scholarly journals PREVALENSI RETINOPATI DIABETIK PADA POLIKLINIK ILMU KESEHATAN MATA SELANG SATU TAHUN

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Tiara Ilery ◽  
Vera Sumual ◽  
Laya Rares

Abstract: Diabetic retinopathy  is a disease that tends to damage retinal microvasculature as chronic progressive, related with the old hyperglycaemia and also connected with diabetes mellitus and hypertension; that can expand into certain level and can turn to serious complication. The purpose of this observation is to know about prevalence of diabetic retinopathy on Polyclinic Opthalmology BLU RSU Prof. Dr. R. D. Kandou in Manado within one year. This method of observation are retrospective descriptive which is utilize the secondary data in notes form that is taken from Department of Opthalmology BLU RSU Prof. Dr. R. D. Kandou in Manado within period June 2012 – May 2013 and October 2013. In this observation that had 498 samples, with 219 people (44%) that is positively diagnosed with diabetic retinopathy. Based from sexes it self, diabetic retinopathy occur more in female patient as much as 116 people (52,96%). However, that disease is dominated with the patient at age 45-64 year old 128 people (58,44%) that also has history of diabetes mellitus. From 219 patients retinopati diabetik, there are 200 people (91,32%) that has vision problem. As we know about the risk of this disease, we are hoping that the patient of retinopati diabetik and diabetes melitus could constantly control their blood pressure and blood sugar, as well as eyes checking to cut down future risk. Keywords: Prevalence, retinopathy, diabetic retinopathy, complication of diabetes.   Abstrak: Retinopati diabetik adalah penyakit yang berpotensi merusak pembuluh darah retinal secara kronis progresif, berhubungan dengan hiperglikemia yang lama dan terkait dengan diabetes melitus juga hipertensi; dapat berkembang sampai tingkatan tertentu dan merupakan komplikasi yang serius. Tujuan penelitian adalah untuk mengetahui prevalensi retinopati diabetik pada poliklinik ilmu kesehatan mata BLU RSU Prof. Dr. R. D. Kandou Manado selang satu tahun. Metode penelitian bersifat deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan medik yang terdapat di Bagian Mata BLU RSU Prof. Dr. R. D. Kandou Manado Periode Juni 2012-Mei 2013 dan Oktober 2013. Dalam penelitian ini terdapat 498 sampel, dengan 219 orang (44%) yang terdiagnosa retinopati diabetik. Berdasarkan jenis kelamin, retinopati diabetik lebih banyak dialami pasien berjenis kelamin perempuan sebanyak 116 orang (52,96%). Sedangkan untuk rentang umur, didominasi oleh pasien dengan rentang umur 45-64 tahun sebanyak 148 orang (67,5%), dan terdapat 128 orang (58,44%) yang memiliki riwayat diabetes melitus. Dari 219 orang pasien retinopati diabetik terdapat 200 orang (91,32%) yang visusnya terganggu. Dengan melihat resiko penyakit ini, pasien retinopati diabetik dan diabetes melitus diharapkan dapat mengontrol gula darah dan tekanan darah, serta dengan rutin memeriksakan mata untuk menekan progresifitas penyakit. Kata Kunci : Prevalensi, retinopati, retinopati diabetik, komplikasi diabetes.

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Hermanto Quedarusman ◽  
Pearla Lasut

Abstract: We reported a case of 56 years old man with critical limb ischemia. Diagnosis was made based on anamnesis, signs and clinical symptoms, as well as investigations that included the presence of rest pain in the left leg. Patient also had a history of diabetes mellitus. Echo- doppler and angiographic investigations supported the diagnosis of critical limb ischemia. In this patient, medicamentous treatment has been administered consisted of antiplatelet and cilostazol, blood sugar control by using insulin. The patient also underwent endovascular revascularization.Keywords: critical limb ischemia, peripheral artery diseaseAbstrak: Telah dilaporkan kasus critical limb ischemia pada seorang laki-laki berusia 56 tahun dengan keluhan nyeri seperti terbakar pada kaki kiri bahkan saat istirahat dengan riwayat diabetes melitus. Hasil pemeriksaan penunjang echo-doppler dan angiografi menyokong terdapatnya critical limb ischemia. Diagnosis ditegakkan berdasarkan anamnesis, tanda dan gejala klinis, serta pemeriksaan penunjang. Pada pasien ini, diberikan penatalaksanaan terapi medikamentosa yaitu antiplatelet dan cilostazol, kontrol gula darah dengan menggunakan insulin, dan dilakukan tindakan revaskularisasi endovaskular.Kata kunci: critical limb ischemia, peripheral artery disease


2019 ◽  
Vol 4 (1) ◽  
pp. 56
Author(s):  
Rara Warih Gayatri

Abstract: Diabetes mellitus (DM) is one of the systemic diseases that manifests in the oral cavity. One effort to prevent type 2 diabetes is through surveillance activities to determine the associated risk factors. The purpose of this study was to determine the relationship of risk factors for history of diabetes mellitus and fasting blood sugar levels with the incidence of type 2 diabetes mellitus at Puskesmas Kendal Kerep in Malang City. This study used a quantitative descriptive method with cross-sectional design and was conducted at the Puskesmas Kendal Kerep in Malang City, April 2017. The sampling method used was the quota sampling method with the measured variables:  the prevalence of diabetes mellitus, a history of diabetes mellitus and levels fasting blood sugar. Data collection techniques used were interview and measurement of fasting blood sugar levels. The research instrument used were Glucko Blood Meter devices and questionnaires. Data processing includes the process of editing, coding, scoring, data entry and cleaning. Data analysis used were univariate and bivariate. The conclusion of the study is that there is a significant relationship between history of Diabetes Mellitus and GDP levels with type 2 DM.Keywords: History of Diabetes Mellitus, Fasting Blood Sugar Levels, Type 2 Diabetes MellitusAbstrak: Diabetes Melitus (DM) merupakan salah satu penyakit sistemik yang bermanifestasi dalam rongga mulut. Salah satu upaya untuk mencegah DM tipe 2 adalah melalui kegiatan surveilans untuk mengetahui faktor resiko yang terkait. Tujuan penelitian ini untuk mengetahui hubungan faktor resiko riwayat diabetes mellitus dan kadar gula darah puasa dengan kejadian diabetes mellitus tipe 2 di Puskesmas Kendal Kerep Kota Malang. Penelitian ini menggunakan metode deskriptif kuantitatif dengan desain potong lintang (cross-sectional) dan dilakukan di Puskesmas Kendal Kerep Kota Malang, Bulan April 2017. Metode sampling yang digunakan merupakan metode quota sampling dengan variable yang diukur adalah kejaidan diabetes mellitus, riwayat diabetes mellitus dan kadar gula darah puasa. Teknik pengumpulan data menggunakan wawancara dan pemeriksaan kadar gula darah puasa. Instrumen penelitian menggunkan kuesioner dan alat Glucko Blood Meter. Pengolahan data yang dilakukan meliputi proses editing, coding, scoring, entry data dan cleaning. Analisa data dilakukan dengan analisis statistic univariat dan bivariat. Kesimpulan penelitian adalah terdapat hubungan yang signifikan antara riwayat DM dan kadar GDP dengan DM tipe 2. Kata kunci: Riwayat Diabetes Melitus, Kadar Gula Darah Puasa, Diabetes Mellitus Tipe 2


2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Niken Sukesi

Penyakit Diabetes Melitus dapat menyebabkan komplikasi yang sangat berat. Komplikasi dari Diabetes Melitus ini meliputi jantung iskemik, serebrovaskuler, gagal ginjal, ulkus pada kaki, gangguan penglihatan. Komplikasi yang paling sering terjadi adanya perubahan patologis pada anggota gerak bawah yang disebut kaki diabetik. Salah satu jenis olahraga yang dianjurkan dengan diabetes mellitus adalah senam kaki. Senam kaki merupakan latihan yang dilakukan bagi penderita DM atau bukan penderita untuk mencegah terjadinya luka dan membantu melancarkan peredaran darah bagian kaki. Penelitian ini bertujuan untuk menganalisis pengaruh senam kaki terhadap kadar gula darah pasien diabetes mellitus. Desain dalam penelitian ini adalah Quasy Eksperiment dengan rancangan Pre and Post Test Without Control. Teknik pengambilan sampel menggunakan Consecutive sampling. Alat pengumpul data yang digunakan instrument observasi senam kaki untuk menilai senam kaki, dan alat menilai kadar gula darah yaitu glucometer, kapas dan jarum. Rata-rata kadar gula darah sebelum dan setelah dilakukan senam kaki mengalami penurunan dan ada pengaruh kadar gula darah sebelum dengan sesudah dilakukan senam kaki pada pasien diabetes melitusKata Kunci: Senam Kaki, Kadar Gula Darah THE EFFECT OF GYMNASTIC FEET TOWARD THE BLOOD SUGAR LEVEL FOR THE DIABETICSDiabetes Mellitus causes the complication case. It concludes the heart iskemik, serebrovaskuler, cronic kidney disease, ulcus on the feet, and the impairment of sight. The complication often causes the changing of pathological in certain place such as feet. The one of recommended sport for diabetics is gymnastic feet. Gymnastic feet is an experience for diabetics or not in order to prevent the wound and launch the blood circulation. The research objective is to analyze the effect of gymnastic feet to blood sugar level for diabetics. The research design is using experiment quasy with pre and post test without control. It is using consecutive sampling as the sample of collecting technique, and using observation of gymnastic feet as the collecting data technique to assess the blood sugar level, those are glucometer, cotton, and needle. The average of blood sugar level is decrease after doing the gymnastic feet. Moreover, there is differences between after and before doing the gymnastic feet for diabetics.Key Words : Gymnastic Feet, Blood sugar level


Author(s):  
Mulia Mayangsari

 Individuals who have a family history oftype 2 diabetes mellitus (DM) have a highrisk for type 2 diabetes. Type 2 diabetescan be prevented by improving modifiablerisk factors, supported by self-awareness,perceptions and attitudes of individualswho have a high family history of DM. Thisstudy used a qualitative phenomenologicaldesign. A Purposive Sampling techiniquewas applied to determine individuals whohad parents with type 2 diabetes. Nineindividuals participated in this study. AQualitative content analysis with Collaiziapproach used as a data analysis method.The main themes depicted individuals selfawareness,perceptions, & attitudes were:denials that diabetes caused by heredityfactors; misperception about diabetes;“traditional modalities” as a preventionmeasurement toward type 2 diabetes; andDM is perceived as a “threatening disease”.Further study is needed to examine indepth the themes that have been identifiedon the number of participants are morenumerous and varied.


2021 ◽  
Vol 1 ◽  
pp. 921-927
Author(s):  
Oki Yanuarti ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi

AbstractDiabetes melitus is a metabolic disease characterized by high blood glucose levels in the body, caused by abnormalitized in insulin secretion. One of the non-pharmacological method to reduce blood sugar level is progressive muscle relaxation therapy. This study aims to identify the effect of progressive muscle relaxation techniques in lowering blood sugar. A literature review of studies of progressive muscle relaxation therapy in reducing blood sugar publishedin 2011-2020 was conducted. The average number of respondents was 26 male and female responden with and average age of 55-60. The results showed that progressive muscle relaxation therapy was able to control blood glucose among diabetic. This study concludes that progressive muscle relaxation therapy effectively reduce blood sugar levels in patients with diabetes melitus. The findings suggest that progressive muscle relaxation therapy can be used as non-pharmacological therapy to lower blood sugar levels.Keywords: Diabetes mellitus; Progressive muscle relaxation AbstrakDiabetes melitus merupakan suatu penyakit degeneratif yang bermasalah pada sistem metabolik ditandai dengan meningkatnya kadar gula darah dalam tubuh dan disebabkan karena kelainan sekresi insulin. Pada pasien diabetes melitus akan mengalami peningkatan kadar gula darah dalam tubuh, salah satu cara non farmakologis yang dapat dilakukan untuk menurunkan kadar gula darah pada pasien diabetes melitus yaitu dengan terapi relaksasi otot progresif. Tujuan dari Karya Tulis Ilmiah ini yaitu untuk mengetahui gambaran dari pengaruh teknik relaksasi otot progresif terhadap penurunan kadar gula darah pada pasien diabetes melitus. Metode yang dilakukan dengan mencari tiga jurnal penelitian tentang pengaruh terapi relaksasi otot progresif terhadap penurunan kadar gula darah pada pasien diabetes melitus terbit pada tahun 2011-2020. Hasil analisa karakteristik responden dari ketiga jurnal menunjukan jumlah responden rata-rata 26 responden laki-laki dan perempuan dengan usia rata-rata 55-60 tahun. Hasil yang didapatkan setelah dilakukan terapi relaksasi otot progresif kadar gula darah pasien menjadi terkontrol. Simpulan dari karya tulis ilmiah ini yaitu terapi relaksasi otot progresif efektif terhadap penurunan kadar gula darah pada pasien diabetes melitus. Saran bagi perawat atau penderita diabetes melitus terapi relaksasi otot progresif dapat digunakan sebagai terapi non farmakologis untuk menurunkan kadar gula darah pada pasien diabetes melitus. Kata kunci: Diabetes mellitus; Relaksasi Otot Progresif


2017 ◽  
Vol 5 (2) ◽  
pp. 93-99 ◽  
Author(s):  
J. David Spence ◽  
Chrysi Bogiatzi ◽  
Mariya Kuk ◽  
George K. Dresser ◽  
Daniel G. Hackam

Abstract Background and Objectives Resistant hypertension is an important problem; nearly half of diagnosed hypertensives are not controlled to target blood pressure levels, and approximately 90% of strokes occur among patients with resistant hypertension. Primary aldosteronism accounts for approximately 20% of resistant hypertension, but the role of secondary hyperaldosteronism in resistant hypertension is seldom considered. We assessed the effects of eplerenone in patients with hypertension and either primary or secondary hyperaldosteronism. Methods Patients with a history of resistant hypertension and a supine plasma aldosterone level ≥ 360 pmol/L were randomized to eplerenone versus placebo in a fully blinded study for one year. A medication intensity score was developed to assess the resistance of hypertension to medication (blood pressure × medication intensity). We assessed the effects of eplerenone on blood pressure and on resistance to concomitant medication. Results Final results were available in 37 patients (19 on eplerenone and 18 on placebo). Resistance to medication, as assessed by the intensity of concomitant medication required to maintain blood pressure control, was markedly reduced by eplerenone: medication intensity scores declined by –0.50 ± 1.04 (SD) on placebo versus –2.11 ± 1.45 with eplerenone (P = 0.0001), the Systolic Resistance Score declined by –80.00 ± 122.93 on placebo versus –334.05 ± 21.73 on eplerenone (P = 0.0001), and the Diastolic Resistance Score increased by 1.28 ± 31.65 on placebo and declined by –40.74 ± 57.08 on eplerenone (P = 0.009). Conclusions Eplerenone significantly reduced resistance to concomitant antihypertensive medication in both primary and secondary hyperaldosteronism.


2019 ◽  
Vol 10 (1) ◽  
pp. 77
Author(s):  
Febria Syafyu Sari ◽  
Ridhyalla Afnuhazi

ABSTRAK Diabetes Melitus merupakan penyakit yang paling menonjol yang disebabkan oleh gagalnya pengaturan gula darah. Lidah buaya berkhasiat untuk menurunkan kadar gula dalam darah bagi penderita diabetes dan dapat mengontrol tekanan darah. Tujuan penelitian untuk mengetahui pengaruh jus lidah buaya (AloeBarbadensis Miller) terhadap penurunan glukosa darah puasa GDP) dan 2 Jam PP (Post Prendial) pada penderita DM (Diabetes Melitus). Desain penelitian merupakan Quasi Eksperimental dengan pendekatan one group pretest – postest design. Sampel terbagi menjadi 14 responden. Data dianalisis dengan paired t-test. Hasil menunjukan rata-rata penurunan glukosa darah puasa pada intervensi (28,42 gr/dl) dan glukosa darah 2 jam pp pada intervensi (40,57 gr/dl). Untuk analisis bivariat terdapat perbedaan antara glukosa puasa dan 2 jam pp dengan glukosa darah puasa GDP) dan 2 Jam PP (Post Prendial) pada penderita DM (Diabetes Melitus). Kesimpulan didapatkanlidah buaya dapat menurunkan kadar glukosa darah.Berdasarkan hasil penelitian jus lidah buaya dapat menjadi salah satu alternatif keperawatan non farmakologi dalam penyakit diabetes melitus. Kata Kunci : Lidah Buaya ; Diabetes Mellitus THE EFFECT OF VEGETABLE VOCATIONAL JUICE ON FAST BLOOD GLUCOSE LEVELS AND 2 HOURS OF PP (Post Prandial) IN DIABETES MELLITUS  ABSTRACT Diabetes mellitus is the most prominent disease caused by the failure of blood sugar regulation. Aloe vera is efficacious can to  reduce blood sugar levels for diabetics and can control blood pressure. The purpose of this study was to determine the effect of Aloe Barbadensis Miller on the reduction of fasting blood glucose GDP and 2 hours of PP (post prendial) in patients with diabetes mellitus. The research design is Experimental Quasi with one group pretest - postest design approach. The sample is divided into 14 respondents. Data were analyzed by paired t-test. The results showed an average decrease in fasting blood glucose at intervention (28.42 gr / dl) and 2 hours pp blood glucose at intervention (40.57 gr / dl). For bivariate analysis there was a difference between fasting glucose and 2 hours pp with fasting blood glucose GDP) and 2 hours PP (Post Prendial) in patients with diabetes mellitus. The conclusion is that aloe vera can reduce blood glucose levels. Based on the results of research on aloe vera juice can be an alternative non-pharmacological nursing in diabetes mellitus. Keywords: Aloe Vera ; Diabetes Mellitus


2019 ◽  
Author(s):  
aura widad al addawiyah hamzah

Diabetes mellitus is a chronic metabolic disorder characterized by an increase in blood glucose (hyperglycemia). Physical activity has an impact on insulin action in people at risk for diabetes mellitus.Lack of activity is one of the contributing factors that causes insulin resistance in type II diabetes mellitus and diet is the behavior of humans or a group of humans in meeting their dietary needs which include food attitudes, beliefs and choices. The purpose of this study was to analyze the relationship between patterns of physical activity and diet with blood sugar levels in patients with diabetes melitustipe II. The research method used is a qualitative method. The results of the study showed that there was a relationship between patterns of physical activity and diet with blood sugar levels. Conclusions there is a relationship between patterns of physical activity and diet with blood sugar levels in patients with diabetes melitustipe II


2020 ◽  
Vol 9 (2) ◽  
pp. 1017-1026
Author(s):  
Desi Natalia Trijayanti Idris ◽  
Dian Taviyanda ◽  
Srinalesti Mahanani

Acute myocardial infarction (AMI) is a disease that has a high mortality. Usually happens to anyone and regardless of age, both male and female. The purpose of this study was to describe the characteristics of acute myocardial infarction patients hospitalized. This study uses a descriptive design. The variables used in this study were the characteristics of acute myocardial infarction patients consisting of gender, age, education, history of hypertension, history of diabetes mellitus, family history of acute myocardial infarction, blood pressure and pulse frequency. The number of samples used was 35 respondents who analyzed the data using a frequency distribution. The results showed that the characteristics of 35 respondents showed that the majority of AMI patients occurred in men, namely 60%, the majority were aged 56-60, namely 34.3%, the majority had a history of hypertension, diabetes mellitus and also a family history of having AMI. 


2021 ◽  
Vol 1 (4) ◽  
pp. 394-403
Author(s):  
Rahmat Syuhada ◽  
Toni Prasetya ◽  
Ade Utia Detty ◽  
Merryshol Okhi

ABSTRACT: VISUAL RESULTS OF DIABETES RETINOPATHY PATIENTS POST PARS PLANA VITRECTOMY OPERATION AT PERTAMINA BINTANG AMIN HOSPITAL Background: Diabetic retinopathy is a neovascular complication that is very specific for type 1 diabetes and type 2 diabetes. Based on data according to Basic Health Research (RISKESDAS) in 2018, diabetes mellitus in 2013 reached 1.5% of patients with diabetes, and is increasing. to 2.0% in 2018. Treatment of diabetes mellitus patients with complications of diabetic retinopathy by performing pars plana vitrectomy surgery which is anoperative management that can improve eye visual or restore visual fuction. Research Objectives: To determine the visual outcome in diabetic retinopathy patients after pars plana vitrectomy surgery at Pertamina Bintang Amin Hospital, Lampung Province in 2020.Research Methods: This type of research was cross -sectional. Sampling was done by total sampling. Bivariate data analysis using Paired T-Test.Results: Statistical analysis using Paired T-Test showed the p-value for visualoutcome analysis in diabetic retinopathy patients before and after pars plana vitrectomy surgery was 0.000 (p-value <0.05).Conclusions: There are significant changes in diabetic retinopathy patients visualoutcome before pars plana vitrectomy surgery and after pars plana vitrectomy surgery at Pertamina Hospital Amin Star Lampung Province 2020. Keywords: Diabetic retinopathy, pars plana vitrectomy operation, Visualoutcome INTISARI: VISUALOUTCOME PADA PASIEN RETINOPATI DIABETIK PASCA OPERASI PARS PLANA VITRECTOMY DI RUMAH SAKIT PERTAMINA BINTANG AMIN  Latar Belakang: Retinopati diabetik adalah komplikasi neovaskular yang sangat spesifik untuk diabetes tipe 1 dan diabetes tipe 2. Berdasarkan data menurut Riset Kesehatan Dasar (RISKESDAS) pada tahun 2018, penyakit diabetes melitus di tahun 2013 mencapai 1,5% pasien pengidap diabetes, dan meningkat menjadi 2,0% pada tahun 2018. Penanganan pada pasien diabetes melitus dengan komplikasi retinopati diabetik diantaranya adalah dengan dilakukannya operasi pars plana vitrektomi yang merupakan penatalaksanaan operatif yang dapat memperbaiki visus mata atau memulihkan fungsi penglihatan . Tujuan Penelitian: Untuk mengetahui visualoutcome pada pasien retinopati diabetik pasca operasi pars plana vitrektomi di Rumah Sakit Pertamina Bintang Amin Provinsi Lampung Tahun 2020.Metode Penelitian: Jenis penelitian ini adalah potong silang (Cross-sectioal). Pengambilan sampel dilakukan secara total sampling. Analisis data bivariat dengan Paired T-Test.Hasil Penelitian: Analisis statistik menggunakan uji Paired T-Test menunjukkan p-value untuk analisa visualoutcome pada pasien retinopati diabetic sebelum dan sesudah operasi operasi pars plana vitrektomi sebesar 0,000 (p-value < 0,05).Kesimpulan: Terdapat perubahan yang signifikan pada visualoutcome pasien retinopati diabetik sebelum operasi pars plana vitrektomi dan sesudah operasi pars plana vitrektomi di Rumah Sakit Pertamina Bintang Amin Provinsi Lampung Tahun 2020. Kata Kunci: Retinopati Diabetik, Operasi Pars Plana Vitrektomi, Visualoutcome


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