scholarly journals HEADACHE

2016 ◽  
Vol 23 (02) ◽  
pp. 193-197
Author(s):  
Santosh Kumar

Objective and aims: To determines relationship of age, gender, hypertension,diabetes mellitus and obesity with primary and secondary headache in a tertiary carehospital. Study design: A cross-sectional study. Place and duration of study: Medical OPDof Liaquat University of Medical and Health Sciences, Hyderabad from 10January to 10 July2015. Methodology: Patients (male and female) with complaint of headache in medical OPDwere included in this study. Patients with acute emergency, stroke, meningitis, encephalitisand severe infection were excluded. After taking informed consent, history, examination andlaboratory test (like fasting blood glucose, blood urea nitrogen) were sent. Data was recordedin a proforma. Data was entered and analyzed using SPSS version 20. Results: A total of 100patients of headache were included in this study. The mean age of enrolled participants was33.6±2 years. Forty percent were male and 60% female with male to male ratio was 0.7:1. Eightynine percent of patients have normal blood pressure, 82% normal blood sugar and 48% normalbody mass index. Eighty six percent patients had primary and 14% had secondary headaches.Normal blood pressure was observed in 93% cases of primary headache compared to 64.3%in secondary headache (p-0.006). Normal blood sugar was observed in 14% cases of primaryheadache compared to 42.9% in secondary headache (p-0.018).normal body mass index wasobserved in 51.2% cases of primary headache compared to 28.6% in secondary headache (p-0.002). Conclusion: There is strong relationship of primary headache with age, gender, obesitybut not associated with hypertension and diabetes mellitus. Hypertension and diabetes aremore strongly related with secondary headache

2019 ◽  
Vol 4 (8) ◽  
pp. 474
Author(s):  
Litae Litae ◽  
Maria Magdalena Purba ◽  
Irene Febriani Febriani

Diabetes Mellitus (DM) is a medical disorder is a collection of symptoms caused by elevated levels of sugar or due to insulin resistance. DM is a non-communicable diseases. Riskesdas 2007 in Central Kalimantan diabetes prevalence of 0.9%, but were diagnosed by health personnel by 0.6%. While in the city of Palangkaraya. Prevalence of diabetes of 1.4%, but were diagnosed DM client just as much as 1.1%. This study aims to determine the relationship of the level of anxiety with increased blood sugar levels in diabetes mellitus clients in the region of Bukit Pukesmas Hindu city of Palangkaraya. Methods descriptive analytic cross sectional study design. The research sample as many as 65 people. The results showed that the DM Client Anxiety in Puskesmas Bukit Hindu city of Palangkaraya that her blood sugar levels <200 mg / dl was 23.1% mild anxiety and 24.6% were worried. Anxiety DM client that blood glucose levels> 200 mg / dl was 21.5% mild anxiety, and 30.8% were worried. Obtained a significant relationship between the level of anxiety with increased levels of sugar in clients with diabetes mellitus, where respondents blood sugar> 200 mg / dl with a moderate level of anxiety has peluag 5.787 times greater risk than the volunteers were mild anxiety level.


2020 ◽  
Vol 1 (2) ◽  
pp. 34-40
Author(s):  
Chitra Astari

This research aimed to analyze the insulin and ACE Inhibitor therapy to patients with DM type 2 with hypertension, and giving a picture about the influence on the blood sugar control and blood pressure using the parameter of  fasting blood glucose, HbA1C, and blood pressure. The research was conducted in the  endocrine clinic  of DR. Wahidin Sudirohusodo General Hospital, Makassar,  from 2 May through 12 July, 2016. The research was a Cross-Sectional study with the samples chosen using the evhaustive sampling technique. The types of insulin and antihypertension class ACE inhibitor as revealed by the interviews with the patients. The therapy effects of pre and post interventions were analyzed using the parameter of glycemia, and HbA1C using  the pair sample T-test and blood pressure using Wilcoxon test. The research results indicated that the level of blood sugar after fasting was reduced to 64.08 and the level of HbA1C was reduced to 1.51 with the value of P = 0.000. The parameter of systolic and diastolic blood pressures had equal degradation of 12.56 and 12.32 respectively with value of P = 0.000, meaning P0.05 in statistics.


Author(s):  
Diah Lestari ◽  
Fatwa Imelda ◽  
Febrina Oktavinola Kaban

Non-communicable diseases are quite serious public health problems and require more comprehensive and multidisciplinary care. The high mortality rate caused by heart disease, stroke, gout and diabetes mellitus is caused by unhealthy eating patterns, unhealthy habits, lack of physical activity and stress. Indonesia is the 4th country with people with diabetes mellitus after China, India and the USA. Hypertension or high blood pressure is a cause of increased risk of stroke, heart and kidney. The number of Majelis Taklim assemblies and Pengajian can be used maximally by health workers to socialize health programs in improving community health status. Perwiritan An-Nur, Marindal Village 1 Kec. Patumbak Kab. Deli Serdang is thought to have a high risk of non-communicable diseases such as hypertension, stroke, gout and diabetes mellitus. Observation of the habits of the community has an unhealthy lifestyle. This community service carried out 2 activities namely promotion and prevention with 30 samples. Educational activities are education about hypertension, stroke, gout and diabetes mellitus as well as activities. Preventive activities include checking cholesterol, uric acid and blood sugar levels. From the results of the implementation of community service found the majority of respondents aged> 50 years as many as 22 people (27%), the majority of low levels of education 17 people (57%), the majority do not work 27 people (90%), the majority of Javanese 20 people (67% ), the majority of married women 28 people (93%) and the majority with a history of passive smoking as many as 20 people (67%), the majority of normal blood pressure as many as 21 people (70%), the majority of normal cholesterol levels as many as 27 people 27 (90%) , the majority of normal uric acid levels were 26 people (87%), the majority of normal blood sugar levels were 28 people (93%). To improve health status and reduce the incidence of non-communicable diseases by conducting counseling and health checks.


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.


2018 ◽  
Vol 5 (2) ◽  
pp. 163-171 ◽  
Author(s):  
Erni Setiyorini ◽  
Ning Arti Wulandari ◽  
Ayla Efyuwinta

Abstract: Type 2 diabetes is a chronic disease caused by a body that is unable to use insulin effectively. The prevalence of type 2 diabetes increases with age and unhealthy lifestyle. Uncontrolled blood sugar levels type 2 diabetes can trigger a variety of complicationssuch as macroangiopati the complications of large blood vessels that affect blood pressure changes. The purpose of this study was to determine the correlation of blood sugar levels and blood pressure of elderly with Type 2 diabetes. The design of the study was correlation with cross sectional approach. The population was elderly patient with type 2 diabetes which being treated at internal clinic deseases Mardi Waluyo Blitar hospital as much as 300 respondents. The sample was 75 respondents taken by using accidental sampling technique. The statis- tical test used spearman rank. The results of the study showed that the normal blood sugar levels was 41 respondents (54.7%) and normal blood pressure was 42 respondents (56%). Spearman Rank test re- sults indicated there was a significant correlation between blood sugar levels and blood pressure in elderly patients with Type 2 diabetes ( = 0.017) with a coefficient of correlation value was 0.274. There was a correlation between blood sugar levels and blood pressure. The controlled blood sugar levels can maintain blood pressure in the normal range, thus preventing the occurrence of hypertension.Keywords: blood sugar level, blood pressure, elderly, Type 2 diabetesAbstrak: Diabetes melitus tipe 2 merupakan penyakit kronis yang disebabkan oleh tubuh yang tidak mampu menggunakan insulin secara efektif. Prevalensi diabetes tipe 2 meningkat seiring dengan usia dan pola hidup yang tidak sehat. Kadar gula darah diabetes tipe 2 yang tidak terkontrol dapat memicu berbagai macam komplikasi pada penderita diabetes tipe 2, salah satunya terjadi makroangiopati yaitu komplikasi pada pembuluh darah besar sehingga mempengaruhi perubahan tekanan darah. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kadar glukosa darah dengan tekanan darah lansia penderita diabetes tipe 2. Desain dalam penelitian ini adalah korelasi dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah lansia penderita diabetes tipe 2 yang berobat di Poli Penyakit Dalam RSUD Mardi Waluyo Blitar sebanyak 300 responden, sampel yang didapatkan sebanyak 75 responden dengan menggunakan teknik accidental sampling. Uji statistik menggunakan Spearman Rank. Hasil dari penelitian menunjukkan kadar gula darah normal sebanyak 41 responden (54,7%) dan tekanan darah normal sebanyak 42 responden (56%). Hasil uji Spearman Rank menunjukkan terdapat korelasi yang signifikan antara kadar gula darah dan tekanan darah pada lansia penderita diabetes tipe 2 ( = 0.017) dengan koefisien nilai korelasi adalah 0.274. Terdapat hubungan antara kadar gula darah dengan tekanan darah. Kadar gula darah yang terkontrol dapat mempertahankan tekanan darah dalam range normal, sehingga mencegah terjadinya hipertensi.Kata kunci: Kadar gula darah, tekanan darah, lansia, diabetes tipe 2


2017 ◽  
Vol 13 (3) ◽  
pp. 345-349
Author(s):  
Vijaya Prasad Paudel

Background & Objectives:Hypertension and Diabetes Mellitus are both major modifiable risk factors leading to premature death due to cardiovascular and cerebrovascular diseases. Therefore, early diagnosis and treatment are must to reduce morbidity and mortality due to following diseases. Therefore authentic data on these issues are of great importance. The aim of this study was to address this gap and create awareness regarding essence of control of Diabetes and Hypertension among political cadres of Nepal as they play major role in policy making. Materials & Methods:A descriptive cross-sectional study in the political cadres of Nepal was conducted at Pragya Bhawan, Kathmandu on 4th March, 2012 where delegates attended their 3rd National assembly. Standard criteria were used to describe both Hypertension and Diabetes and their respective goals. Awareness and treatment were based on self-report.Results:A total of 291 subjects were included in the study. The prevalence of hypertension was 44.32% while that of Diabetes was 18.56%. The current blood pressure of the study population was 50% within normal range and 50% of them was above normal range, body mass index of 35% was normal and rest was above normal range. 15% of the study population was known diabetic while 33% was known hypertensive. More than 50% of known diabetics had poor control over blood sugar and 72% of the known hypertensive had poor blood pressure control.Conclusion:The scenario of hypertension and diabetes control among the political cadres is not up to the mark. Most of those already having the disease have poor control of blood pressure and blood sugar level. From this, the situation obviously seems more warning in general population and needs well-designed assessment. 


2018 ◽  
Vol 11 (2) ◽  
pp. 73-83
Author(s):  
M Faig Mujabi ◽  
Wachidah Yuniartika

High blood sugar levels will cause the occurrence of hyperglycemia. Hyperglycemia occurs because to an impaired insulin secretion or insulin work breakdown. People who hyperglycemia can experience interference in the form of phychological depression and decreased physical activity. People who are depressed and less activity can cause an increase in blood sugar levels. This research is a descriptive study using correlative approach cross sectional aims to do know the relationship between the blood sugar levels with the levels of depression and physical activity in people with Diabetes Mellitus in Sukoharjo Gatak Clinics. Sampling technique using a purpose sampling, while the research instrument using the BDI-II questionnaire of 21 items and IPAQ questionnaire. The result of the calculation of the correlation test product moment relationship with depression level blood sugar levels obtained result and significant value 0.473(p-value) of 0.00. Procut moment correlation test result of the relationship of physical activity with blood sugar levels obtained result –0.460 with a value of 0.00 significance. Then there can be summed up the relationship between the blood sugar levels with the levels of depression and physical activity in people with Diabetes Mellitus in Sukoharjo Gatak Clinics. Where the higher levels of depression, increases blood sugar levels, while the higher physical activity then the lower blood sugar levels.


2020 ◽  
Vol 13 (1) ◽  
pp. 46
Author(s):  
Julianty Pradono ◽  
Delima Delima ◽  
Nunik Kusumawardani ◽  
Frans Dany ◽  
Yudi Kristanto

BACKGROUND: Metabolic syndrome (MetS) is a multiple risk factor for the development of type 2 diabetes mellitus (DM). It is important to understand the contribution of MetS in developing DM in different population characteristics. This study aims to obtain the prevalence of MetS and the magnitude of the contribution of MetS risk factors as a basis for developing targeted DM intervention programs. METHODS: This study used data from the 2018 Riskesdas survey, an Indonesia national health survey, with a total sample of 24,545 individuals aged 15 years and over. This study selected only respondents who had never been diagnosed with diabetes mellitus before the survey was conducted and have complete MetS data according to the National Cholesterol Education Program or Adult Treatment Panel III (NCEP/ATP III) criteria. Data had been analyzed for the Population Attributable Fraction (PAF) statistical test. RESULTS: A total of 29.2 percents of the population with MetS and the prevalence in women (17.2%) was higher than in men (11.9%) Three components of MetS that contribute greatly to DM were fasting blood glucose levels, hypertension and high triglyceride levels. If the men population can maintain two risk factors (fasting blood sugar levels and blood pressure) under normal conditions, the prevalence of DM can be reduced by as much as 15 percent. In women, if three factors (fasting blood sugar levels, blood pressure, and triglyceride levels) can be maintained under normal conditions, the prevalence of DM can be reduced by 29.9 percent. CONCLUSION: Prevention strategy of DM need to include monitoring and controlling of the metabolic syndrome and behavioral risk factors, that can be applied in primary health center as well as in community-based setting of health program.


2021 ◽  
Vol 71 (5) ◽  
pp. 1797-1800
Author(s):  
Muhammad Imran Ibrahim ◽  
Khalida Nasreen ◽  
Shaheen Kamal

Objective: To determine the association of body mass index, blood pressure and fasting blood sugar with the gender in the UN staff of Liberia. Study Design: Cross sectional study. Place and Duration of Study: Level-II Hospital Monrovia, Liberia, from May to Aug 2017. Methodology: This study was conducted in the United Nation staff of Liberia, at level-II Hospital, where, routine medical check was conducted and anthropometric measurements as well as blood pressure and fasting blood sugar values were noted. Body mass index, fasting blood sugar and blood pressure values were recorded and fasting blood sugar and blood pressure values were compared for its relationship with varying body mass index values. Result: Total 300 individuals were monitored, out of them 226 (75.3%) were males and 74 (24.7%) were females. Mean weight of males was found to be 81 ± 14.6 Kg and for females 72.5 ± 11.6 kg there was found statistically significant (p<0.001) in both male and female and There was no significant difference of gender with Fasting blood glucose (p=0.395), systolic blood pressure (p=0.281) and diastolic blood pressure (p=0.425). Conclusion: Significant association was seen between body mass index and blood pressure in both males and female as well as for fasting blood sugar in males. Hence, simple measurement of body mass index can be used as important health prognostic marker and thus can be used in regular routine medical assessment for maintaining and following healthy living.


Author(s):  
Somesh Raju ◽  
Rina Kumari ◽  
Sunita Tiwari ◽  
NS Verma

Background: Interarm systolic blood pressure difference more than 10 mm of Hg is predictor of cardiovascular and metabolic risk. Despite of sufficient physical activity there is high prevalence of obesity in police personal because of stressful working environment. No studies have addressed the significance of interarm pressure difference among them. Therefore, the present study conducted to access the relation of interarm blood pressure difference with obesity in police personnel. Aims and Objective: To estimate the interarm pressure difference in police personal to see its association with their obesity. Material and Method: This cross-sectional observational study done on 245 police workers in PAC, Sitapur, India. Subjects having more than ten years of working experience were included in study. Anthropometric measurements of subject recorded by following standard protocol. Measurement of systolic pressure in both arm recorded simultaneously by mercury sphygmomanometer. Available data analyze and expressed in percentage, mean with SD and chi square test to see the significance of association. Results: According to anthropometric results of subjects 77.14 prcent subjects were having generalised obesity and 82.04 percent of subjects having abdominal obesity. 34.29 percent of subjects showed abnormally high (?10 mmHg) inter-arm systolic blood pressure difference. Both type of obesity showed positive association with blood sugar level but no association with interarm pressure difference. Conclusion: Interarm blood pressure difference is greater in individual having obesity or prolong duration of service. Such subjects are more susceptible to develop coronary artery disease or peripheral arterial disease in future. Early screening can help to detect the vascular events likely to occur in the future Keywords: Body mass index, Waist circumference, Interarm pressure difference, Random blood sugar


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