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

2019 ◽  
Vol 4 (3) ◽  
pp. 449
Author(s):  
Riwanti Silaban ◽  
Pina Lestari ◽  
May Daryeti ◽  
Diah Merdekawati

<p><em>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 &lt;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.</em></p><p> </p><p><em>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 &lt; 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.</em></p>

2019 ◽  
Vol 17 (2) ◽  
pp. 134-143
Author(s):  
Tyas Aulia Hanani ◽  
Diah Ratnawati

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.


2018 ◽  
Vol 3 (2) ◽  
pp. 72
Author(s):  
Setyoadi Setyoadi ◽  
Heri Kristianto ◽  
Siti Nur Afifah

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.


Author(s):  
La Ode Ardiansyah ◽  
Nawawi Nawawi

Background:Diabetes mellitus (DM) is a phenomenon which the body  cannot  produce insulin supply which is indicated by increasing blood glucose levels. Red Rice (Oriza nivara) contains flavonoid compounds which have antidiabetic abilities. It can  reduce blood glucose by increasing insulin secretion and preventing insulin resistance. This study aims to determine the effect of giving brown rice (Oriza nivara) to change   blood glucose levels in people with diabetes mellitus in Kendari City. Methods: This research method was carried out with a quasi-experimental design with pre-post test design for 1 week with primary and secondary data collection techniques. The respondents  were  determined by proportional random sampling. Respondents in this study were 33 people with DM. Result:The results of the study on checking blood glucose levels before and after giving brown rice (oriza nivara) within 1 week obtained P value = 0.000 <  alpha 0.05. Conclusion: there is a  significant  effect of giving brown rice (oriza nivara) on changes in blood glucose level in diabetes mellitus people  in Kendari City.


2021 ◽  
Vol 10 (2) ◽  
pp. 75
Author(s):  
I Gusti Agung Dewi Sarihati ◽  
Putu Dita Pratiwi ◽  
I Gusti Agung Ayu Putu Swastini

<p class="normal" align="center"><strong>Description </strong><strong>o</strong><strong>f Blood Glucose Levels </strong><strong>i</strong><strong>n Hypertension Patients </strong><strong>in</strong><strong> Mendoyo Public </strong><strong>H</strong><strong>ealth </strong><strong>C</strong><strong>enter</strong></p><p class="normal" align="center"> </p><p class="normal"><strong> Abstract</strong></p><p class="normal"> </p><p>Hypertension is a degenerative disease that still affects many people in Bali Province. Hypertension occurs due to many factors where it can start from genetics and lifestyle. Hypertension can lead to insulin resistance which is the main cause of increased blood glucose, so that people who suffer from hypertension have the risk of suffering from diabetes mellitus. The purpose of this study is to describe the current blood glucose levels in  patients with hypertension at Puskesmas II Mendoyo. Method this research  uses descriptive quantitative method involving 30 respondents through purposive sampling technique. The research was conducted in March - April 2021. Data collection was carried out by filling out questionnaires and examining blood glukose level with POCT EasyTouch GCU. The results showed that (13.3%) patients with hypertension had blood glucose levels in the non-DM category, (80%) with the uncertain DM category, and (6.7%) in the DM category. The average blood glucose level is 120.7 mg/dl with the lowest level is 84 mg/dl and the highest level up to 273 mg/dl. In conclusion, most patients with hypertension have blood glucose levels during the uncertain DM category.</p><p><strong>Keyword</strong>s: blood glucose levels; hypertension; diabetes melitus</p>


Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 106
Author(s):  
Erika Martining Wardani ◽  
Chilyatiz Zahroh ◽  
Nur Ainiyah

Introduction: Diabetes Mellitus (DM) is a cause of morbidity mainly due to vascular complications. The prevention of diabetic foot problems can be done through metabolic control and foot exercises. The purpose of this study was to determine the effect of diabetes foot spa measures on blood glucose levels, foot sensitivity and the ankle brachial index.Methods: This research was a pre-experimental design. The population totaled 170 DM patients and the sample was finalized at 30 respondents. The independent variable was diabetic foot spa, while the dependent variables were blood glucose levels, blood sensitivity and the ankle brachial index. The data was analyzed using a t-test and Wilcoxon rank test.Results: Diabetic foot spa in early neuropathy detection testing has a blood glucose level of t=9.523 and a p value=0.000. Diabetic foot spa also significantly affects foot sensitivity with a ρ <α (0.001<0.05) and an ankle brachial index of (ABI) ρ<α (0.008 < 0.05).Conclusion: Diabetic foot spa conducted regularly and independently can reduce the level of complications in Diabetes Mellitus patients. Furthermore, the tingling and pain in the feet can be reduced or even disappear as well as preventing complications such as foot ulcers that can often become amputations.


Author(s):  
INDAH ROHMAWATI ◽  
Dora Dayu Rahma Turista

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).


Author(s):  
Meiriani . ◽  
Yuneldi Anwar ◽  
Puji Pinta Omas Sinurat

Background: Diabetes and higher HbA1c level have increased the incidence of stroke. Hemoglobin levels both high and low are associated with poor outcomes. Leukocytes play an important role in the initiation of the atherosclerosis process.Methods: This was a cross-sectional study with a sample size of 62 people selected by non-random sampling method on a consecutive basis, patients with acute stroke were taken blood to measure blood glucose levels, HbA1c, Hb and Leucocytes when entering the hospital room. Outcomes were assessed using NIHSS and MRS. The calculation of NIHSS and MRS scores was performed on the first day of admission and the fourteenth day. To analyze the correlation of blood sugar levels during HbA1c, Hb and leukocytes in acute stroke, this study used Spearman's correlation test. The p value <0.05 was considered statistically significant.Results: The study subjects of 62 acute stroke patients (acute ischemic stroke 31 people and 31 people hemorrhagic stroke). Acute stroke patients were consisted of 38 men (61.3%) and 24 women (38.7%). Of 31 people with hemorrhagic stroke, there were 16 men (51.6%) and 15 women (48.4%), ischemic stroke patients were consisted of 22 people (71, 0%) and women were 9 people. Spearrman repair test showed no symptoms between blood glucose levels, HbA1c, Hemoglobin and leukocytes with outcomes in acute stroke.Conclusions: There was no significant association between blood glucose levels, HbA1c, hemoglobin and leukocytes with outcomes in acute stroke.


2020 ◽  
Vol 8 (3) ◽  
pp. 247
Author(s):  
Siti Cholifah ◽  
Paramitha Amelia Kusumawardani ◽  
Miftahul Muslih

<em>Efforts to limit and regulate birth spacing as a goal to create quality families and healthy families, the government encourages people to use contraceptives as birth control. One of these contraceptives is injection contraception. Injecting contraception is the most widely used contraceptive tool by the people of Indonesia, is considered effective, practical, but has several side effects, the most worrying is that it affects blood glucose. Blood glucose levels in the human body that increase more than normal can be a symptom of diabetes mellitus. The purpose of this study is to determine differences in blood glucose levels in progestin injection and combined injection contraceptive acceptors. Observational research design using a cross sectional approach. The study population was all injectable acceptors. Samples were taken that met the inclusion criteria, namely respondents were willing to be examined, there was no history of diabetes mellitus (DM), less than 40 years of age, acceptors of at least 6-8 hours fasting. Sampling was carried out using consecutive sampling techniques totaling 50 acceptors (25 progestin injection acceptors, 25 combined injection acceptors). Data were analyzed by Witney mann test using α = 0.05. The results showed the mean fasting blood glucose for progestin injection acceptors was higher than for combination injections, the test results P = 0.008 &lt;α = 0.05. The conclusions of the study show that there are significant differences in blood glucose levels in progestin-injecting acceptors and this combination means that progestin-injecting contraceptives have a higher impact on increasing fasting blood sugar levels compared with combined injection contraception. Suggestions for health workers to control blood glucose injector acceptors at acceptors who experience high glucose levels are recommended to replace non-hormonal contraceptive methods.</em>


Author(s):  
Fitria Endah Janitra ◽  
Dinda Sandika

Introduction: Diabetes mellitus (DM) is a metabolic disorder characterized by elevated blood glucose levels. Chronic complications of DM affect coronary circulation, peripheral vascularization, and blood vessels of the brain. Decrease in peripheral vascularization increases the risk of tissue ischemia and weakens functional status, therefore it is necessary to control blood glucose levels. Islam teaches to its believers to control their diet, where diet is one of the four pillars of diabetes management. Methodology: this is analytic descriptive research with cross sectional methods in 67 respondents taken by consecutive sampling technique. Results: There was a significant correlation within blood glucose control and decreased peripheral vascularization in DM patients (p-value 0.010). Discussion: need further research regarding nursing intervention to control blood glucose.


2017 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Etiek Nurhayati ◽  
Suwono Suwono ◽  
Everiandi Nur Fiki

Abstract: NaF or Sodium Fluoride are anticoagulants which often used for sampling tests of blood glucose levels because NaF is considered to inhibit the process of glycolysis. The purpose of this study was to determine the difference of blood glucose level that delayed for 2 hours using NaF anticoagulant and without using NaF anticoagulant at students of Medical Laboratory Pontianak. This research method was in the form of Cross-Sectional research. Sampling technique by random sampling with 39 people in total. Glucose examination method used was a method of glucose oxidase using blood serum. The result was the average value of blood glucose level using anticoagulant NaF was 80,256 mg/dl. While the average of blood glucose levels without the use of NaF anticoagulants was 73,589 mg/dl. The data obtained were analyzed statistically using paired t-test result (p = 0,001 <a 0,05). It can be concluded that there was a difference of blood glucose level when using NaF anticoagulant and without using NaF anticoagulant on students of Medical Laboratory Pontianak.Abstrak: Antikoagulan NaF atau Natrium Flourida adalah antikoagulan yang sering digunakan untuk sampling bahan pemeriksaan kadar glukosa darah, karena NaF dianggap mampu menghambat proses glikolisis. Tujuan penelitian ini untuk mengetahui perbedaan kadar glukosa darah sewaktu yang ditunda selama 2 jam menggunakan antikoagulan NaF dan tanpa menggunakan antikoagulan NaF pada mahasiswa/I Analis Kesehatan Pontianak. Desain penelitian menggunakana Cross Sectional. Teknik pengambilan sampel dengan cara simple random sampling dengan jumlah 39 orang. Metode pemeriksaan glukosa yang digunakan adalah metode glucose oxidase menggunakan sthe erum darah Hasil penelitian adalah rata–rata nilai kadar glukosa darah yang menggunakan antikoagulan NaF adalah 80,256 mg/dl. Sedangkan rata-rata kadar glukosa darah yang tanpa menggunakan antikoagulan NaF adalah 73,589 mg/dl. Data yang diperoleh dianalisis statistik menggunakan uji t-berpasangan didapatkan hasil (p = 0,001<a 0,05). Dapat disimpulkan terdapat perbedaan kadar glukosa darah sewaktu menggunakan antikoagulan NaF dan tanpa menggunakan antikoagulan NaF pada mahasiswa /i Analis Kesehatan Pontianak. 


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