scholarly journals Hubungan Kadar Glukosa Darah Saat Masuk Rumah Sakit Dengan Lama Hari Rawat Pasien Sindrom Koroner Akut (SKA) Di RSUP Dr. M. Djamil Padang

2013 ◽  
Vol 2 (2) ◽  
pp. 94
Author(s):  
Rosi Oktarina ◽  
Yertizal Karani ◽  
Zulkarnain Edward
Keyword(s):  
Acute Coronary Syndrome ◽  
Blood Glucose ◽  
Length Of Stay ◽  
Stroke Volume ◽  
Hospital Admission ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Cross Sectional ◽  
Random Blood Glucose ◽  
Coronary Syndrome

AbstrakHiperglikemia masih menjadi topik penelitian yang sering dihubungkan dengan kejadian sindrom koroner akut (SKA) di dunia, terutama hiperglikemia saat masuk rumah sakit. Hal ini didasari oleh beberapa pengaruh kadar glukosa darah yang tinggi terhadap sistem kardiovaskuler seperti gangguan fungsi ventrikel kiri, stroke volume yang menurun, regurgitasi katup mitral berulang, gangguan pada waktu pengisian diastolik hingga risiko tinggi untuk arritmia, serta hubungannya dengan peningkatan risiko trombosis. Sehingga semakin memperjelas pengaruh hiperglikemia yang tidak hanya dapat meningkatkan risiko terjadinya SKA, melainkan juga dapat memperburuk kondisi pasien SKA sendiri. Penelitian ini bertujuan mengidentifikasi hubungan kadar glukosa darah sewaktu dengan lama hari rawat pasien Sindrom Koroner Akut (SKA). Jenis penelitian yang digunakan adalah penelitian analitik dengan menggunakan desain penelitian Cross Sectional Study. Penelitian ini menggunakan data sekunder yang diambil di Instalasi Rekam Medik (Medical Record), yakni data rekam medik pasien yang didiagnosis sebagai Sindrom Koroner Akut (SKA) yang dirawat inap di Rumah Sakit Umum Pusat DR. M. Djamil Padang Periode Januari–Desember 2011. Ditemukan sebagian besar pasien SKA masuk rumah sakit dengan kadar Glukosa Darah Sewaktu (GDS) sebesar ≥ 200 mg/dl (40%) dan lama hari rawat sebesar ≥ 7 hari (52%). Dari hasil analisa bivariat dengan menggunakan uji korelasi Spearman ditemukan adanya hubungan searah antara kadar glukosa darah saat masuk rumah sakit dengan lama hari rawat pasien SKA dengan kekuatan hubungan yang sedang, r = +0,492, p = 0, 000 (p<0,05). Pemantauan terhadap kadar GDS yang diperiksa saat pasien masuk rumah sakit perlu dilakukan dan untuk penelitian yang akan datang diharapkan dapat diteliti lebih lanjut faktor-faktor lain yang mempengaruhi lama hari rawat pasien SKA.Kata kunci: Kadar glukosa darah saat masuk RS, lama hari rawatAbstractHyperglicemia is still become a research topic which is often associated with the incidence of Acute Coronary Syndrome (ACS) in the world, especially hyperglicemia on hospital admission. This is due to several effects of high random blood glucose to the cardiocasculer system for instance impaired left ventricular function, decreased stroke volume, reccurrent mitral valve regurgitation, impaired diastolic filling, high risk arrhytmias and its corelation with the increase thrombosis risk. This circumstance explains more about the effects of hyperglicemia that not only increase the risk of Acute Coronary Syndrome (ACS), but can also worsen the Acute Coronary Syndrome (ACS) patients condition through a various of mechanisms. This research is purposed to identify the relation between hospital admission blood glucose level with length of stay of Acute Coronary Syndrome (ACS). This research uses analytic research which is using cross sectional design. This research uses secondary data that is taken from the medical records of patients diagnosed as Acute Coronary Syndrome (ACS) admitted to RSUP DR. M. Djamil Padang from January until December 2011. Research found that the most of ACS patients admitted to the hospital with as random blood glucose of ≥200 mg/dl (40%) and length of stay for ≥7 days (52%). The results of bivariate analysis by using Spearman correlation test is obtained the correlation between hospital admission blood glucose level to length of stay ACS patients and the strength of correlation is moderate, r = +0,492 , p = 0, 000 (p<0,05). The monitoring of random glucose level of ACS patients upon hospitalization is necessary and for future studies the other factors that affect the length of stay of ACS patients should be considered.Keywords:Hospital admission blood glucose, length of stay

scholarly journals Relation of BMI with Blood Glucose Level amongst Healthy Students of Ayub Medical College, Abbottabad

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Nadia Haleem ◽  
Sarwat Abbasi ◽  
Mohammad Idress ◽  
Zahid Irfan Marwat ◽  
Saadia Sadiq ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Body Mass ◽  
Glucose Level ◽  
Strong Association ◽  
Cross Sectional ◽  
Random Blood Glucose ◽  
Medical College ◽  
Two Parameters

Background: Obesity is a global challenge all over the world. Body mass index is a good marker to measure the adiposity. Obesityis one of the important risk factors for type 2 diabetes mellitus. Normal random blood glucose levels are closely regulated in healthwith a normal range of 4.4-7.8mmol/l (79-140mg/dl), despite the varying demands of food, exercise and fasting. Many diabeticpatients are obese and studies suggest a strong association between the two.Objective: To find an association of BMI with blood glucose level in undergraduate healthy students of Ayub Medical CollegeMaterial and Methods: This cross-sectional study was carried out in 2018, capillary blood samples were collected from 152students of Ayub Medical College Abbottabad to evaluate blood glucose level by Accu chek softclix® lancing device and Accu chekglucometer®, BMI was calculated by the formula (weight in kg/ height in meters squared). Data was collected and analyzed bySPSS version 23.Results: Total 152 (100%) healthy participants with 84 (55.3%) males and 68 (44.7%) females included in this study. Their ageswere ranged from 18-25 with a mean age of 21.02 years (min 17 max 26) having a standard deviation of 1.75. By taking thecorrelation between two parameters i.e. body mass index and serum random blood glucose level by Pearson product of moment(p=.214, r=101) a non-significant result was found.Conclusion: It is concluded that there is no significant association found between two parameters (BMI and serum BGL) in healthyyoung adults.

scholarly journals The features of the pain syndrome in diabetic patients with myocardial infarction

2021 ◽  
Vol 17 (2) ◽  
pp. 72-78
Author(s):  
M.V. Boliuk ◽  
O.A. Halushko
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Heart Rate ◽  
Acute Coronary Syndrome ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Coronary Syndrome

Background. Due to the frequent development of neuropathy in diabetic patients, it is believed that this category of patients is characterized by a high incidence of atypical acute coronary syndrome, but data about this are quite contradictory. The purpose of the study was to determine pain syndrome features and its severity in patients with acute coronary syndrome and diabetes mellitus. Materials and methods. The study involved 24 patients with diabetes (19 men and 5 women) aged 45–83 years, hospitalized urgently for the acute coronary syndrome. Assessment of pain syndrome was performed at the time of hospitalization and immediately after coronary artery revascularization according to the following criteria: visual analogue scale (VAS), numerical rating scale (NRS), clinical data (sweating, tremor, blood pressure, pulse), blood glucose level. Results. Most patients (87.5 %) at the time of hospitalization complained of chest pain, the rest were not bothered by any pain. Patients described pain as “burning” (29.17 %), “squeezing” (29.17 %), “tightness” (25.0 %), “tingling” (4.17 %). There were also complaints of difficulty breathing (12.5 %), shortness of breath (12.5 %), palpitations (41.67 %), excessive sweating (16.67 %). There was no statistically significant difference between the results of pain assessment by VAS and NRS (p > 0.1). The results of the subjective assessment of pain syndrome by VAS and NRS indicate that before revascularization, moderate and severe pain occurred with equal frequency. There were no statistically significant fluctuations in blood pressure and heart rate before and after the intervention in patients with different pain severity (p > 0.1). At the time of hospitalization, the mean systolic blood pressure was 135.71 ± 18.70 mmHg, diastolic blood pressure was 83.71 ± 14.67 mmHg, heart rate was 73.08 ± 11.35 bpm. The mean value of glycemia at the time of hospitalization was 8.19 ± 3.45 mmol/l (8.17 ± 3.61 mmol/l in men, 8.28 ± 3.13 mmol/l in women). Blood glucose level ≥ 10.0 mmol/l was detected in 5 patients, i.e. in 20.83 % of all patients. The majority of these individuals had severe pain (60.0 %). Conclusions. In patients with myocardial infarction and diabetes mellitus, the typical clinical picture of ACS (87.5 %) prevailed over the painless form. Before revascularization, moderate and severe pain occurred with equal frequency; there is no statistical difference between blood pressure, heart rate and blood glucose level (p > 0.1) in patients with severe and moderate pain. Hyperglycemia (≥ 10.0 mmol/l) was detected in 20.83 % of patients, most of them had severe pain (60.0 %). The lack of difference between the values of the studied pain criteria may be due to the sample size, the low sensitivity of the criteria, the development of diabetic neuropathy. As a result, there is a need for further study of the phenomenon of pain syndrome in patients with ACS and diabetes mellitus.

scholarly journals Association Between Preoperative Blood Glucose Level and Hospital Length of Stay for Patients Undergoing Appendectomy or Laparoscopic Cholecystectomy

Diabetes Care ◽  
2020 ◽  
Vol 44 (1) ◽  
pp. 107-115
Author(s):  
Hsiu-Yin Chiang ◽  
Kuan-Ting Robin Lin ◽  
Ya-Luan Hsiao ◽  
Han-Chun Huang ◽  
Shih-Ni Chang ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Blood Glucose ◽  
Length Of Stay ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Hospital Length ◽  
Hospital Length Of Stay

scholarly journals Gingival Crevicular Blood as a Potential Screening Tool: A Cross Sectional Comparative Study

2020 ◽  
Vol 17 (20) ◽  
pp. 7356
Author(s):  
Biagio Rapone ◽  
Elisabetta Ferrara ◽  
Luigi Santacroce ◽  
Skender Topi ◽  
Ilaria Converti ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Screening Tool ◽  
Capillary Blood ◽  
Blood Levels ◽  
Diabetic Patients ◽  
Capillary Blood Glucose ◽  
Cross Sectional ◽  
Finger Stick

Background: Diabetes is known to be one of the major global epidemic diseases, significantly associated with mortality and morbidity worldwide, conferring a substantial burden to the health care system. The epidemiological transition of this chronic disease tends to worsen unless preventive health strategies are implemented. Appropriate screening devices and standardized methods are crucial to prevent this potentially inauspicious life condition. Currently, the glucometer is the conventional device employed for blood glucose level determination that outputs the blood glucose reading. Glucometer performed in the dental office may be an important device in screening diabetes, so it can be addressed during a periodontal examination. Because gingival blood is a useful source to detect the glucose level, the focus is placed on the opportunity that might provide valuable diagnostic information. This study aimed to compare gingival crevicular blood with finger-stick blood glucose measurements using a self-monitoring glucometer, to evaluate whether gingival crevicular blood could be an alternative to allow accurate chairside glucose testing. Methods: A cross-sectional comparative study was performed among a 31–67-year-old population. Seventy participants with diagnosed type 2 diabetes and seventy healthy subjects, all with positive bleeding on probing, were enrolled. The gingival crevicular blood was collected using a glucometer to estimate the blood glucose level and compared with finger-stick blood glucose level. Results: The mean capillary blood glucose and gingival crevicular blood levels from all samples were, respectively, 160.42 ± 31.31 mg/dL and 161.64 ± 31.56 mg/dL for diabetic participants and 93.51 ± 10.35 mg/dL and 94.47 ± 9.91 mg/dL for healthy patients. In both groups, the difference between gingival crevicular blood and capillary blood glucose levels was non-significant (P < 0.05). The highly significant correlation between capillary blood glucose and gingival crevicular blood (r = 0.9834 for diabetic patients and r = 0.8153 for healthy participants) in both the groups was found. Conclusions: Gingival crevicular blood test was demonstrated as a feasible and useful primary screening tool test for detecting diabetes and for glucose estimation in non-diabetic patients. Use of gingival crevicular blood for screening is an attractive way of identifying a reasonable option of finger-stick blood glucose measurement under the appropriate circumstances. Rapid assessment may precede diagnostic evaluation in diabetic as well as healthy patients with acute severe bleeding. In addition, gingival crevicular blood levels may be needed to monitor the diabetic output.

scholarly journals Hyperglycemia: A Predictor of Death in Severe Head Injury Patients

2016 ◽  
Vol 9 ◽  
pp. CMED.S40330 ◽  
Author(s):  
Simin Babaie Kafaki ◽  
Kamaledin Alaedini ◽  
Ashkan Qorbani ◽  
Leila Asadian ◽  
Kaveh Haddadi
Keyword(s):  
Blood Glucose ◽  
Head Injury ◽  
Mortality Rate ◽  
Length Of Stay ◽  
Blood Glucose Level ◽  
Prospective Study ◽  
Glucose Level ◽  
Severe Head Injury ◽  
Hospital Length Of Stay ◽  
Comprehensive Treatment

Objectives Management of hyperglycemia during an acute sickness in adults is accompanied by improved outcomes. We have designed a prospective study with meticulous attention to exclude all diabetes patients by checking hemoglobin A1c (HbA1c or glycated hemoglobin) to avoid the ill-effects of hyperglycemia in patients with traumatic head injury admitted to the intensive care unit (ICU). Methods This prospective study included adults with traumatic primary brain injury with a Glasgow coma score of ≥8 necessitating mechanical ventilation treated in the period 2012–2015. After screening 311 patients, 220 were included in the study. Both blood glucose and HbA1c levels of all the patients at admission, as well as blood glucose level after 72 hours, were obtained from the records. The patients were later grouped based on their admission blood glucose levels (<200 mg/dL or ≤200 mg/dL). Injury severity score (ISS) was documented for every patient. As a final point, the outcomes were determined based on the hospital length of stay (HLS) and ICU length of stay (ILS), plusmortality rates. Results About 39% ( n = 85) of patients were admitted with hyperglycemia during the study period. The mortality rate in patients with glucose ≤200 mg/dL was 65.8% ( N = 56), against 23.7% ( N = 32) in the group with glucose <200 mg/dL, with mortality rising as the blood glucose level increased ( P = 0.014). Conclusions We conclude that admission hyperglycemia is related with increased mortality rate in head injury patients, and comprehensive treatment of hyperglycemia can improve the outcome of severe head injury patients.

scholarly journals Awareness and Knowledge of Diabetes Mellitus Among School Teaching Staff in Taif City

2018 ◽  
Vol 5 ◽  
Author(s):  
Ziyad Atiah Almalki ◽  
Ghasham Salem Almarzoqi ◽  
Ghasham Salem Almarzoqi ◽  
Mohannad Solaiman Assery ◽  
Talal Abdullah Alzahrani ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Cross Sectional Study ◽  
Teaching Staff ◽  
Sectional Study ◽  
Cross Sectional ◽  
School Teaching

Diabetes is one of the most common chronic diseases, usually appears during childhood or adolescence; however, it can also develop in adults. The objective of this study was to evaluate the knowledge and awareness about diabetes among teaching stuff in Taif province of Saudi Arabia. A cross sectional study, using a structured pre-tested questionnaire, was conducted in Taif. Our study involved 50.5% males and 49.5% were females. The age of participants ranged from less than 30 years old to more than 50 years old. Our results showed that he majority of teaching staff in our sample study are aware of diabetes and how to deal in case of low blood glucose level. However, the knowledge of causes, symptoms, risk factors, complications of diabetes and signs of low blood glucose level was not as high as expected. Therefore, training is required for the teaching stuff as more than half of our sample study had taught a diabetic child.

scholarly journals GAMBARAN KADAR GLUKOSA DARAH PUASA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS SAM RATULANGI ANGKATAN 2011 DENGAN INDEKS MASSA TUBUH ≥ 23 kg/m2

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Gracia Rorong ◽  
Stefana Kaligis ◽  
Diana Purwanto
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Blood Glucose ◽  
Blood Glucose Level ◽  
Body Mass ◽  
Glucose Level ◽  
Fasting Blood Glucose ◽  
Fasting Blood Glucose Level ◽  
Cross Sectional ◽  
Purposive Sampling

Abstract: Glucose is a main compound that has important role in preparation and development  of energy in human body. Blood glucose level is the amount of glucose in the blood. One of the factors that affects blood glucose level is body weight. Body weight is affected by several factors, such as aged, gender, and physical activities. Overweight may cause insulin resistance, results in increasing of the blood glucose level. This study aimed to describe the fasting blood glucose level at students Faculty of Medicine year 2011 Sam Ratulangi University with Body Mass Index (BMI) ≥23 kg/m2. Research method used for this study was cross sectional descriptive survey with purposive sampling method. From 26 respondents, 12 overweight (BMI ≥23 kg/m2) respondents (46,15%) had average fasting blood glucose level 85,4 mg/dL and 14 obese (BMI ≥25 kg/m2) respondents (53,85%) had average fasting blood glucose level 86 mg/dL. Conclusion: the description of fasting blood glucose level at students Faculty of Medicine year 2011 Sam Ratulangi University with Body Mass Index (BMI) ≥23 kg/m2 is at normal level (80-100 mg/dL). Keywords: BMI ≥23 kg/m2, Fasting blood glucose, students year 2011     Abstrak: Glukosa merupakan suatu molekul utama yang berperan penting dalam penyediaan dan pembentukan energi di dalam tubuh. Kadar glukosa darah adalah jumlah kandungan glukosa dalam darah. Salah satu faktor yang mempengaruhi kadar glukosa darah adalah berat badan. Berat badan dipengaruhi oleh beberapa faktor, antara lain usia, jenis kelamin, dan aktivitas fisik. Kelebihan berat badan dapat menyebabkan resistensi insulin sehingga kadar glukosa dalam darah meningkat. Peningkatan kadar glukosa darah merupakan salah satu penanda sindroma metabolik. Penelitian ini bertujuan untuk mengetahui gambaran kadar glukosa darah puasa pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi Angkatan 2011 dengan Indeks Massa Tubuh (IMT) ≥23 kg/m2. Jenis penelitian berupa penelitian survey deskriptif cross sectional dengan metode purposive sampling. Sampel penelitian sebanyak 26 orang responden. Hasil penelitian ini didapatkan 12 orang responden (46,15%) yang overweight (IMT ≥23 kg/m2) memiliki rata-rata kadar glukosa darah puasa 85,4 mg/dL dan 14 orang responden (53,85%) yang obesitas (IMT ≥25 kg/m2) memilki rata-rata kadar glukosa darah puasa 86 mg/dL. Simpulan: semua responden mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi Angkatan 2011 memiliki kadar glukosa darah puasa normal (80-100 mg/dL). Kata Kunci: Glukosa darah puasa, IMT ≥23 kg/m2, mahasiswa angkatan 2011

scholarly journals Achievement of Awareness in a Diabetic Population

1970 ◽  
pp. 7-10
Author(s):  
Mirza Azizul Hoque ◽  
Md Sirajul Islam ◽  
Md Abdul Maleque Khan ◽  
Rehana Aziz ◽  
HAM Nazmul Ahasan
Keyword(s):  
Blood Glucose ◽  
Blood Glucose Level ◽  
Glucose Level ◽  
Educational Status ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Educational Group ◽  
Diabetic Clinic ◽  
Significant Difference

This cross-sectional survey was carried out during the period, October 2005 to December 2005, among 184 randomly chosen diabetic patients in Khulna Diabetic Centre, Khulna, Bangladesh, to evaluate the knowledge of the patients for their control of diabetes mellitus and also to explore the association(s) of their attitude and knowledge regarding diabetic awareness towards educational status and socio-demographic profile. In this study, we found a significant difference, in diabetic awareness to keep correct blood glucose level, in different educational group. But, it did not influence the subjects of different educational group to visit the diabetic clinic. There was no significant difference in the knowledge of correct blood glucose level and in regularity of visit to the diabetic clinic, in rural and urban people. Knowledge of correct blood glucose level varied significantly among male and female patients, although, no significant variation was found among them in visiting to the diabetic clinic. We can conclude that, diabetic education programs can improve self-regulatory behavior and in the long run, can reduce morbidity and mortality.   doi:10.3329/jom.v10i3.2008 J Medicine 2009; 10 (Supplement 1): 7-10  

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