scholarly journals Hubungan stres dengan kadar gula darah penderita diabetes mellitus

2021 ◽  
Vol 14 (4) ◽  
pp. 573-580
Author(s):  
Andoko Andoko ◽  
Dimas Ning Pangesti ◽  
Neti Asmawarni

Psychological stress and blood glucose regulation among patients with diabetes mellitusBackground: Diabetes mellitus is a chronic metabolic disorder characterized by an increase in blood sugar. Diabetes mellitus has caused around 1.6 million deaths directly and 2.2 million deaths caused by complications of diabetes. The exact cause of diabetes mellitus is still unknown. Diabetes mellitus until now, not yet cured and only  controlled by blood sugar levels. One cause of instability in blood sugar levels in diabetics is because of the stress caused by the disease process.Purpose: Knowing psychological stress and blood glucose regulation among patients with diabetes mellitus.Method: A quantitative, cross sectional design. The populations in this study were 262 patients with diabetes mellitus, a total sample of 159 patients with a purposive sampling technique. The analysis used the person product moment test.Results: Shows an average stress score of patients with diabetes mellitus was 24.58 ± 3.946 and the average blood sugar level of patients with diabetes mellitus was 227.52 ± 7.754 mg/dl, the analysis results obtained r = 0.701; p-value 0,000.Conclusion: There was psychological stress and blood glucose regulation among patients with diabetes mellitus, it is recommended that they try to run a regular diet and prevent various complications of diabetes mellitus and try to do activities that can reduce stress levels such as by exercising and doing relaxation.Keywords: Psychological stress; Blood glucose; Diabetes mellitusPendahuluan: Diabetes mellitus merupakan penyakit gangguan metabolisme kronis yang ditandai peningkatan gula darah. Diabetes mellitus telah menyebabkan sekitar 1,6 juta kematian secara langsung dan 2,2 juta kematian yang disebabkan komplikasi diabetes. Penyebab pasti dari penyakit diabetes mellitus sampai saat ini belum diketahui. Penyakit diabetes mellitus sampai saat ini belum dapat disembuhkan dan hanya dapat dilakukan pengontrolan kadar gula darah. Salah satu penyebab ketidakstabilan kadar gula darah pada penderita diabetes diantaranya karena terjadinya stres akibat dari proses penyakit.Tujuan: Diketahui hubungan stres dengan kadar gula darah penderita diabetes mellitus.Metode: Jenis penelitian kuantitatif, rancangan cross sectional. Populasi penderita diabetes mellitus yang berjumlah 262 responden, besar sampel yang diambil sebanyak 159 responden dengan teknik purposive sampling. Analisis menggunakan uji person product moment.Hasil: Menunjukkan rata-rata skor stres penderita diabetes mellitus adalah 24,58±3,946 dan rata-rata kadar gula darah penderita diabetes mellitus adalah 227,52±7,754 mg/dl, hasil analisis didapatkan r = 0,701; p-value 0,000.Simpulan: Ada hubungan antara stres dengan kadar gula darah penderita diabetes mellitus. Bagi penderita diabetes melitus disarankan agar berusaha menjalankan diet yang teratur dan melakukan pencegahan berbagai komplikasi diabetes mellitus serta berusaha melakukan aktivitas yang dapat menurunkan tingkat stres seperti dengan berolahraga serta melakukan relaksasi. 

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).


2017 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Ludiana Ludiana

Diabetes mellitus is a chronic metabolic disorder marked increase in blood glucose. According to the World Health Organization (WHO) in 2013 the incidence of diabetes mellitus in the world reached 347 million people in Indonesia alone ranks among the seven countries with the highest diabetes prevalence of 7.6 million people. Among the causes of the increase in blood glucose levels in diabetics is due to psychological factors, namely anxiety. In the pre-survey results in Puskesmas Sumbersari Bantul note that from 8 patients with diabetes mellitus, there are 6 people experiencing anxiety and 2 do not complain any signs of anxiety. The purpose of this study was to determine the relationship of anxiety with blood glucose levels of diabetics mellitus in Puskesmas Sumbersari Bantul District of South Metro City. The type quantitative research, form design used is cross sectional. The population in this study are patients with diabetes mellitus in Puskesmas Sumbersari Bantul District of South Metro totaling 408 samples taken as many as 41 people. The analysis in this study using the test Person Product Moment. Statistical analysis showed that anxiety patients with diabetes mellitus are at an average score of 27.44 with a standard deviation of 4.353 and the average blood sugar levels of people with diabetes mellitus are at 339.78 mg / dL with a standard deviation of 74.742. In the Person Product Moment test results proved no relationship anxiety with blood sugar levels of people with diabetes mellitus (p-value = 0.000 <a 0.05). Pearson correlation results obtained value of 0.817 towards a positive correlation with the strength of the relationship is very strong. Conclusions research shows there is an anxiety relationship with blood glucose levels of diabetics mellitus.


2021 ◽  
Vol 6 (1) ◽  
pp. 1-6
Author(s):  
Nian Afrian Nuari

  Diabetes mellitus is a metabolic disease that has characteristics of high blood sugar levels (hyperglycemia), this can occur due to abnormalities in insulin secretion. The aim of this study was to determine the relationship of hemoglobin levels with long suffering  Diabetes Mellitus patients.  This study used was correlational design with a cross sectional approach.  The population in this study were 225 people with a sample of 67 respondents with purposive sampling technique.  Data was collected by checking hemoglobin levels and Quesioner. The results showed that almost all respondents had normal hemoglobin levels and most of the respondents had  long history of suffering from Diabetes Mellitus for 5-10 years..  Data analysis used was the Rho Spearman test and can not found the relationship between hemoglobin levels and long suffering Diabetes Mellitus (p value = 0.565). History of suffering from Diabetes Mellitus,did not necessarily have low hemoglobin levels, because it can be noticed from other factors such as routine taking medication, diet, exercise, and lifestyle that can affect the condition of diabetes patients themselves.  Diabetes Mellitus patients need to maintain the blood sugar levels and hemoglobin levels with a healthy lifestyle, take the recommended diet, routinely consume drugs, and check blood sugar levels regularly.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Sesi Mei Irawati

Individuals are required to meet basic human needs, one of which is sleep.Sleep disorders play an important role in the development of diabetes through the neuroendocrine metabolic pathway. People who suffer from sleep disorders, sleep quality or sleep quantity experience a decrease in insulin sensitivity and consequently an increase in blood glucose. This aims of this research was to identify the correlation between sleep quality and fasting blood sugar level in young adults. The design was correlational research with cross sectional approach. The sampling technique purposive sampling involving 38 respondents that was selected based on inclusion criteria. This research used question naire Pittsburgh Sleep Quality Index (PSQI) and blood glucose meter. The bivariate analysis use pearson test. The results of this study indicate that of the 38 respondents almost all respondents had poor sleep quality as many as 31 respondents (81.6%) and most of the respondents included in the prediabetes category were 20 respondents ( 52.6%). From the results of the Pearson correlation test obtained (r count ) of 0.700 with p-value 0.000, soit can be concluded that there is a relationship or correlation between the quality of sleep with fasting blood sugar levels in young adults. If the sleep quality score gets lower then blood sugar levels will be lower, and vice versa. Suggestion: to do counseling efforts to improve poor sleep quality to anticipate the risk of diabetes. Keywords: Sleep quality, fasting blood sugar level, diabetes mellitus, young adults Abstrak: Individu dituntut untuk memenuhi kebutuhan dasar manusia, salah satunya adalah tidur. Gangguan tidur memainkan peran penting dalam terjadinya perkembangan diabetes melalui jalur metabolisme neuro endokrin.  Orang yang menderita gangguan tidur, kualitas tidur atau kuantitas tidur mengalami penurunan sensitivitas insulin dan akibatnya terjadi peningkatan glukosa darah. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kualitas tidur dengan kadar gula darah puasa pada usia dewasa muda. Desain penelitian menggunakan korelasional dengan pendekatan cross-sectional. Teknik pengambilan sampel purposive sampling dan melibatkan 38 responden yang dipilih berdasarkan kriteria inklusi. Instrumen yang digunakan adalah kuesioner Pittsburgh Sleep Quality Index (PSQI) dan blood glucose meter. Teknik statistik yang digunakan adalah uji Pearson. Hasil penelitian ini menunjukkan bahwa dari 38 responden hampir seluruh responden memiliki kualitas tidur buruk sebanyak 31 responden (81.6%) dan sebagian besar responden masuk dalam kategori prediabetes sebanyak 20 responden (52.6%). Dari hasil uji korelasi Pearson didapatkan (r hitung) sebesar 0.700 dengan p-value 0.000 sehingga dapat disimpulkan bahwa terdapat korelasi antara kualitas tidur dengan kadar gula darah puasa pada usia dewasa muda. Apabila skor kualitas tidur semakin rendah maka kadar gula darah akan semakin rendah, demikian pula sebaliknya. Saran: perlu dilakukan upaya penyuluhan tentangmemperbaiki kualitas tidur yang buruk untuk mengantisipasi resiko diabetes. Kata kunci: Kualitas Tidur, Kadar Gula Darah Puasa, Diabetes Melitus, Dewasa Muda


Author(s):  
Riya Purwaningtyastuti ◽  
Esti Nurwanti ◽  
Nurul Huda

<p><strong>ABSTRACK</strong></p><p><em><strong>Background:</strong> High sugar levels in people with diabetes mellitus causes changes in the body. One of its detrimental process called oxidation reaction that causes the increased formation of harmful substances called free radicals. Antioxidant vitamin A, C, and E helpful to reduce oxidative damage in people with diabetes mellitus and prevent complications.</em></p><p><em><strong> Objectives:</strong> The know relationship intake antioxidant with blood glocuse level outpatient type 2 diabetes mellitus in RSUD Panembahan Senopati Bantul Yogyakarta.</em></p><p><em><strong> Methods:</strong> This study was observasional with of cross sectional. The subjects in this study were outpatients with diabetes mellitus type 2 with sampels of 89 respondents. Purposive sampling technique. Data consumption pattern of antioxidant, used semi quantitative food frequency (SQFFQ) laboratories to examination and blood glucose levels. Data analysis used Fisher’s Exact Test. </em></p><p><em><strong>Results:</strong> There is significant association between vitamin C intake with blood sugar levels in patients diabetes mellitus the value of p = 0.004. The existence of a no signifi cant association between vitamin E intake with blood sugar levels in patients diabetes mellitus the value of p = 0.073 and there is no signifi cant association between vitamin A intake with blood sugar levels in patients diabetes mellitus the value of p = 0.252. </em></p><p><em><strong>Conclusion:</strong> There is a relationship between vitamin C intake with blood sugar levels, while the intake of vitamin A and E are not related to blood sugar levels</em></p><p><em><strong> KEYWORDS:</strong> type 2 diabetes mellitus, blood glucose level, vitamin C intake, vitamin A intake, vitamin E intake. </em></p><p><strong>ABSTRAK </strong></p><p><em><strong>Latar Belakang :</strong> Kadar glukosa yang tinggi pada penderita kencing manis/DM menyebabkan berbagai perubahan di dalam tubuh. Salah satu proses merugikan dinamakan reaksi oksidasi yang menyebabkan peningkatan pembentukan zat berbahaya yang disebut radikal bebas. Antioksidan vitamin A,C dan E bermanfaat dapat menurunkan kadar glukosa darah.</em></p><p><em><strong> Tujuan:</strong> Untuk mengetahui hubungan antara asupan antioksidan dengan kadar glukosa darah pada pasien rawat jalan DM tipe 2 di RSUD Panembahan Senopati Bantul Yogyakarta.</em></p><p><em><strong> Metode:</strong> Penelitian ini bersifat observasional dengan pendekatan cross-sectional. Subyek dalam penelitian ini adalah pasien rawat jalan diabetes melitus tipe 2 dengan jumlah sampel 89 responden. Teknik pengambilan sampel yaitu purposive sampling. Data asupan antioksidan menggunakan semi quantitative food frequency (SQFFQ) dan hasil pemeriksaan laboratorium untuk kadar glukosa darah. Analisis data menggunakan Fisher’s Exact Test. </em></p><p><em><strong>Hasil :</strong> Terdapat hubungan yang bermakna antara asupan vitamin C dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 dengan p value 0,004, tidak ada hubungan asupan vitamin E dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 dengan p value 0,073 dan tidak ada hubungan asupan vitamin A dengan kadar glukosa darah pada pasien diabetes melitus tipe 2 dengan nilai p value 0,252. </em></p><p><em><strong>Kesimpulan:</strong> Ada hubungan antara asupan vitamin C dengan kadar glukosa darah sedangkan vitamin A dan E tidak ada hubungan dengan kadar glukosa darah. </em></p><p><em><strong>KATA KUNCI:</strong> diabetes melitus tipe 2, kadar glukosa darah, vitamin A, vitamin E dan vitamin C</em></p>


2019 ◽  
Vol 9 (2) ◽  
pp. 84
Author(s):  
Tri Ardianti Khasanah ◽  
Zul Fina Fitri

Diabetes mellitus is a chronic metabolic disorder due to the pancreas not producing enough insulin or the body cannot use insulin that is produced effectively. Indonesia has 10.3 million sufferers and standon 7th position in the world after China, India, United States of America, Brazil, Russia, Mexico, on 2017 at the province of South Kalimantan’s on 2nd position that were 10.875, at Banjarbaru in 2017 is held on 2nd ranked which had 2.968 cases, at Idaman Banjarbaru Hospital on the Internal Medicine Polyclinic  there were 394 patients from January till April and estimated that will be 100 diabetes mellitus patients. This research is aimed to knowing the correlation of knowledge and compliance of diet with blood sugar levels of patients with  diabetes mellitus  at the Internal Medicine Polyclinic in Banjarbaru Hospital 2018. This type of research is a description of correlation research using cross sectional design. This research was carried out to 55 respondents. The results that tested using Chi-Square with a value of α=0.1 proved to have no correlation of knowledge with blood sugar levels (p=0.234) and proved to have a correlation of adherence to diet with blood sugar levels (p=0.00). From this study it can be concluded that knowledge proved to have not correlation with blood sugar levels and dietary compliance was shown to have a correlation with blood sugar levels in diabetes mellitus patients at Internal Medicine Polyclinic Idaman Banjarbaru Hospital 2018.


Author(s):  
Devendra Parmar ◽  
Dhairya Salvi

<p class="abstract"><strong>Background:</strong> Present study was done with objectives to study the co-relation between PASI and Fasting blood sugar (FBS) levels in psoriatic patients with diabetes mellitus and to study the association between duration of topical steroid therapy and Fasting blood sugar (FBS) levels.</p><p class="abstract"><strong>Methods:</strong> Present study was conducted in the 26 patients at the Department of Dermatology at a tertiary care centre in Bhuj, Gujarat. A detailed history on the type of psoriasis, duration, associated co-morbid conditions and details of topical steroid therapy was obtained from all patients. They were examined in detail and assigned a PASI score to assess the severity of psoriasis. Patients with nail involvement were scored using N NAIL tool. Fasting blood sugar levels were noted in patients with Diabetes.<strong></strong></p><p class="abstract"><strong>Results:</strong> Age of patients ranged from 15 years to 72 years. The different types of psoriasis observed were palmoplantar psoriasis-14 (50%), and chronic plaque psoriasis - 11. The joint was involved in 7 patients while 19 did not have joint involvement. The Pearson co-relation coefficient between PASI and FBS was 0.60 and p value was 0.001. The Pearson co-relation coefficient between duration of topical steroid therapy and FBS was 0.15, and p value was 0.50.</p><p><strong>Conclusions:</strong> A statistically significant positive correlation between PASI and FBS was noted in this study. The duration of topical steroid therapy was not associated with significant changes in FBS in psoriatic patients with diabetes mellitus. </p>


Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 66-74
Author(s):  
Suratun Suratun

Pendahuluan: Diabetes melitus merupakan penyakit gangguan metabolisme kronis yang ditandai peningkatan kadar gula dalam darah (hiperglikemia). Salah satu faktor pemicu yang berpotensi mempengaruhi kadar gula dalam darah adalah stres. Stres memicu reaksi biokimia tubuh melalui neural dan neuroendokrin. Stres juga merupakan salah satu faktor yang mempengaruhi tidur. Pola tidur yang tidak teratur menjadi salah satu pemicu perubahan kadar gula darah. Tidur yang berkualitas dan cukup dapat membantu menstabilkan kadar gula darah. Tujuan penelitian: untuk mengetahui hubungan tingkat stres pendekatan cros sectdan kualitas tidur dengan kadar gula darah klien diabetes melitus di rumah sakit muhammadiyah palembang. Metode Penelitian: ini menggunakan desain deskritif analitik yang dilakukan dengan pendekatan cross sectional. Sampel penelitian: klien diabetes melitus, teknik pengambilan sampel dengan cara accidental sampling, jumlah responden sebanyak 65 klien diabetes melitus. Instrumen dalam penelitian ini menggunakan kuesioner. Uji statistik yang akan digunakan adalah Chi Square. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki tingkat stres sedang 69,2%, memiliki kualitas tidur buruk 55,4% dan dengan kadar gula darah tinggi 63,1%, terdapat hubungan antara tingkat stres dengan kadar gula darah dengan pvalue 0,047, ada hubungan antara kualitas tidur dengan kadar gula darah dengan p-value 0,05.   Introduction: Diabetes mellitus is a chronic metabolic disorder characterized by an increase in blood sugar levels (hyperglycemia). One trigger factor that has the potential to influence blood sugar levels is stress. Stress triggers the body's biochemical reactions through neural and neuroendocrine. Stress is also one of the factors that influence sleep. Irregular sleep patterns become one of the triggers for changes in blood sugar levels. Good quality sleep can help stabilize blood sugar levels. The purpose of this study: to determine the relationship between the stress level of the cross sect approach and the quality of sleep with the blood sugar levels of diabetes mellitus clients in Palembang Muhammadiyah Hospital. Research Methods: This uses an analytical descriptive design that is carried outwith a cross sectional approach. Study sample: diabetes mellitus clients, sampling techniques by accidental sampling, the number of respondents was 65 diabetes mellitus clients. The instrument in this study used a questionnaire. The statistical test that will be used is Chi Square. The results showed that most respondents had moderate stress levels of 69.2%, had poor sleep quality of 55.4% and with high blood sugar levels 63.1%, there was a relationship between stress levels and blood sugar levels with a p-value of 0.047, there is a relationship between sleep quality with blood sugar levels with a p-value of 0.05.


2021 ◽  
Vol 7 (1) ◽  
pp. 67
Author(s):  
Indirawaty Indirawaty ◽  
Anang Adrian ◽  
Sudirman Sudirman ◽  
Kurnia Rahma Syarif

<p>Diabetes Mellitus is a serious chronic disease and occurs both when the pancreas does not produce enough insulin (a hormone that regulates blood glucose) or if the body cannot use the insulin produced effectively. DM sufferers are at risk of complications. These complications can be prevented by controlling diabetic blood glucose levels. Control of blood sugar levels in patients with DM is not adequate to avoid complications, the needs for knowledge and support of family with regular control of blood sugar DM patients. Method: This research was analytic descriptive with cross sectional design. The sampling technique used was random sampling with 50 respondents. Data collection was carried out using a questionnaire. Data analysis used Chi Square test with significance level α = 0.05. Result: Based on the results of statistical tests using test, it was found that there was correlation between family support and knowledge and controlling blood sugar levels with p-value 0,002 and there was correlation between family support in controlling blood sugar levels with ρ-value 0,001and obtained p value &lt;0,05. Conclusion: There is a significant correlation between family support and knowledge with regular control of blood sugar in patients with type 2 diabetes mellitus in the Mangasa Health Center Makassar.</p><p>Diabetes Mellitus merupakan penyakit kronik yang serius dan terjadi baik saat pankreas tidak menghasilkan cukup insulin (hormon yang mengatur glukosa darah) maupun jika tubuh tidak dapat menggunakan insulin yang dihasilkan secara efektif. Penderita DM berisiko mengalami komplikasi. Komplikasi tersebut dapat dicegah dengan mengendalikan kadar glukosa darah diabetesi. Pengendalian kadar gula darah pada penderita DM tersebut belum cukup untuk menghindari terjadinya komplikasi akan tetapi diperlukan adanya pengetahuan dan dukungan keluarga dengan rutinitas dalam mengontrol gula darah penderita DM. Metode Penelitian ini bersifat deskriptif analitik dengan desain cross sectional. Teknik sampling yang digunakan ialah random sampling dengan jumlah responden sebanyak 50 orang. Pengumpulan data dilakukan dengan menggunakan kuesioner. Analisa data menggunakan uji Chi Square dengan tingkat kemaknaan α = 0,05. Hasil: Berdasarkan hasil uji statistik menggunakan risk didapatkan ada hubungan pengetahuan dalam mengontrol kadar gula darah nilai p-value 0,002 dan ada hubungan dukungan keluarga dalam mengontrol kadar gula darah nilai ρ-value 0,001 diperoleh nilai p&lt;0,05. Kesimpulan: Terdapat hubungan yang bermakna pengetahuan dan dukungan keluarga dengan rutinitas dalam mengontrol gula darah pada penderita Diabetes Melitus tipe 2 di Wilayah Kerja Puskesmas Mangasa Kota Makassar</p>


2018 ◽  
Vol 6 (2) ◽  
pp. 90-93
Author(s):  
Kartika Pibriyanti ◽  
Khairina Nur Hidayati

Background : Prevalence of Diabetes Mellitus (DM) in Indonesia is 1.5%. Diabetes Mellitus is not only suffered by adults, but the age of adolescents and children as well. Risk factors in children include gender, obesity, mealtimes, race, age and genetics.Objective : The objective of the study was to analyze the risk factors of high blood glucose incidence in school children.Methods : This research was analytic survey with cross sectional approach. The population was all students of SD Negeri 1 Sokoboyo class IV to VI amounted to 82 students. The sample size was 82 students taken by purposive sampling technique. The independent variables include obesity and sex, as well as the dependent variable that is the blood sugar level. Test analysis used is chi-square test with significance level 5% (α = 0,05).Results : Most of the female sample (54.9%), 30.5% were obese and 43.9% had abnormal blood sugar levels. Girls have a 2,95 times greater risk of having high blood sugar levels than boys. Obese children have 10,25 times greater high blood glucose levels than normal children.Conclusion : Sex and obesity are associated with blood sugar levels in students class IV s / d VI SD Negeri 1 Sokoboyo Slogohimo District Wonogiri District.


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