
Sri Anik Rustini

Diabetes mellitus type 2 is a condition in which the body tissue doesn’t respond to the action of insulin. Type 2 DM can cause complications if it doesn’t managed properly, good DM management behavior for patients needs to be done by maintaining a healthy diet and stress will increase blood sugar levels. This study uses analytic cross sectional design. The sampling technique in this study was purposive sampling of 60 respondents. Data processing using the SPSS program with the Spearman Rho test. Results: a correlation between stress level and fasting blood glucose level of type 2 diabetes mellitus patients with a correlation value of 0.544, which is located between 0.4 - <0.6, is in the medium category. While the statistical test for diet obtained a significant number or ρ = 0.002 then Ho is rejected, H1 is accepted.


2019 ◽  
Vol 6 (2) ◽  
pp. 279
Author(s):  
Oshin Mantro ◽  
Jagadeesan Mohanan ◽  
Mahendra Kumar K. ◽  
Kannan R. ◽  
Gowri Shankar A. ◽  
...  

Background: Diabetes is the most common non-communicable disease known today. This study was conducted to assess the clinical profile and complications in patients with type 2 diabetes mellitus.Methods: A prospective study was carried out between April 2017 to April 2018 in patients attending a tertiary care hospital in Chennai. Patients with type 2 diabetes of age 25-80 years, minimum of 5 years duration were enrolled.Results: Out of 66 patients, 23(34.8%) were males whereas 43 (65.2%) were females.  Mean age in this study population was 55.36 years with a standard deviation of 11.362. In present study, the mean fasting blood sugar level was 196.12±77.180, mean postprandial blood sugar level was 303.26±115.385 and the mean HbA1C levels was 10.95±2.369. 77.3% were on oral hypoglycaemic agents, 13.6% on insulin and 9.1% on combined therapy with oral hypoglycemic agents and insulin. The complications associated with diabetes found in present study were microvascular complications which include peripheral neuropathy 41(62.1%), retinopathy 31(46.96%), nephropathy 28 (42.42%). Peripheral neuropathy was found to be most commonly associated. Macrovascular complications include cardiovascular disease in 12.12% (n=8) and cerebrovascular disease in 4.54% (n=3). Autonomic neuropathy was found in 69.69% (n=46).Conclusions: The complications of DM are commonly seen in patients with poor glycaemic control. Among microvascular complications, peripheral neuropathy was most commonly seen. Autonomic neuropathy usually goes unnoticed and asymptomatic in most of the individuals. Increasing levels of HbA1c was found to be significantly correlated with neuropathy.


2020 ◽  
Vol 52 (3) ◽  
pp. 125-130
Author(s):  
Jesika Merlin ◽  
Pusparini

In patients with type 2 diabetes mellitus (Type 2 DM), glycemic control plays an essential role in reducing macro- and microvascular complications. The earliest marker for diabetic nephropathy is the presence of albuminuria. Meanwhile, HbA1c has been recognized as a marker of glycemic control in the blood. This study aimed to identify the correlation between HbA1c and albuminuria in type 2 DM. This was a cross-sectional study involving 100 patients with type 2 DM aged 40–70 years visiting Dr. Soetomo Hospital, Surabaya, Indonesia. Secondary data from medical records of type 2 DM patients undergoing HbA1c and albuminuria examinations from January to December 2015 were used. The mean age of subjects was 55.4 ±8.7 years, with the majority (55%) being of female gender. The mean HbA1c concentration was 9.8±2.4%. Most subjects (83%) had an HbA1c level of ≥7 %. Albuminuria was found in the majority of the subjects (78%), where 33% of them had positive 1 albuminuria. The Spearman correlation test showed a positive strong significant correlation between HbA1c and albuminuria, with r=0.865 and p<0.001. Thus, it can be concluded that there is a significant correlation between HbA1c and albuminuria in type 2 DM.


2019 ◽  
Vol 4 (1) ◽  
pp. 56
Author(s):  
Rara Warih Gayatri

Abstract: Diabetes mellitus (DM) is one of the systemic diseases that manifests in the oral cavity. One effort to prevent type 2 diabetes is through surveillance activities to determine the associated risk factors. The purpose of this study was to determine the relationship of risk factors for history of diabetes mellitus and fasting blood sugar levels with the incidence of type 2 diabetes mellitus at Puskesmas Kendal Kerep in Malang City. This study used a quantitative descriptive method with cross-sectional design and was conducted at the Puskesmas Kendal Kerep in Malang City, April 2017. The sampling method used was the quota sampling method with the measured variables:  the prevalence of diabetes mellitus, a history of diabetes mellitus and levels fasting blood sugar. Data collection techniques used were interview and measurement of fasting blood sugar levels. The research instrument used were Glucko Blood Meter devices and questionnaires. Data processing includes the process of editing, coding, scoring, data entry and cleaning. Data analysis used were univariate and bivariate. The conclusion of the study is that there is a significant relationship between history of Diabetes Mellitus and GDP levels with type 2 DM.Keywords: History of Diabetes Mellitus, Fasting Blood Sugar Levels, Type 2 Diabetes MellitusAbstrak: Diabetes Melitus (DM) merupakan salah satu penyakit sistemik yang bermanifestasi dalam rongga mulut. Salah satu upaya untuk mencegah DM tipe 2 adalah melalui kegiatan surveilans untuk mengetahui faktor resiko yang terkait. Tujuan penelitian ini untuk mengetahui hubungan faktor resiko riwayat diabetes mellitus dan kadar gula darah puasa dengan kejadian diabetes mellitus tipe 2 di Puskesmas Kendal Kerep Kota Malang. Penelitian ini menggunakan metode deskriptif kuantitatif dengan desain potong lintang (cross-sectional) dan dilakukan di Puskesmas Kendal Kerep Kota Malang, Bulan April 2017. Metode sampling yang digunakan merupakan metode quota sampling dengan variable yang diukur adalah kejaidan diabetes mellitus, riwayat diabetes mellitus dan kadar gula darah puasa. Teknik pengumpulan data menggunakan wawancara dan pemeriksaan kadar gula darah puasa. Instrumen penelitian menggunkan kuesioner dan alat Glucko Blood Meter. Pengolahan data yang dilakukan meliputi proses editing, coding, scoring, entry data dan cleaning. Analisa data dilakukan dengan analisis statistic univariat dan bivariat. Kesimpulan penelitian adalah terdapat hubungan yang signifikan antara riwayat DM dan kadar GDP dengan DM tipe 2. Kata kunci: Riwayat Diabetes Melitus, Kadar Gula Darah Puasa, Diabetes Mellitus Tipe 2


2021 ◽  
Vol 3 (4) ◽  
pp. 562-569
Author(s):  
Firhat Esfandiari ◽  
Tusy Triwahyuni ◽  
Resti Arania ◽  
Najmi Bias Aysa

ABSTRACT: RELATIONSHIP BETWEEN SYSTOLIC BLOOD PRESSURE AND TOTAL CHOLESTEROL LEVEL IN TYPE 2 DIABETES MELLITUS PATIENTS IN ARAFAH CLINIC, CENTRAL LAMPUNG Background: Diabetes mellitus type 2 is a disease characterized by hyperglycemia, with the underlying cause being an increase in insulin resistance and or an increase in pancreatic beta cell dysfunction (Decroli, 2019). Diabetes mellitus, hypertension and increased cholesterol levels are conditions that are often found to be interrelated. Hypertension and increased cholesterol levels can be comorbid conditions that accompany DM (Noviyanti et al., 2015). Objective: This study aimed to determine the correlation between systolic blood pressure levels and total cholesterol levels in patients with type 2 diabetes mellitus at the Arafah Clinic, Central Lampung. Method: The type of research used in this research is descriptive analytic with aapproach Cross Sectional. As well as samples taken from Arafah Clinic patients diagnosed with type 2 diabetes, as many as 46 patients. Results: Based on the results of thetest, it was fisher exact found that there was no correlation with the p value = 0.735 (p> 0.05). Conclusion: H0 is received, which means there is no significant correlation between systolic blood pressure and total cholesterol levels in type 2 DM patients at the Arafah Clinic, Central Lampung. Keywords: Systolic Blood Pressure, Total Cholesterol Levels, Type 2 Diabetes Mellitus  INTISARI: HUBUNGAN ANTARA TEKANAN DARAH SISTOLIK DENGAN KADAR KOLESTEROL TOTAL PADA PASIEN DIABETES MELITUS TIPE 2 DI KLINIK ARAFAH LAMPUNG TENGAH Latar Belakang: Diabetes Melitus tipe 2 merupakan suatu penyakit dengan karakteristik hiperglikemia, dengan penyebab yang mendasarinya adalah peningkatan resistensi insulin dan atau peningkatan disfungsi sel beta pankreas (Decroli, 2019). Diabetes melitus, hipertensi dan peningkatan kadar kolesterol merupakan keadaan yang sering dijumpai saling berkaitan. Hipertensi dan peningkatan kadar kolesterol bisa menjadi kondisi komorbiditas yang menyertai DM (Noviyanti et al., 2015).Tujuan: Penelitian ini ditujukkan untuk mengetahui hubungn antara kadar tekanan darah sistolik dengan kadar kolesterol total pada pasien diabetes melitus tipe 2 di Klinik Arafah Lampung Tengah.Metodologi: Jenis penelitian yang digunakan pada penelitian ini adalah deskriptif analitik dengan pendekatan Cross Sectional. Serta sampel diambil dari pasien Klinik Arafah yang terdiagnosa DM tipe 2 yaitu sebanyak 46 pasien.Hasil: Berdasarkan dari hasil uji fisher exact didapatkan tidak adanya hubungan dengan nilai p =0,735 (p>0,05).Kesimpulan: Didapatkan H0 yang diterima yang berarti tidak ada hubungan yang signifikan antara tekanan darah sistolik dengan kadar koletesterol total pada pasien DM tipe 2 di Klinik Arafah Lampung Tengah. Kata Kunci:Tekanan Darah Sistolik, Kadar Kolesterol Total, Diabetes Melitus tipe  


2016 ◽  
Vol 50 (1) ◽  
pp. 32-40 ◽  
Author(s):  
S Ogedengbe ◽  
IU Ezeani ◽  
E Aihanuwa

AbstractObjective. Type 2 diabetes mellitus (T2DM) is characterized by a relative insulin deficiency or insulin resistance. It is also associated with a cluster of metabolic abnormalities, including hyper-tension and dyslipidemia. Although there are many studies that have studied the metabolic abnormalities in T2DM patients with metabolic syndrome (MetS), only few of them have assessed the metabolic abnormalities in their first-degree relatives (FDRs) who had MetS. The aim of this study is to compare the clinical and biochemical variables in T2DM subjects and their FDRs without diabetes in Benin City, Nigeria.Methods. This is a cross sectional case control study including 124 T2DM patients, 96 FDR of T2DM subjects, and 96 controls recruited using convenience sampling. Data were collected using a questionnaire-administered technique. Variables of interest that were assessed included anthropometric indices like waist circumference (WC), hip circumference (HC), waist:hip ratio (WHR), body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), serum lipid profile, fasting plasma glucose (FPG), hemoglobin A1c (HbA1c), proteinuria, and microalbuminuria. The 1999 World Health Organization (WHO) criteria were used to make a diagnosis of metabolic syndrome. The Chi-square test was used for comparison of proportions. P-value of less than 0.05 was taken as statistically significant. The student t-test was used to compare means and test for significant differences in the anthropometric and the metabolic indices.Results. The prevalence of the MetS in T2DM persons was 87.1%, 16.7% in the FDR group, and 13.5% in the control group according to the WHO criteria. The mean value of HbA1c was significantly higher in T2DM subjects with MetS (p<0.05). The mean values of WC, FPG, total cholesterol, HDL cholesterol, and LDL cholesterol were higher in subjects with MetS in the T2DM group than in persons with MetS in the FDR group though not significant (p>0.05). The mean values of WHR, BMI, SBP, DBP, and triglyceride were higher in persons with the MetS in the FDR group than in persons with the MetS in the T2DM group. The difference in the BMI and SBP was significant (p<0.05).Conclusion. The prevalence of MetS in subjects with T2DM in Nigeria is very high. Though, all the biochemical and clinical indices were higher in T2DM subjects with MetS, the mean HbA1c, BMI, and SBP was significantly higher when compared to their FDR who also have MetS.


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