Gula Darah Sewaktu Tidak Dapat Memperkirakan Kejadian TB pada Pasien DM Tipe 2

2021 ◽  
Vol 3 (1) ◽  
pp. 33-37
Author(s):  
Siti Salma Nurhaliza Fitriadi ◽  
Ratna Damailia ◽  
Wida Purbaningsih

Tuberkulosis (TB) merupakan penyakit infeksi yang menempati peringkat utama penyebab kematian di dunia. Indonesia berada pada peringkat ke-3 dari 30 negara yang memiliki kasus TB terbanyak. Diabetes melitus (DM) tipe 2 merupakan salah satu faktor risiko terjadi TB. Paparan hiperglikemi pada pasien DM tipe 2 dapat memengaruhi sistem imun hingga lebih rentan menderita TB. Penelitian ini bertujuan menganalisis hubungan gula darah sewaktu pada saat pertama didiagnosis  DM tipe 2 dengan kejadian TB paru pada pasien DM tipe 2 di RSUD Al-Ihsan Bandung. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan kasus kontrol. Kelompok kasus berjumlah 34 orang pasien DM tipe 2 yang mengalami TB, sedangkan kelompok kontrol berjumlah 59 pasien DM tipe 2 tanpa TB. Data penelitian merupakan data sekunder yang berasal dari rekam medis pasien. Pengumpulan dan pengolahan data diambil sesuai dengan kriteria inklusi dan eksklusi. Hasil penelitian terhadap 93 orang subjek di RSUD Al-Ihsan menunjuk bahwa pasien yang memiliki hiperglikemia berjumlah 19 pasien (56%) pada kelompok kasus dan 35 pasien (59%) pada kelompok kontrol. Hasil uji chi square didapatkan bahwa nilai p adalah 0,746 (p > 0,05) dengan alpha 5% (0,05), odd ratio sebesar 0,868.  Berdasar atas hasil uji analitik terhadap data penelitian dapat disimpulkan bahwa gula darah sewaktu pada pasien DM tipe 2 belum dapat menilai kemungkinan terjadi kejadian TB. Random Blood Sugar Unable to Predict the Incidence of TB in Type 2 DM PatientsTuberculosis (TB) the world’s leading cause of death from a single infectious disease. Indonesia is ranked 3rd out of the 30 countries with the most TB cases. Hyperglycemic exposure in type 2 DM patients can affect the immune system, making it more susceptible to TB. This study aims to look at the relationship of random blood sugar levels at the first time patient diagnosed as type 2 DM in pulmonary TB patients with type 2 DM at Al-Ihsan Hospital Bandung. During this study used an analytic observasional method in case control study. The sample of this study was a group of 34 dm type 2 patients experienced TB, while the control group were 59 Type 2 DM patients without TB.. The research was obtained from secondary data from medical record. This collection and processing data were taken in the inclusion criteria. The results of the study conducted on 93 people showed that in Al-Ihsan Hospital there was 54 patients (15%) had hyperglycemia and 39 patients (42%) had normoglycemia. Type 2 DM patients who experienced TB were 34 patients (37%), the results of analytical tests obtained that type 2 DM patients who had Pulmonary TB percentage was more common in patients with normal random blood sugar at 38.5% (15 patients). From the results of this study known p value > 0.746 with alpha 5% (0.05) with odd ratio 0.868. Based on this study shows that there is no relationship between blood sugar levels of dm type 2 patients and the incidence of pulmonary TB.

BioScience ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Elsa Yuniarti ◽  
Syam Syamsurizal ◽  
Yuni Ahda ◽  
Puja Delfi Sonata

Diabetes Mellitus (DM) Type 2 is a metabolic disorder disease characterized by an increase in blood sugar (hyperglycemia) due to decreased insulin secretion by pancreatic beta cells or intrusion of insulin function. Hyperglycemia tends to cause oxidative stress where free radical formation exceeds the body's antioxidant defense system resulting in microvascular and macrovascular disorders. Some ethnic groups have a tendency to develop type 2 diabetes mellitus because of differences in diet, lifestyle and physical activity. In addition, ethnicity is also suspected to affect the levels of IL-6. This study aims to determine the correlation of fasting blood sugar levels with IL-6 levels in type 2 diabetes mellitus ethnic Minangkabau. This research is cross sectional comparative research design. The subjects of two groups: DM type 2 and control group (non-DM) who went to the Polyclinic of State University of Padang, Minangkabau ethnic and each consisted of 35 people. Blood glucometer examination with blood sample and IL-6 measurement using ELISA technique with serum sample. Fasting blood sugar levels in patients with Type 2 DM Minangkabau ethnic average 286.2 ± 80.46 mg / dl while non DM 101.26 ± 9.70 mg / dl. Mean IL-6 levels in type 2 DM patients were 16.23 ± 30.12 pg / ml while non-DM of 3.41 ± 1.91 pg / ml was an increase of about 4.7 in patients with type 2 DM Compared to non-ethnic minority of Minangkabau with p value <0,05. The result of research that have been done there is a positive correlation between fasting blood sugar level with IL -6 in patients with Type 2 DM Minangkabau ethnic with r value = 0,44 at p <0.05 which means interpretation of medium correlation strength. Keywords: Type 2 DM, IL-6, ethnic Minangkabau


2019 ◽  
Author(s):  
Ernawati . ◽  
Agus Sustiyono ◽  
Mulyati .

Background: DM (Diabetes Mellitus) is a chronic/chronic metabolic disorder characterized by an increase in blood glucose levels (hyperglycemia) caused by insufficient amounts of insulin or insufficient amounts of insulin, sometimes even more effective, this condition is called insulin resistence. Objective: This study aims to determine the effectiveness of ma’tsurat dhikr therapy in reducing blood sugar levels in type 2 diabetes mellitus patients at dr. Dradjat Prawiranegara Hospital Serang in 2018. Methods: The number of samples of this study was 34 respondents and the method was quasi-experimental. The data was analyzed by independent T-Test. The respondents of experimental group received DM exercise and morning-evening dhikr intervention, while the control group only received DM exercise intervention. Results:The results of the study showed that ma’tsurat dhikr affects significantly on the decrease of bloods ugarlevelsinpatienntswithtype2DMatdr.DradjatPrawiranegara Hospital Serang with p value<0.005. Conclusion: Intervention of ma’tsurat dhikr can be recommended for type 2 DM patients with elevated blood sugar levels in patients.


2020 ◽  
Vol 9 (3) ◽  
pp. 267
Author(s):  
Jujuk Proboningsih ◽  
Anita Joeliantina ◽  
Aida Novitasari ◽  
Dewi Purnamawati

Diabetes mellitus is a chronic disease that requires long-term management. There is a tendency in type 2 diabetes mellitus patients to use herbs as a complement to medical treatment. The purpose of this study was to analyze the use of herbs as a complement to medical treatment in reducing blood sugar levels of T2DM patients. This type of research is quasi-experimental, with 40 research subjects divided into 4 groups. Determination of research subjects by purposive sampling in accordance with established inclusion criteria. Data analysis using paired T test. The majority of respondents was women (77.5%) and had no genetic history (75%). The duration of type 2 diabetes mellitus  majority was &gt;5 years 72.5%). Data on random blood sugar levels before (p=0.098) and after (p=0.113) intervention were normally distributed and homogeneous p&gt;0.05 (0.839). The treatment group (groups 2, 3, and 4) showed a significant decrease in random blood sugar levels as the control group (1) with a significance value &lt;0.05. Giving herbs has a tendency to reduce random blood sugar levels when used as a complement to medical treatment. Bitter melon shows the effect of decreasing random blood sugar levels greater than the provision of bay leaves and cinnamon.<br /><br />


2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Ros Endah Happy Patriyani ◽  
Sunarsih Rahayu

Backgound: The incidence and severity levels of Diabetes Mellitus (DM) can be reduced through life style modification. The nurses’ ability in complementary modalities can help the patients to modify their life style by managing the stress levels; doing standard medical cares to help reducing and controlling blood sugar levels. One form of complementary modalities is SEFT. SEFT is one relaxation technique that can reduce anxiety and optimally reduce blood sugar level. Relaxation can affect hypothalamus to regulate and decrease the activity of the sympathetic nervous system. The purpose of this research is to find out the impact of SEFT to the decrease blood sugar levels on type 2 DM patients. Method: The method applied in the research was quasi-experimental pre-posttest with control group. The research population was 100 type 2 DM patients (50 respondents as intervention group and 50 respondents as control group). Samples were taken using purposive sampling method. The data was analyzed using t dependent test. Result: The result of the research shows that SEFT can reduce blood sugar levels of the type 2 DM patients with the value of p =0.000, and there was 220.060 points of blood sugar level reduction Conclusion: Nurses should teach type 2 DM patients to do SEFT; to monitor the blood sugar levels before and after SEFT.


2019 ◽  
Vol 3 (1) ◽  
pp. 57-61
Author(s):  
Miadi Miadi ◽  
Kastudi Kastubi ◽  
Minarti Minarti ◽  
Noer Saudah ◽  
Chasiru Zainal Abidin

Effort to reduce depression and blood sugar levels through psycho religious of dzikir and shalawat was not carried out much yet. Research aims to explain psycho religious therapy effects towards depression and blood sugar level in Diabetes Mellitus type 2 patients (DM Type 2). This research used experimental method with randomized pre test post test control group design. This research was carried out on DM type 2 patients in Surabaya and they had been selected into two groups, given psycho religious group and control group. Blood sugar and depression measurement was carried out one week after and before psycho religious giving. Analysis data used Mann Whitney U test. While blood sugar concentration was analyzed using Paired t-test and Independent t-test. There was an effect of psycho religious towards depression of DM Type 2 patients, significant value of 0.004 (p


2021 ◽  
Vol 1 (4) ◽  
pp. 471-482
Author(s):  
Zulfian Zulfian ◽  
Muslim Daud Tarmizi

ABSTRACT: CORRELATION BETWEEN TIME BLOOD SUGAR LEVELS (GDS) WITH SERUM CREATININE LEVELS IN TYPE 2 DIABETES MELLITUS PATIENTS AT DR.H. BOB BAZAR, SKM  HOSPITAL LAMPUNG SELATAN Background of study: Diabetes mellitus is a disease condition characterized by increased blood glucose levels or hyperglycemia and a disturbance in the body's metabolism. Based on Rikesdas data, the number of sufferers shows a very significant increase in the prevalence of diabetes, from 6.9% in 2013 to 8.5% in 2018. With this data, Indonesia is the 6th rank DM sufferer in the world. In this diabetic patient, if it is not handled seriously it will trigger complications such as weakening of the kidney function which can be seen from the examination of serum creatinine levels and this is a sign of the onset of complications from diabetes.Purpose: To be able to find out the relationship between current blood sugar levels (GDS) and serum creatinine levels in type 2 diabetes mellitus sufferers at Dr.H Bob Bazar Hospital, SKM South Lampung in 2020. Research Method: This type of research is correlative analytic with cross-sectional using method purposive sampling and random sampling of 201 samples of type 2 DM patients who met the inclusion criteria. Data collection began in December 2020. The data used were secondary data in the form of medical records. Data were evaluated with the test Spearman. Research Results: In this study, Obtained research sample amounted to 201 sufferers of type 2 diabetes with The mean time blood sugar level (GDS) was 227.08 in the standard deviation assessment was 69.84 with the lowest GDS level was 120 and the highest was 392. and The mean serum creatinine level of type 2 DM patients from 201 respondents was 1.42 in the standard deviation assessment was 0.43 with the lowest serum creatinine level was 0.60 and the highest was 2.45. The results of the correlation Spearman showed that the value of p =0.000 and the value of r= + 0.416, because the value of p= 0.000 <0.05 so that it can be stated that Ha is accepted and Ho is declared rejected or there is a significant correlation, with r =0.416 it means that the strength of the correlation is moderate positive between sugar levels blood flow (GDS) with serum creatinine levels in patients with type 2 diabetes. Conclusion: This study concludes there is a significant correlation between blood sugar levels (GDS) and serum creatinine levels in type 2 DM patients with a p-value = 0.000. Keywords: Diabetes Mellitus, Current Blood Sugar (GDS), Serum CreatinineINTISARI: HUBUNGAN KADAR GULA DARAH SEWAKTU (GDS) DENGAN KADAR KREATININ SERUM TERHADAP PENDERITA DIABETES MELITUS TIPE 2 DI RSUD DR.H.BOB BAZAR, SKM LAMPUNG SELATAN Latar Belakang: Diabetes melitus ialah kondisi penyakit yang ditandai dengan meningkatnya kadar glukosa darah atau hiperglikemia serta adanya gangguan dalam metabolisme tubuh. Berdasarkan data Rikesdas jumlah penderita menunjukkan adanya peningkatan angka prevalensi diabetes yang amat signifikan, yakni dari 6,9% pada tahun 2013 menjadi 8,5% pada tahun 2018. Dengan data tersebut peringkat ke-6 penderita DM di dunia diduduki oleh Indonesia. Pada penderita diabetes ini, andaikan tidak ditangani secara serius maka akan mencetuskan komplikasi seperti melemahnya fungsi ginjal dapat dilihat dari pemeriksaan kadar kreatinin serum dan menjadi tanda timbulnya penyakit komplikasi dari diabetes.Tujuan: Untuk dapat mengetahui Hubungan Kadar Gula Darah Sewaktu (GDS) dengan Kadar Kreatinin Serum terhadap penderita diabetes melitus tipe 2 di RSUD Dr.H Bob Bazar, SKM Lampung Selatan tahun 2020. Metode Penelitian: Jenis Penelitian ini adalah analitik korelatif dengan metode cross sectional menggunakan purposive sampling dan random sampling sebanyak 201 sampel pasien DM tipe 2 yang memenuhi kriteria inkulsi. Pengambilan data dimulai pada bulan Desember 2020. Data yang digunakan yaitu data sekunder berupa rekam medik. Data dievaluasi dengan uji Spearman. Hasil Penelitian: Didapatkan sampel penelitian berjumlah 201 penderita DM tipe 2 dengan rata-rata kadar gula darah sewaktu (GDS) didapatkan sebesar 227.08 dalam penilaian standar deviasinya ialah 69.84 dengan kadar gula darah sewaktu (GDS) terendahnya ialah 120 dan yang tertingginya ialah 392. dan rata-rata kadar kreatinin serum penderita DM tipe 2 dari 201 responden didapatkan sebesar 1.42  dalam penilaian standar deviasinya ialah 0.43 dengan kadar kreatinin serum terendahnya ialah 0.60 dan yang tertingginya ialah 2.45. Hasil korelasi Spearman  didapatkan nilai p=0.000 dan nilai r=+0.416, karena nilai p=0.000 <0.05 sehingga dapat dinyatakan Ha diterima dan Ho dinyatakan ditolak atau terdapat korelasi yang bermakna, dengan r=0.416 dapat diartikan kekuatan korelasi sedang positif antara kadar gula darah sewaktu (GDS) dengan kadar kreatinin serum terhadap pasien DM tipe 2.Kesimpulan: Terdapat  korelasi yang bermakna antara kadar gula darah sewaktu (GDS) dengan kadar kreatinin serum terhadap pasien DM tipe 2 dengan p-value= 0.000. Kata Kunci: Diabetes Melitus, Gula Darah Sewaktu (GDS), Kreatinin Serum


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Rosliana Dewi ◽  
Fanny Dwi Agustina ◽  
Johan Budhiana ◽  
Syiva Dwi Fatmala

Diabetes mellitus (DM) can cause physical and psychological changes for sufferers. Psychological changes include changes in self-concept and depression. Psychological changes can be treated with nonpharmacological therapies, one of which is five-finger relaxation technique. The research aimed to reveal the effect of five-finger relaxation technique on depression experienced by type 2 DM patients. The five-finger relaxation technique is one of the generalist relaxation techniques by recalling pleasant experiences. This research is a quasi-experiment. Samples of this research were 34 respondents whom were selected using purposive sampling.  The intervention was carried out once a day for 3 consecutive days.  In order to measure depression, a valid and reliable questionnaire of Indonesian version of the Beck Depression Inventory (BDI) was employed.  Data were analyzed using the Wilcoxon Test and the Mann-Whitney Test. The results showed the was a decrease in depression in the control group (p-value of 0.008) and the intervention group (p-value of 0.000) and there were differences in depression in the control group and the intervention group (p-value of 0.000). It can be concluded that there is an effect of five-finger relaxation technique on depression in type 2 DM patients<em>.</em>


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Nyoman Jirna

Abstract Diabetes mellitus (DM) is a group of metabolic diseases with characteristic hyperglycemia that happen by abnormal secretions of insulin, insulin action, or both. The condition of insulin resistance in DM type 2 cause abnormal lipid metabolism that indicated by increase or decrease levels of lipid fraction in plasma, include increase levels of Very Low Density Lipoprotein (VLDL) or triglycerides, decrease levels of High Density Lipoprotein (HDL), and formed small dense Low Density Lipoprotein (LDL). The purpose of this study is to determine the relationship between the fasting blood sugar levels with HDL cholesterol levels in patients with DM type 2. The method use an analytical study with cross sectional design. Sampling examined as many as 35 samples by purposive sampling. The relationship between fasting blood sugar levels with HDL cholesterol levels is analyzed by Pearson Product Moment Correlation test. Based on the result concluded that there is a relationship between fasting blood sugar levels with HDL cholesterol levels in patients with DM type 2 in RSUP Sanglah with significant value sig=0,030 (sig


2020 ◽  
Vol 52 (3) ◽  
pp. 139-143
Author(s):  
David Lionardi ◽  
Chrismis Novalinda Ginting ◽  
Linda Chiuman

Type 2 Diabetes mellitus (Type 2 DM) is a metabolic disorder characterized by an increase in blood sugar caused by decreased insulin secretion by pancreatic beta cells and/or impaired insulin function (insulin resistance). This study aimed to determine the specific levels of estradiol hormone in reproductive age women with diabetes mellitus in different age groups. This was an analytical study in September at Royal Prima Hospital, North Sumatra, Indonesia. Twenty women participated in this study after informed consent and were divided into two age groups: 40–45 years old and 46–50 years old. Blood samples were collected after 10-12 hours of fasting to assess blood sugar and estradiol hormone levels. Data were then analyzed using the dependent t-test dependent and compared. No significant difference in blood sugar level was found between the two age groups (p-value=0.113, p-value> 0.05) that there were no significant differences in blood sugar levels between the two age groups. The estradiol hormone level in the age group 40-45 years was lower than in the age group 46–50 years, and the difference was significant (p-value =0.000, p-value<0.05). No significant correlation was seen between type 2 DM and estradiol hormone level in this study. In conclusion, age is not the main contributing factor for the increase and decrease in blood sugar level, and type 2 DM does not correlate with estradiol hormone.


J-Dinamika ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Arief Andriyanto ◽  
Etty Rekawati ◽  
Dwi Cahya Rahmadiyah

Background: Diabetes mellitus is a non-communicable disease that is included in the category of chronic diseases and expected to experience an increase, so that a way to control is needed by the Ministry of Health in the form of clever management of diabetes mellitus. This study aimed to analyze the effect of EMAS (education, nutrition management, physical activity, stress management) on behavior change and adult blood sugar control with diabetes mellitus type 2. Methods: Quasi Experiment Pre-Post Test Without Control Group Design for 6 months, October 2018 to March 2019. Samples were taken by purposive sampling technique, namely adults with type 2 diabetes mellitus in Cisalak Pasar Sub-District Ciamnggis District, Depok City as many as 86 people. Results: Changes in behavior and control of adult blood sugar with type 2 diabetes mellitus through EMAS intervention (p value 0.001 <0.05). Conclusion: Changes in adult behavior with type 2 diabetes mellitus are needed to stabilize the patient's blood sugar. Therefore, it takes the role of the nurse specialist community to provide interventions according to the needs of people with diabetes mellitus to manage the disease.Keywords: Intervention EMAS; Behavior change; Glucose control; Type 2 diabetes mellitus


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