scholarly journals Perbandingan kadar gula darah pasca pembedahan dengan anestesia umum dan anestesia spinal

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Fabiola I. Lumanauw ◽  
Harold F. Tambajong ◽  
Barry I. Kambey

Abstract: Anesthesia and surgery could evoke stress response that can affect blood glucose levels. The purpose of this study is to compare the blood glucose levels after surgery with general anesthesia and spinal anesthesia. This was an analytic prospective observational research with cross-sectional design. Researched on 32 patients by consecutive random sampling who meet inclusion and exclusion criteria, then divided into two groups, namely the group undergoing surgery with general anesthesia and the group undergoing surgery with spinal anesthesia. Measurements of blood glucose levels was done in 1 hour before induction of premedication and 4 hours after surgery. The statistical analysis were done using Shapiro-Wilk Test to determine the normal distribution of samples, and independent t-test to compare blood glucose levels after surgery with general anesthesia and spinal anesthesia. The result showed there was significantly different between blood glucose levels after surgery with general anesthesia and spinal anesthesia (p-value = 0.006 or p <0.05). Mean of blood glucose level after surgery in general and spinal anesthesia were 96 mg/dl and 79,4 mg/dl. Conclusion: General anesthesia had more influence on the increase in blood glucose levels after surgery compared to spinal anesthesia.Keywords: stress response, blood glucose levels, general anesthesia, spinal anesthesia Abstrak: Anestesia dan pembedahan akan menyebabkan timbulnya respon stres yang dapat mempengaruhi kadar gula darah. Penelitian ini bertujuan untuk mengetahui perbandingan kadar gula darah pasca pembedahan dengan anestesia umum dan anestesia spinal. Metode penelitian ini menggunakan desain observasional analitik prospektif dengan rancangan cross-sectional. Penelitian dilakukan terhadap 32 pasien yang didapatkan secara consecutive random sampling yang memenuhi kriteria inklusi dan eksklusi, lalu dibagi menjadi 2 kelompok, yaitu kelompok yang menjalani pembedahan dengan anestesia umum dan kelompok yang menjalani pembedahan dengan anestesia spinal. Pengukuran kadar gula darah dilakukan 2 kali, yaitu 1 jam sebelum induksi premedikasi dan 4 jam setelah pembedahan. Analisis statistik dilakukan dengan uji Shapiro-Wilk untuk mengetahui normalitas distribusi sampel, dan uji-t independen untuk membandingkan kadar gula darah pasca pembedahan dengan anestesia umum dan anestesia spinal. Hasil penelitian menunjukkan perbedaan yang bermakna antara kadar gula darah pasca pembedahan dengan anestesia umum dan anestesia spinal (nilai p = 0,006 atau p < 0,05). Rerata kadar gula darah pasca pembedahan dengan anestesia umum sebesar 96 mg/dl, sedangkan pada anestesia spinal sebesar 79,4 mg/dl. Simpulan: Anestesia umum lebih berpengaruh terhadap peningkatan kadar gula darah pasca pembedahan dibandingkan dengan anestesia spinal. Kata kunci : respon stres, kadar gula darah, anestesia umum, anestesia spinal

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).


Author(s):  
Meiriani . ◽  
Yuneldi Anwar ◽  
Puji Pinta Omas Sinurat

Background: Diabetes and higher HbA1c level have increased the incidence of stroke. Hemoglobin levels both high and low are associated with poor outcomes. Leukocytes play an important role in the initiation of the atherosclerosis process.Methods: This was a cross-sectional study with a sample size of 62 people selected by non-random sampling method on a consecutive basis, patients with acute stroke were taken blood to measure blood glucose levels, HbA1c, Hb and Leucocytes when entering the hospital room. Outcomes were assessed using NIHSS and MRS. The calculation of NIHSS and MRS scores was performed on the first day of admission and the fourteenth day. To analyze the correlation of blood sugar levels during HbA1c, Hb and leukocytes in acute stroke, this study used Spearman's correlation test. The p value <0.05 was considered statistically significant.Results: The study subjects of 62 acute stroke patients (acute ischemic stroke 31 people and 31 people hemorrhagic stroke). Acute stroke patients were consisted of 38 men (61.3%) and 24 women (38.7%). Of 31 people with hemorrhagic stroke, there were 16 men (51.6%) and 15 women (48.4%), ischemic stroke patients were consisted of 22 people (71, 0%) and women were 9 people. Spearrman repair test showed no symptoms between blood glucose levels, HbA1c, Hemoglobin and leukocytes with outcomes in acute stroke.Conclusions: There was no significant association between blood glucose levels, HbA1c, hemoglobin and leukocytes with outcomes in acute stroke.


2020 ◽  
Vol 8 (3) ◽  
pp. 247
Author(s):  
Siti Cholifah ◽  
Paramitha Amelia Kusumawardani ◽  
Miftahul Muslih

<em>Efforts to limit and regulate birth spacing as a goal to create quality families and healthy families, the government encourages people to use contraceptives as birth control. One of these contraceptives is injection contraception. Injecting contraception is the most widely used contraceptive tool by the people of Indonesia, is considered effective, practical, but has several side effects, the most worrying is that it affects blood glucose. Blood glucose levels in the human body that increase more than normal can be a symptom of diabetes mellitus. The purpose of this study is to determine differences in blood glucose levels in progestin injection and combined injection contraceptive acceptors. Observational research design using a cross sectional approach. The study population was all injectable acceptors. Samples were taken that met the inclusion criteria, namely respondents were willing to be examined, there was no history of diabetes mellitus (DM), less than 40 years of age, acceptors of at least 6-8 hours fasting. Sampling was carried out using consecutive sampling techniques totaling 50 acceptors (25 progestin injection acceptors, 25 combined injection acceptors). Data were analyzed by Witney mann test using α = 0.05. The results showed the mean fasting blood glucose for progestin injection acceptors was higher than for combination injections, the test results P = 0.008 &lt;α = 0.05. The conclusions of the study show that there are significant differences in blood glucose levels in progestin-injecting acceptors and this combination means that progestin-injecting contraceptives have a higher impact on increasing fasting blood sugar levels compared with combined injection contraception. Suggestions for health workers to control blood glucose injector acceptors at acceptors who experience high glucose levels are recommended to replace non-hormonal contraceptive methods.</em>


2017 ◽  
Vol 1 (1) ◽  
pp. 33
Author(s):  
Etiek Nurhayati ◽  
Suwono Suwono ◽  
Everiandi Nur Fiki

Abstract: NaF or Sodium Fluoride are anticoagulants which often used for sampling tests of blood glucose levels because NaF is considered to inhibit the process of glycolysis. The purpose of this study was to determine the difference of blood glucose level that delayed for 2 hours using NaF anticoagulant and without using NaF anticoagulant at students of Medical Laboratory Pontianak. This research method was in the form of Cross-Sectional research. Sampling technique by random sampling with 39 people in total. Glucose examination method used was a method of glucose oxidase using blood serum. The result was the average value of blood glucose level using anticoagulant NaF was 80,256 mg/dl. While the average of blood glucose levels without the use of NaF anticoagulants was 73,589 mg/dl. The data obtained were analyzed statistically using paired t-test result (p = 0,001 <a 0,05). It can be concluded that there was a difference of blood glucose level when using NaF anticoagulant and without using NaF anticoagulant on students of Medical Laboratory Pontianak.Abstrak: Antikoagulan NaF atau Natrium Flourida adalah antikoagulan yang sering digunakan untuk sampling bahan pemeriksaan kadar glukosa darah, karena NaF dianggap mampu menghambat proses glikolisis. Tujuan penelitian ini untuk mengetahui perbedaan kadar glukosa darah sewaktu yang ditunda selama 2 jam menggunakan antikoagulan NaF dan tanpa menggunakan antikoagulan NaF pada mahasiswa/I Analis Kesehatan Pontianak. Desain penelitian menggunakana Cross Sectional. Teknik pengambilan sampel dengan cara simple random sampling dengan jumlah 39 orang. Metode pemeriksaan glukosa yang digunakan adalah metode glucose oxidase menggunakan sthe erum darah Hasil penelitian adalah rata–rata nilai kadar glukosa darah yang menggunakan antikoagulan NaF adalah 80,256 mg/dl. Sedangkan rata-rata kadar glukosa darah yang tanpa menggunakan antikoagulan NaF adalah 73,589 mg/dl. Data yang diperoleh dianalisis statistik menggunakan uji t-berpasangan didapatkan hasil (p = 0,001<a 0,05). Dapat disimpulkan terdapat perbedaan kadar glukosa darah sewaktu menggunakan antikoagulan NaF dan tanpa menggunakan antikoagulan NaF pada mahasiswa /i Analis Kesehatan Pontianak. 


2019 ◽  
Vol 4 (3) ◽  
pp. 449
Author(s):  
Riwanti Silaban ◽  
Pina Lestari ◽  
May Daryeti ◽  
Diah Merdekawati

<p><em>The increasing number of people with diabetes mellitus each year, the client has also experienced one of the complications, namely ulcers. During this time, the concern of nurses at Raden Mattaher Jambi Hospital is only an ulcer on the client, but no intervention has been made to determine the factors causing the duration of the client's ulcer resolved. The kind of is a cross-sectional. The sample in this study was 27 respondents who had criteria by what was to be studied. The sampling technique is done by accidental sampling that is taking samples by taking cases or respondents who happen to be available or available. Analysis of the data in this study was Univariate and Bivariate. It was held on April 29th until June 29th 2019 with uses observation sheets and questionnaires as aids in data collection. Statistical test results obtained p-value &lt;0.05, meaning that there is a relationship between ABI values, blood glucose levels and nutrients with the area of diabetic ulcer. It can be concluded that the ABI value, blood glucose level and nutrition affect the area of diabetic ulcer. It is expected that Raden Mattaher Jambi Hospital can make ABI examination a Standard Operational Procedure and control blood glucose and nutrition levels as a factor in accelerating wound healing.</em></p><p> </p><p><em>Semakin meningkatnya angka penderita diabetes mellitus tiap tahunnya, maka semakin meningkat pula klien mengalami salah satu komplikasinya yaitu ulkus. Selama ini, yang menjadi perhatian perawat di RSUD Raden Mattaher Jambi hanya ulkus pada klien, namun belum ada intervensi yang dilakukan guna mengetahui faktor penyebab lamanya ulkus klien teratasi. Jenis penelitian ini adalah penelitian cros sectional. Sampel dalam penelitian ini 27 responden yang memiliki kriteria sesuai dengan yang akan diteliti. Teknik pengambilan sampel dilakukan dengan cara accidental sampling yaitu pengambilan sampel dilakukan dengan mengambil kasus atau responden yang kebetulan ada atau tersedia. Analisa data dalam penelitian ini secarra Univariat dan Bivariat. Penelitian ini dilaksanakan dari 29 April-29 Juni 2019 dengan menggunakan lembar observasi dan kuesioner sebagai alat bantu dalam pengumpulan data. Hasil uji statistik diperoleh nilai p-value &lt; 0,05, artinya ada hubungan antara nilai ABI, kadar glukosa darah dan nutrisi dengan luas ulkus diabetikum. Dapat disimpulkan bahwa nilai ABI, kadar glukosa darah dan nutrisi mempengaruhi luas ulkus diabetikum. Diharapkan kepada pihak RSUD Raden Mattaher Jambi dapat menjadikan pemeriksaan ABI sebagai Standar Prosedur Operasional dan melakukan pengontrolan kadar glukosa darah serta nutrisi sebagai faktor mempercepat penyembuhan luka.</em></p>


2019 ◽  
Vol 17 (2) ◽  
pp. 134-143
Author(s):  
Tyas Aulia Hanani ◽  
Diah Ratnawati

Elderly as an individual who is at risk of encountering health problems such as diabetes mellitus because the body's functional decline requires a family health task in the form of controlling blood glucose levels that are expected to be able to overcome the problem of diabetes mellitus for the elderly. The objective of this study is to determine the relationship of the implementation of family health tasks with controlling blood glucose levels on the elderly. The research design used was descriptive-analytic with a cross-sectional approach. The population of the families who cared for and lived with elderly suffering from diabetes who are older than 60 years was 136 families, so the researchers determined the sample based on a minimum sample using the Slovin formula. The samples obtained were 102 respondents selected by the stratified random sampling method. The univariate analysis used frequency proportions, and bivariate analysis used the chi-square test. The results of this study indicate that there was a relationship between the implementation of family health tasks with controlling blood glucose levels in the elderly with diabetes mellitus with p-value = 0,000 and OR = 56,893. Based on the results of the study, it was found that the implementation of family health tasks has an important role in controlling blood glucose levels on the elderly with diabetes mellitus. The conclusion of this study was there is a significant relationship between the implementation of family health tasks and controlling blood glucose levels on the elderly with diabetes mellitus in Limo Village, Depok.


2015 ◽  
Vol 1 (1) ◽  
pp. 10-15
Author(s):  
Sri Rahayu ◽  
Sri Rahayu ◽  
Siti Sundari ◽  
Erni Widiyani

Injectable is one of the most widely used contraceptives in Indonesia. Injectable contraceptive often causes the changes in blood glucose levels because it contains a steroid hormone with low anti-insulin. The use in the long term can even cause pancreatitis. Hormones in injectable contraceptive have opposite work against insulin. Insulin resistance causes pancreas to increasingly work harder to produce insulin. Over time the pancreas will not be able to function optimally and will have an impact on blood glucose levels. The objective of this study was to determine the relationship of the length of injectable contraceptive use to blood glucose levels among combined injectable acceptors. This study used cross sectional study design. The source of data was primary data with the respondents combined injectable acceptors in Privately Practising Midwife "E" at Purwosari Sub-district. The sampling technique was non probability sampling with a total sampling of 46 respondents who met the inclusion criteria. Data were analyzed using bivariate analysis with chi-square. In this study, 41% of women were found to have high glucose levels (>125mg/dl). A total of 53.8% of women who used combined injectable contraceptive more than two years had blood glucose levels over 125 mg / dl, but from the results of the analysis, it showed that the length of contraceptive use was not statistically significant with blood glucose levels (p value 0.095). Therefore, injectable contraceptive used in the long term must be taken into account.


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).


2021 ◽  
Vol 99 (Supplement_1) ◽  
pp. 1-2
Author(s):  
Brian P Yeich ◽  
Rafael Ovidio Bautista Rivas ◽  
Naomi C Willard ◽  
Katherine D Vande Pol ◽  
Jenny R Morris ◽  
...  

Abstract Low blood glucose levels at the start of farrowing have been associated with increased farrowing duration and stillbirth rate. This study evaluated changes in sow blood glucose (BG) on the day of farrowing and investigated relationships between sow and litter parameters and BG. The study was carried out over 12 h from 0600h (time of last feeding) on the day sows were induced to farrow (d 115 of gestation) as a cross-sectional survey using 42 sows/gilts of which 32 farrowed. Blood samples (1.2 μL) were collected from an ear vein of each sow every 2 h from 0600 h; glucose was measured using a glucometer (Accuchek Aviva; Roche Diabetes Care, Inc., Indianapolis, IN). Sow parameters recorded included parity, body condition score (BCS: 1 = extremely thin to 5 = extremely fat), number of piglets born, total litter birth weight, and farrowing duration. Linear relationships between sow parameters and BG were developed using PROC REG of SAS. Sows that farrowed had similar (P &gt; 0.05) BG to those that did not (84.4 vs. 86.8 mg/dL; SEM 1.76). Regression relationships between sow parameters and BG were generally weak (adjusted R2 ≤ 0.20). There was no effect (P &gt; 0.05) of time after feeding, time after start of farrowing, or time interval between piglet births on BG. Average BG levels increased linearly (P &lt; 0.05) with sow BCS (7.6 mg/dL/BCS; SE 2.63) but decreased linearly (P &lt; 0.05) with sow parity (-2.5 mg/dL/litter; SE 0.96), litter size (-0.8 mg/dL/piglet; SE 0.28), litter weight (-0.06 mg/dL/kg; SE 0.26), and farrowing duration (-1.8 mg/dL/h; SE 0.82). In contrast to previous research, changes in BG from last feed to start of farrowing (which ranged from 0 to 9 h) and relationship with other sow and litter parameters were relatively limited.


2021 ◽  
Vol 99 (Supplement_1) ◽  
pp. 154-155
Author(s):  
Rafael Ovidio Bautista Rivas ◽  
Naomi C Willard ◽  
Katherine D Vande Pol ◽  
Jenny R Morris ◽  
Alicia Olivo Espinal ◽  
...  

Abstract Blood glucose levels in piglets at birth are potentially associated with survival, however, there has been limited research to quantify these and to establish any associations with piglet characteristics. This study, which evaluated the effects of a number of piglet characteristics on blood glucose levels at birth, was conducted as a cross-sectional survey involving 32 litters. Litter was the experimental unit; piglet was a sub-sample of litter. At birth, piglets were weighed and assigned a vitality score [1 = high vitality; 2 = low vitality (limited mobility and/or respiration)]. Piglets were then dried with a cellulose-based desiccant, and blood samples were collected from half of the piglets in each litter with a vitality score of 1 (n = 226) and all piglets with a vitality score of 2 (n = 7). Samples (1.2 μL) were collected from the vena subcutanea abdominis; blood glucose was measured using a glucometer (Accuchek Aviva; Roche Diabetes Care, Inc., Indianapolis, IN). Effects of piglet characteristics and relationships with blood glucose levels were analyzed using PROC MIXED, PROC GLIMMIX, and PROC REG of SAS, as appropriate. There were no effects (P &gt; 0.05) of piglet birth weight or gender on blood glucose levels. Piglets with a vitality score of 2 had higher (P &lt; 0.05) blood glucose levels than those with a score of 1. Blood glucose levels increased linearly (P &lt; 0.05) with birth order (0.8 mg/dL for each piglet increase). In conclusion, blood glucose levels at birth were higher for piglets with low compared to high vitality and for those born later in the birth order. Further research is needed to establish relationships between blood glucose levels in piglets at birth and subsequent survival.


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