RISK OF TYPE 2 DIABETES MELLITUS AMONG HEALTHY INDIVIDUALS IN TIGO BALEH AND RASIMAH AHMAD AREA IN BUKITTINGGI IN 2017

The negative impact of Diabetes Mellitus are shortening the life expectancy, increasing morbidity rates and worsening the quality of life. These impacts are rising due to the growth of number of patients, particularly unidentified sufferer. International Diabetes Federation estimates that by 2035 there will be 592 million people suffering from DM Dan At least more than 85% of them will have type 2 DM. According to health ministry of RI, in west Sumatera, there were around 44000 DM Sufferers in 2014 and 40% of population group was known as undiagnosed DM with high risk level. Meanwhile in Bukittinggi the highest DM sufferer is on public health Center Tigo Baleh followed by Public Health Center Rasimah Ahmad. However there were not a single data released about DM risk. This research aimed to identify type 2 DM prevalency risk through screening of healthy individuals in 2017. The method of this research was quantitative survey in Tigo Baleh and rasimah Ahmad Areas. Data was collected from 500 respondents by using FINDRISC instrument. The result revealed 5 levels of DM risk, there were Low risk 25%, Slightly Elevated Risk 32%, Moderate Risk 21.2%, High Risk 19.2%, and Very High Risk 2.6%.

Download Full-text

Hubungan Perilaku Perawatan Kaki dengan Terjadinya Komplikasi Luka Kaki Diabetes pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Tuntungan Kota Medan

Talenta Conference Series Tropical Medicine (TM) ◽

10.32734/tm.v1i1.56 ◽

2018 ◽

Vol 1 (1) ◽

pp. 124-131

Author(s):

Rina Amelia

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Health Center ◽

Diabetic Foot ◽

Foot Care ◽

Chi Square ◽

Public Health Center

Diabetes merupakan peyakit kronis yang disebabkan karena kekurangan atau tidak efektifnya insulin yang dihasilkan. WHO memperkirakan jumlah penduduk dunia yang menderita diabetes pada tahun 2030 akan meningkat paling sedikit menjadi 366 juta. Indonesia menempati urutan keempat terbanyak dengan prevalensi 8,6% dari seluruh penduduk. Diabetes akan menjadi masalah yang serius apabila telah terjadi komplikasi, salah satu komplikasi adalah luka kaki diabetes (diabetic foot). Komplikasi luka kaki diabetes menjadi penyebab lamanya hospitalisasi dan amputasi lebih dari 90% ekstremitas bawah pada penderita diabetes. Tujuan penelitian adalah untuk menganalisis hubungan perilakuperawatan kaki dengan terjadinya komplikasi luka kaki diabetes pada pasienDM tipe 2di Puskesmas Tuntungan Medan. Disain penelitian adalah analitik dengan pendekatan cross sectional. Populasi penelitian adalah seluruh penderita DM tipe 2 yang datang ke Puskesmas Tuntungan Medan dengan sampel sebanyak 83 orang (consecutive sampling). Instrumen penilaian perilaku perawatan kaki yang digunakan adalah Questions determining the knowledge and practice about foot careyang terdiri dari 15 item pertanyaan. Analisis data menggunakan uji statistik chi square. Hasil penelitian menunjukkansebanyak 48 orang pasien diabetes (57,8%) memiliki perilaku yang buruk terhadap perawatan kaki, sebanyak 29 orang (349%) mempunyai riwayat komplikasi luka kaki dibetes (ulkus). Hasil analisis chi square menunjukkan terdapat hubungan antara perilaku perawatan kaki diabetes dengan kejadian komplikasi luka kaki diabetes pada pasien DM tipe 2 di Puskesmas Tuntungan Medan (p<0.05). Perilaku perawatan kaki sangat berperan terhadap terjadinya luka kaki diabetes. Untuk membentuk perilaku yang baik dibutuhkan edukasi oleh dokter maupun oleh petugas kesehatan kepada pasien diabetes. Diabetes is a chronic disease caused by lack or ineffectiveness of insulin. WHO estimates that the world population with diabetes in 2030 will increase to at least 366 million people. Indonesia is the world’s fourth most populated country and its prevalence of diabetes is 8.6% of the entire population. Diabetes will be a serious problem once complications occurrs. One of the complications is diabetic foot. diabetic foot caused a longer length of hospital stay and more than 90% leads to the amputation of the lower limb . The objective of this study was to analyze the relationship between diabetic foot care behaviors and the diabetic foot complications in patients with type 2 diabetes mellitus at Tuntungan Public Health Center in Medan. This study employed an analytic study with cross sectional approach. The population of this study was all patients with type 2 diabetes mellitus who came to Tuntungan Public Health Center in Medan and 83 patients were recruited as samples (consecutive sampling). The research used a questionnaires with 15 questions to collect data of knowledge and foot care behaviour. Data were analyzed using chi square test. The results showed that 48 diabetic patients (57.8%) demonstrated poor behavior towards foot care, 29 patients (349%) had a history of diabetic foot ulcer complications. The results of the chi square analysis showed that there was a significant relationship between diabetic foot care behavior and diabetic foot complications in patients with type 2 Diabetes Mellitus at Tuntungan Public Health Center in Medan (p <0.05). It was concluded that foot care behavior had a high correlation with the incidence of diabetic foot. It is recommended that doctors and health staffs educate diabetic patients to perform good foot care behaviors.

Download Full-text

The Description of Medication Adherence for Patients of Diabetes Mellitus Type 2 in Public Health Center Yogyakarta

Indonesian Journal of Clinical Pharmacy ◽

10.15416/ijcp.2016.5.4.249 ◽

2016 ◽

Vol 5 (4) ◽

pp. 249-257 ◽

Cited By ~ 1

Author(s):

Nur Rasdianah ◽

◽

Suwaldi Martodiharjo ◽

Tri M. Andayani ◽

Lukman Hakim ◽

...

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Medication Adherence ◽

Health Center ◽

Diabetes Mellitus Type 2 ◽

Diabetes Mellitus Type ◽

Public Health Center

Download Full-text

HUBUNGAN LINGKAR PINGGANG DENGAN KEJADIAN DIABETES MELLITUS PADA PASIEN USIA 30 SAMPAI 50 TAHUN DI PUSKESMAS KOTA MATSUM MEDAN

Jurnal Penelitian Kesmasy ◽

10.36656/jpksy.v1i2.154 ◽

2019 ◽

Vol 1 (2) ◽

pp. 23-27

Author(s):

Dian Afriandi

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Waist Circumference ◽

Health Center ◽

Cross Sectional ◽

Public Health Center ◽

Work Area ◽

Cross Sectional Design ◽

Sugar Levels

The purpose of this study was to identify blood sugar levels in obese patients in the Matsum City Public Health Center Medan and to analyze the relationship between waist circumference and the incidence of type 2 diabetes mellitus in patients at the Matsum City Public Health Center in Medan. This research was conducted by analytic survey with a Cross Sectional design where all data concerning research variables were collected by approaching, observing or collecting data at a time. The sample used was 69 people. The results in this study found that there was a relationship between waist circumference and the incidence of diabetes mellitus in patients in the Work Area of Kota Matsum Health Center, Medan, North Sumatra.

Download Full-text

HUBUNGAN LINGKAR PINGGANG DENGAN KEJADIAN DIABETES MELLITUS PADA PASIEN USIA 30 SAMPAI 50 TAHUN DI PUSKESMAS KOTA MATSUM MEDAN

Jurnal Penelitian Kesmasy ◽

10.36656/jpksy.v1i2.87 ◽

2019 ◽

Vol 1 (2) ◽

pp. 23-27

Author(s):

Dian Afriandi

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Waist Circumference ◽

Health Center ◽

Cross Sectional ◽

Public Health Center ◽

Work Area ◽

Cross Sectional Design ◽

Sugar Levels

Download Full-text

The Experience of Adult Clients with Type 2 Diabetes Mellitus at the Cigugur Tengah Public Health Center

KnE Life Sciences ◽

10.18502/kls.v0i0.8863 ◽

2021 ◽

Author(s):

Budiman . ◽

Nadirawati . ◽

Alfi Ariansyah

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Health Center ◽

Adult Type ◽

Design Data ◽

Public Health Center ◽

Diabetes Mellitus Treatment

Type 2 diabetes mellitus is a health problem that tends to increase every year and has the most complications among other generative diseases. This study aimed at gaining a deeper understanding of the meaning of type 2 diabetes mellitus treatment for adult clients. The study used a qualitative approach with a phenomenological design. Data were collected through in-depth interviews, and field notes were analysed by applying the Collaizi technique. In total, five individuals were included in the study. The study included seven themes: risk factors for type 2 diabetes; changes experienced by the patients of type 2 diabetes; efforts made by the patients to overcome diabetes; behaviour towards diet and treatment, support from the family; expectations of the patients; and complications faced by the patient. For this reason, the authorities, especially nurses at the Cigugur Tengah Public Health Center, should continue to monitor and counsel DM patients so that the complications due to DM can be resolved as early as possible. Keywords: experience, adult, type 2 DM

Download Full-text

Awareness and lifestyle after 6 month patient centered counselling and management among type 2 diabetes mellitus patients at public health center branches

Korean Journal of Health Education and Promotion ◽

10.14367/kjhep.2017.34.3.103 ◽

2017 ◽

Vol 34 (3) ◽

pp. 103-118 ◽

Cited By ~ 1

Author(s):

Jung Min Kim ◽

HeyJean Lee ◽

Ji Young Moon ◽

Eun-Hee Cho ◽

Yeonheui Baeg ◽

...

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Health Center ◽

Patient Centered ◽

Public Health Center

Download Full-text

Relationship of Type 2 Diabetes Mellitus Duration with The Occurrence of Erectile Dysfunction at Puskesmas Denpasar Barat I

Indonesian Andrology and Biomedical Journal ◽

10.20473/iabj.v2i1.45 ◽

2021 ◽

Vol 2 (1) ◽

pp. 23-28

Author(s):

Alexander Petra Sihite ◽

I Gusti Ngurah Pramesemara ◽

I Wayan Surudarma

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Erectile Dysfunction ◽

Cross Sectional ◽

Type 2 Dm ◽

Number Of Patients ◽

Relationship Of ◽

The Relationship

Background: Type 2 diabetes mellitus is a metabolic disease that characterized by high blood sugar levels. This condition is often not noticed immediately and usually patient starting to realize it when complications have been occurred. A long-term complication of type 2 DM that occurred in men is erectile dysfunction (ED). ED is a condition when a person is unable to achieve or maintain an erection for sexual intercourse. One factor that influence the occurrence of ED and its severity in type 2 DM patients is the duration of the disease. Objective: The aim of this study was to determine the relationship of type 2 DM duration and the occurrence of ED. Methods: This study is an observational analytic cross-sectional study conducted at the Puskesmas (Public Health Center) Denpasar Barat I. The research data was obtained through medical record data and fill the International Index of Erectile Function (IIEF-5) questionnaire on 36 type 2 DM patients aged around 40-60 years. The statistical analysis used was Fisher's exact test. Results: The results showed that of the 36 samples, 19 (52.8%) samples had type 2 DM <24 months and 17 (47.2%) samples had type 2 DM >24 months. It was found that 5 (13.9%) samples did not experience ED while the rest experienced ED with different severity. There was a significant relationship between the type 2 DM duration and the occurrence of erectile dysfunction at Puskesmas Denpasar Barat I (p = 0.022). Conclusion: Study has found that type 2 DM patients with the longer duration (>24 months) have a higher occurrence of ED and tended to be more severe compared to those with shorter duration (<24 months). Further studies should be performed with higher number of patients and more controlled risk factor so it will be more accurate in determining the relationship between the duration of type 2 DM and ED.

Download Full-text

Pola Penggunaan Obat Antidiabetes di Puskesmas Grabag Magelang

Journal of Holistics and Health Science ◽

10.35473/jhhs.v3i1.71 ◽

2021 ◽

Vol 3 (1) ◽

pp. 51-59

Author(s):

Nurul Maulidya ◽

Dian Oktianti

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Combination Therapy ◽

Health Center ◽

Medical Record ◽

Sampling Technique ◽

Antidiabetic Drugs ◽

Medical Record Data ◽

Public Health Center ◽

Record Data

Diabetes Mellitus (DM) is a long-term or chronic disease which continues to increase every year. Indonesia itself is ranked 7th for the most DM sufferers in the world. The purpose of this study was to determine the profile of the use of antidiabetic drugs in DM patients at the Grabag Public Health Center. The method used in this research is descriptive method, with retrospective data collection. The population of DM sufferers at the Grabag Public Health Center was 50 patients, with the sampling technique using the total sampling method. The inclusion criteria were medical record data for outpatient type 2 diabetes mellitus, and the exclusion criteria incomplete medical record data. The results of this study were the use of oral antidiabetic drugs (OAD) with single therapy, metformin 32% and acarbose 2%, and with combination therapy are metformin + glimepirid 58%, acarbose + glimepiride 2%, and metformin + glimepiride+acarbose 6%. Based on the duration of suffering from diabetes, for 1 year the most people used metformin by 26%, for 2 and 3 years the most used metformin + glimepiride by 38% and 8%, while for 4 years using a combination of metformin + glimepiride + acarbose by 2%. Most of the patients are accompanied by hypertension complications. The most widely used single therapy oral OAD is metformin and the combination therapy is metformin + glimepiride. Patients suffering from diabetes for 1 year of treatment used metformin single therapy, for 2 and 3 years the most treatment used 2 combination therapy, glimepiride + metformin, while for 4 years of treatment using 3 combination therapy metformin + glimepiride + acarbose. Abstrak Diabetes Mellitus (DM) merupakan penyakit jangka panjang atau kronis yang pada setiap tahunnya terus mengalami peningkatan. Indonesia sendiri menduduki peringkat ke-7 untuk penderita DM terbanyak didiunia. Tujuan penelitian ini adalah untuk mengetahui profil penggunaan obat antidiabetes pada pasien DM di Puskesmas Grabag. Metode yang digunakan pada penelitian ini adalah metode deskriptif, dengan pengambilan data secara retrospektif. Populasi penderita DM di puskesmas Grabag sebanyak 50 pasien dengan teknik pengambilan sampel menggunakan metode total sampling. Kriteria inklusi berupa data rekam medik pasien DM tipe 2 rawat jalan, dan kriteria eksklusi berupa data rekam medik yang tidak lengkap. Hasil dari penelitian ini adalah penggunaan obat antidiabetes (OAD) oral dengan terapi tunggal yaitu metformin 32% dan acarbose 2%, dan dengan terapi kombinasi adalah metformin + glimepirid 58%, acarbose + glimepiride 2%, dan metformin+glimepiride + acarbose 6%. Berdasarkan lamanya menderita DM, selama 1 tahun terbanyak menggunakan metformin sebesar 26%, selama 2 dan 3 tahun terbanyak menggunakan metformin + glimepiride sebesar 38% dan 8%, sedangkan selama 4 tahun menggunakan kombinasi metformin + glimepiride + acarbose sebesar 2%. Sebagian besar pasien disertai dengan komplikasi hipertensi. Penggunaan OAD oral terapi tunggal terbanyak adalah metformin dan terapi kombinasi adalah metformin+glimepiride. Pasien yang menderita DM selama 1 tahun pengobatan terbanyak menggunakan terapi tunggal metformin, selama 2 dan 3 tahun pengobatan terbanyak menggunakan terapi 2 kombinasi yaitu glimepiride + metformin, sedangkan selama 4 tahun pengobatannya menggunakan terapi 3 kombinasi yaitu metformin + glimepiride + acarbose.

Download Full-text

Associations between Diabetes Mellitus and Nontuberculous Mycobacterium-Caused Diseases in Taiwan: A Nationwide Cohort Study

American Journal of Tropical Medicine and Hygiene ◽

10.4269/ajtmh.20-1441 ◽

2021 ◽

Author(s):

Jui-Yang Wang ◽

Hsin-Chung Lin ◽

Hsin-An Lin ◽

Chi-Hsiang Chung ◽

Lih-Chyang Chen ◽

...

Keyword(s):

Diabetes Mellitus ◽

High Risk ◽

Cox Regression ◽

Nontuberculous Mycobacterium ◽

Research Database ◽

Cox Regression Analysis ◽

Type 2 Dm ◽

Type 1 Dm

Patients with diabetes mellitus (DM) are at greater risk of developing active tuberculosis and other intracellular bacterial infections, although the risk of acquiring infections from nontuberculous Mycobacterium (NTM) remains undefined. This study evaluated associations between DM and incidence of NTM infection-caused pulmonary and cutaneous diseases. Data for DM patients were extracted from the National Health Insurance Research Database of Taiwan. The DM cohort included 136,736 patients, and cases were matched randomly by age, gender, and index year with non-DM patients. Multivariate Cox proportional hazards regression was used to calculate adjusted hazard ratios of incident NTM-caused diseases in the DM cohort compared with non-DM control subjects. The frequency of incident NTM-caused diseases was significantly greater in DM patients (0.12%) than in non-DM patients (0.08%) (P < 0.05), including patients with type 1 DM (0.12%) and type 2 DM (0.12%) (all P < 0.05). Adjusted multivariate Cox regression analysis revealed that the incidence of NTM-caused diseases in DM patients was 1.43-fold greater than that in non-DM patients overall (P < 0.05), particularly in pulmonary (1.13-fold), other specific (excluding pulmonary, cutaneous, and disseminated diseases; 3.88-fold), and unspecific (atypical NTM infection; 1.54-fold) diseases (all P < 0.05). In conclusion, both type 1 DM and type 2 DM patients have high risk of NTM-caused diseases, suggesting that physicians need to pay more attention to this issue concerning the high risk of NTM-caused infection in DM patients.

Download Full-text