scholarly journals HUBUNGAN STATUS PERIODONTAL DAN DERAJAT REGULASI GULA DARAH PASIEN DIABETES MELITUS DI RUMAH SAKIT UMUM PUSAT PROF DR. R. D. KANDOU MANADO

e-GIGI ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Stephanie F. Emor ◽  
Karel Pandelaki ◽  
Aurelia S. R. Supit
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Significant Relationship ◽  
Periodontal Pocket ◽  
Diabetic Patients ◽  
Chi Square ◽  
Periodontal Status ◽  
Sugar Regulation ◽  
Chi Square Test ◽  
Diabetes Melitus

Abstract: Diabetes mellitus (DM) is a disorder characterized by hyperglycemia and impaired metabolism of carbohydrates, fats, and proteins. These are caused by insulin deficiency, relative or absolute. Diabetes mellitus is a long-term chronic disease with a risk of the occurence of diabetic complications, such as oral diabetic. The study aimed to analyze the relationship between periodontal status and the degree of blood sugar regulation in diabetic patients in Prof. Dr. R. D. Kandou Hospital Manado. Data were obtained from the Endocrine clinic of Prof. Dr. R. D. Kandou Hospital. This was a descriptive analytical study with a cross sectional approach. Samples consisted of 37 patients (total sampling) aged 20-60 years. The analytic methods used in this study was the chi-square test (univariate and bivariate). Periodontal pocket depths were clinically examined. The results showed that there was no healthy periodontal state among diabetic patients. Uncontrolled diabetic patients with poor HbA1c (17 patients, 46%) had bad periodontal status. The chi-square test showed that there was a significant relationship between periodontal status and the degree of blood sugar regulation in diabetic patients (p < 0.05). Conclusion: There was a significant relationship between periodontal status and the degree of blood sugar regulation in diabetic patients.Keywords: periodontal status, diabetes mellitus, degree of regulation blood sugar.Abstrak: Diabetes melitus (DM) adalah kelainan yang ditandai hiperglikemia dan gangguan metabolisme karbohidrat, lemak, dan protein yang disebabkan oleh kekurangan hormon insulin secara relatif maupun absolut. DM merupakan penyakit kronis yang bila diabaikan dapat terjadi komplikasi diabetic, antara lain oral diabetic. Penelitian ini bertujuan untuk menganalisis hubungan status periodontal dan derajat regulasi gula darah pasien diabetes melitus di RSUP Prof. Dr. R. D. Kandou Manado. Pengumpulan data dilakukan di Poliklinik Endokrin RSUP Prof. Dr. R. D. Kandou. Penelitian ini bersifat deskriptif analitik dengan pendekatan potong lintang. Besar sampel sebanyak 37 orang (total sampling) usia 20-60 tahun. Analisis data secara univariat dan bivariat (uji chi-square). Pemeriksaan kedalaman poket periodontal dilakukan terhadap subjek penelitian. Hasil penelitian menunjukkan tidak adanya status periodontal yang sehat pada pasien DM. Pasien DM dengan HbA1c yang buruk memiliki status periodontal yang buruk pula yaitu sebanyak 17 pasien (46%). Berdasarkan hasil uji chi-square terdapat hubungan bermakna antara status periodontal dan derajat regulasi gula darah (p < 0,05). Simpulan: Terdapat hubungan bermakna antara status periodontal dan derajat regulasi gula darah pasien diabetes melitus.Kata kunci: status periodontal, diabetes melitus, derajat regulasi gula darah

scholarly journals Factors Affecting Eating Patterns on Blood Sugar Levels in Diabetes Mellitus Patients in UPT Puskesmas Narumonda

2021 ◽  
Vol 2 (6) ◽  
pp. 48-56
Author(s):  
Betty Simanullang
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Diabetic Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Relevant Variable ◽  
Factors Affecting ◽  
Balanced Diet ◽  
Chi Square Test ◽  
Sugar Levels

The purpose of this research was to identify and evaluate the major dietary components linked with blood sugar levels in diabetic patients at UPT Puskesmas Narumonda in Toba Regency. This sort of study employs a cross-sectional descriptive analytic survey. The population in this research was 118 individuals, whereas the sample size was 54. Univariate, bivariate, and multivariate analyses were used to analyze the data. The chi-square test results indicate that the sugar level of people with diabetes mellitus is related to the number of calories p = 0.000, the type of food p = 0.000, and the eating schedule p = 0.003, indicating that there is a relationship between obesity, the number of calories, the type of food, and the eating schedule and blood sugar levels in people with diabetes mellitus. The findings of multivariate analysis indicate that the most relevant variable in this research, with an OR value of 53, is the quantity of calories. The research concluded that the quantity of calories consumed is the most important factor influencing blood sugar levels in persons with diabetes mellitus at UPT Puskesmas Narumonda, Toba Regency. To help lower the occurrence of diabetes mellitus, it is intended that the Health Service, puskesmas, and health professionals would collaborate to give frequent counseling about diabetes mellitus and a healthy and balanced diet.

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN KONTROL GULA DARAH PADA PASIEN DIABETES MELITUS TIPE 2 YANG MENJALANI PERAWATAN DI RUMAH SAKIT AMINAH

2021 ◽  
Vol 4 (2) ◽  
pp. 511-516
Author(s):  
Eka Anita ◽  
Muhammad Taufik Daniel Hasibuan
Keyword(s):  
Diabetes Mellitus ◽  
Family Support ◽  
Blood Sugar ◽  
Positive Impact ◽  
Family Members ◽  
Chi Square ◽  
Type 2 Dm ◽  
Chi Square Test ◽  
Diabetes Melitus

Indonesia is the 7th country with the highest incidence of diabetes mellitus (DM) with 8.5 million. Data obtained at Aminah Hospital in 2020 from January to December there were 192 Type 2 DM patients being treated and 3659 patients receiving outpatient treatment. The family has a very important role in the health status of family members who suffer from chronic diseases such as diabetes mellitus. Family support can have a positive impact on compliance with care management in DM patients. The purpose of this study was to determine whether there was a relationship between family support and blood sugar control in type 2 DM patients undergoing treatment at Aminah Hospital. This research method uses descriptive correlation and the sample involved is 48 and to analyze the data using the chi square test. The results of this study showed that there was a significant relationship between family support and blood sugar control in type 2 DM patients with p = 0.000 or p <0.005. Family support is very important to influence blood sugar control and it is hoped that families always provide support to sick family members.   Abstrak Indonesia  merupakan  negara dengan urutan ke 7 dengan kejadian diabetes  melitus (DM)  tertinggi  yaitu dengan  jumlah  8,5  juta. Data yang didapat di RS Aminah pada tahun 2020 dari bulan Januari sampai Desember terdapat 192 pasien DM Tipe 2 yang dirawat dan 3659 pasien yang berobat jalan. Keluarga memiliki peran yang sangat penting terhadap status kesehatan pada anggota keluarga yang mengidap penyakit kronis seperti diabetes mellitus. Dukungan keluarga dapat memberikan dampak positif terhadap kepatuhan manajemen perawatan pada pasien DM. Tujuan penelitian ini untuk melihat ada tidaknya hubungan dukungan keluarga dan kontrol gula darah pada pasien DM tipe 2 yang menjalani perawatan di rumah sakit aminah. Metode penelitian ini menggunakan deskriptif korelasi dan sampel yang terlibat sebanyak 48 serta untuk menganalisis data menggunakan uji chi square. Hasil penelitian ini menunjukan ada hubungan yang signifikan antara dukungan keluarga dengan kontrol gula darah pasien DM tipe 2 dengan nilai p = 0,000 atau p<0,005. Dukungan keluarga sangat penting untuk mempengaruhi kontrol gula darah dan diharapkan keluarga selalu memberikan dukungan kepada anggota keluarga yang sakit.

scholarly journals Hubungan Perilaku Pencegahan dengan Kejadian Komplikasi Akut pada Pasien Diabetes Melitus

2019 ◽  
Vol 4 (1) ◽  
pp. 50
Author(s):  
I Wayan Suardana ◽  
I Wayan Mustika ◽  
Dewa Ayu Sri Utami
Keyword(s):  
Diabetes Mellitus ◽  
Sampling Technique ◽  
Self Management ◽  
Preventive Behavior ◽  
Chi Square ◽  
Purposive Sampling ◽  
Acute Complications ◽  
Preventive Behaviour ◽  
Chi Square Test ◽  
Diabetes Melitus

ABSTRAKTujuan: menganalisis hubungan perilaku pencegahan dengan kejadian komplikasi akut pada pasien Diabetes Melitus (DM). Metode: Jenis penelitian yang digunakan adalah penelitian correlational. Tehnik sampling yang digunakan adalah purposive sampling dengan jumlah sampel 85 orang. Instrumen yang digunakan dikembangkan dari instrumen The Diabetes Self-Management Questionnaire (DSMQ) untuk menilai perilaku pencegahan pada pasien DM dan instrumen untuk menilai pengetahuan, sikap, dan perilaku. Data dianalisis secara univariate dan bivariat (chi-square test). Hasil: Hasil penelitian ini menunjukkan bahwa ada hubungan perilaku pencegahan dengan kejadian komplikasi akut pada pasien DM. Pasien DM yang memiliki perilaku pencegahan yang cukup (60-79%) mempunyai 4,73 kali untuk mengalami komplikasi akut pada DM. Diskusi: Tindakan pengendalian DM untuk mencegah komplikasi sangat diperlukan, khususnya dengan menjaga tingkat gula darah sedekat mungkin dengan normal. Kesimpulan: Perilaku pencegahan yang baik dapat mencegah terjadinya komplikasi pada penderita DM Type II.Kata Kunci: Perilaku, pencegahan, komplikasi, Diabetes MelitusRelationship Between Preventive Behaviour with Acute Complications Occurrence in Diabetes Mellitus Patients ABSTRACTAim: to analyze the relationship between preventive behavior with the incidence of acute complications in DM patients. Method: The type of research used is correlational research. The sampling technique used was purposive sampling with 85 samples. The Instruments of this research are developed from The Diabetes Self-Management Questionnaire (DSMQ) to assess the preventive behaviour in DM patients and instrument to assess knowledge, attitude, and behaviour. Data analysis using univariate and bivariate (chi-square test) analysis. Results: The results of this study indicate that there is a correlation between preventive behavior and the incidence of acute complications in DM patients. DM patients who was categorized in moderate preventive behaviour (60-79%) have 4.73 times experience acute complication in DM. Discusion: preventive behavior to prevent complication is necessary, especially by maintaining the blood glucose as close as possible to normal level. Conclusion: Good preventative behavior could prevent complications in patients with Type II of DM.Keywords: behaviour, prevention, complication, diabetes mellitus

scholarly journals Hubungan Usia Penyandang Diabetes Melitus Tipe 2 dan Disfungsi Ereksi

2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Rian Panelewen ◽  
Janette M. Rumbayan ◽  
Lusiana Satiawati
Keyword(s):  
Diabetes Mellitus ◽  
Erectile Dysfunction ◽  
Significant Relationship ◽  
Survey Study ◽  
Chi Square ◽  
Cross Sectional ◽  
High Blood Glucose ◽  
Cross Sectional Design ◽  
Chi Square Analysis ◽  
Diabetes Melitus

Abstract: Diabetes mellitus (DM) is a disease with high blood glucose level due to the inadequasy of insulin. Erectile dysfunction or inability to maintain an erection often occurs among males due to various factors. Males with DM have higher risk of erectile dysfunction compared to those without DM. This study was aimed to determine the relationship of the age of type 2 diabetes mellitus (T2DM) patient and erectile dysfunction. This was an analytical survey study with a cross sectional design. Respondents were all patients with T2DM at the Endocrine Polyclinic of Prof. Dr. R. D. Kandou Hospital Manado from October 2015 to January 2016. There were 38 respondents in this study; most had mild erectile dysfunction (36.8%). The Chi-square analysis showed a significant relationship (p<0.05) between the age of T2DM patients and erectile dysfunction. Conclusion: There was a significant relationship between the age of T2DM patients and erectile dysfunction. The older the patient, the more severe the erectile dysfunction.Keywords: diabetes mellitus, erectile dysfunction Abstrak: Diabetes melitus (DM) adalah penyakit dimana kadar glukosa dalam darah tinggi karena tubuh tidak dapat melepaskan atau menggunakan insulin secara adekuat. Disfungsi ereksi (DE) atau ketidakmampuan mempertahankan ereksi seringkali dialami oleh pria karena berbagai faktor. Laki-laki yang menyandang DM berisiko DE lebih tinggi dibandingkan dengan yang tidak menyandang DM. Penelitian ini bertujuan untuk mengetahui hubungan usia penyandang DMT2 dan tingkat DE. Jenis penelitian ialah survei analitik dengan desain potong lintang. Responden penelitian ialah semua pasien DMT2 di Poliklinik Endokrin periode Oktober 2015-Januari 2016. Hasil penelitian mendapatkan dari 38 responden, terbanyak yang mengalami DE ringan (36,8%). Berdasarkan analisis chi-square didapatkan hubungan bermakna (p <0,05) antara usia penyandang DMT2 dan DE. Simpulan: Terdapat hubungan bermakna antara usia penyandang DMT2 dan disfungsi ereksi. Semakin tinggi usia, semakin parah tingkat disfungsi ereksi yang terjadi.Kata kunci: diabetes mellitus, disfungsi ereksi

scholarly journals Penggunaan Antibiotik untuk Penanganan Ulkus dan Gangren Diabetikum Pasien Rawat Inap di Rumah Sakit

2020 ◽  
Vol 7 (2) ◽  
pp. 99
Author(s):  
Riyan Stiyanto ◽  
Iin Suhesti
Keyword(s):  
Diabetes Mellitus ◽  
Antibiotic Use ◽  
Diabetes Mellitus Patient ◽  
Therapeutic Outcome ◽  
Fisher Exact Test ◽  
Chi Square ◽  
Exact Test ◽  
Chi Square Test ◽  
Empirical Antibiotics ◽  
Diabetes Melitus

Penyakit Diabetes melitus yang tidak dikelola dengan baik dapat menyebabkan komplikasi dan membahayakan kehidupan pengidapnya. Salah satu komplikasi diabetik yang sering terjadi adalah neuropati (kerusakan syaraf) di kaki yang menyebabkan ulkus kaki, infeksi, dan bahkan keharusan untuk amputasi kaki. Penelitian ini bertujuan untuk mengidentifikasi persentase penggunaan antibiotika empiris yang rasional serta pengaruhnya terhadap outcome terapi pada pasien Diabetes melitus dengan ulkus dan gangren di RSUD Dr Moewardi Surakarta dan RSUD Bagas Waras Klaten. Penelitian ini merupakan penelitian observasional dengan pengambilan data pada penelitian dilakukan secara retrospektif dan prospektif selama periode Januari sampai Agustus 2018. Ketidakrasionalan penggunaan antibiotika empiris dievaluasi dengan metode Gyssens. Sebanyak 36 pasien yang memenuhi kriteria inklusi 75% pasien mendapatkan terapi antibiotika empiris yang rasional dan 25% pasien mendapatkan terapi antibiotika empiris yang tidak rasional. Uji Chi Square dengan taraf kepercayaan 5% (p < 0,05) digunakan untuk membandingkan rasionalitas pengunaan antibiotika terhadap outcome terapi. Hasil Fisher’s Exact Test (Two Tailed) menunjukkan bahwa ada hubungan/pengaruh antara rasionalitas penggunaan antibiotika empiris dengan outcome terapi tetapi pemberian antibiotika empiris tidak berpengaruh pada angka leukosit bagi pasien, baik di RSUD Bagas Waras Klaten maupun RSUD dr. Moewardi Surakarta.Diabetes mellitus that is not managed properly can cause complications to endanger life. One of the diabetic complications that often occurs is foot neuropathy (nerve damage) inducing foot ulcers, infections, and even the necessity for a leg amputation. This study aims to determine the percentage of rational use of empirical antibiotics and their effects on outcomes therapy of diabetes mellitus patient with ulcers and gangrene in RSUD dr. Moewardi Hospital Surakarta and Bagas Waras Hospital Klaten. This study is an observational study with data collection in the study carried out retrospectively and prospectively from January to August 2018. The irrationality of using empirical antibiotics evaluated by the Gyssens method. Thirty six patients were enrolled and 75% of them treated with rational and empirical antibiotic therapy,. Chi-Square Test with a confidence level of 5% (p <0.05) used to compare the rationality of antibiotic use to the therapeutic outcome, the results of the Fisher Exact Test (Two-Tailed) indicated that there were relationship/influence between the rationality of using empirical antibiotics and outcomes therapy, but there was no influence between the rationality of using empirical antibiotics and leucocyte both in RSUD Bagas Waras Klaten and RSUD dr. Moewardi Surakarta.Keywords: Diabetes mellitus, therapeutic outcome, empirical antibiotic rationality

scholarly journals Hubungan Kelebihan Berat Badan terhadap Tingkat Risiko Diabetes Mellitus Tipe II pada Mahasiswa Kelas Program Khusus Jurusan Keperawatan dan Kebidanan Poltekkes Kemenkes Palangka Raya

2019 ◽  
Vol 2 (1) ◽  
pp. 101-108
Author(s):  
Berthiana Berthiana ◽  
Mimin Lestari ◽  
Dian Ana Mutriqah
Keyword(s):  
Diabetes Mellitus ◽  
Risk Level ◽  
P Value ◽  
Excess Body Weight ◽  
Type Ii ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Relationship ◽  
Diabetes Melitus

The world is now inhabited by 171 million people with Diabetes Mellitus (DM) and will double, an estimated 366 million by 2030. Obesity is a risk factor for type II DM. From the results of surveys and observations of researchers at the Palangka Raya Polytechnic, it was seen that some special program class students fall into the category of overweight and obese. This research aims to find out the relationship between overweight and the risk level of type II diabetes melitus in class students specialized in nursing and midwifery courses at Palangka Raya Polytechnic. A quantitative study with correlational studies and research design using a cross-sectional approach. There is a significant relationship between overweight to the risk level of type II DM based on the analysis of chi-square test data, obtained p-value = 0.077. There was a relationship between excess body weight based on body mass index on the risk level of type II DM

scholarly journals HUBUNGAN POLA MAKAN TERHADAP KEJADIAN DIABETES MELITUS DI WILAYAH KERJA PUSKESMAS KASSI-KASSI KOTA MAKASSAR

2019 ◽  
Vol 14 (3) ◽  
pp. 247-252
Author(s):  
Juripah Juripah ◽  
Muzakkir Muzakkir ◽  
Sri Darmawan
Keyword(s):  
Diabetes Mellitus ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Fisher's Exact Test ◽  
Fisher’S Exact Test ◽  
Chi Square Test ◽  
Diabetes Melitus

Orang dengan diabetes mellitus memiliki peningkatan mengembangkan sejumlah masalah kesehatan yang mengancam jiwa. Kadar glukosa darah yang tinggi dapat menyebabkan kerusakan pembuluh darah umum yang dapat mempengaruhi jantung, mata, ginjal, saraf, dan dapat mengakibatkan berbagai komplikasi. Sedangkan pola makan merupakan asupan makanan yang memberikan berbagai macam jumlah, jadwal dan jenis makanan yang didapatkan seseorang. Pengaturan pola makan yang tidak tepat dapat meningkatkan kadar glukosa dalam darah sehingga seseorang rentang terkena penyakit diabetes melitus. Penelitian ini bertujuan untuk mengetahui hubungan antara pola makan terhadap kejadian diabetes mellitus. Jenis penelitian yang digunakan adalah non experiment dengan metode survey analitik. Dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini yaitu 47 responden. Sampel diambil menggunakan tehnik total sampling. Berdasarkan hasil penelitian menunjukkan bahwa dari total 47 responden terdapat 21 responden yang memiliki pola makan baik (44.7 %). Dimana Pola makan baik yang tidak menderita sebanyak 13 responden (27.7%), sedangkan pola makan baik yang  menderita sebanyak 8 responden (17.0%). Kemudian 26 responden yang memiliki pola makan kurang baik (55.3%). Dimana pola makan kurang baik yang tidak menderita sebanyak 8 responden (17.0%), sedangkan pola makan kurang baik yang  menderita sebanyak 18  responden (38.3%). Setelah dilakukan uji statistic dengan menggunakan uji chi-square test maka berdasarkan hasil fisher’s exact test didapatkan nilai p = 0,033 yang menunjukkan p<0,05, maka dengan demikian dapat disimpulkan bahwa Ha diterima dan H0 ditolak atau ada hubungan yang signifikan antara pola makan dengan kejadian diabetes mellitus di wilayah kerja puskesmas kassi-kassi kota Makassar.

RELATIONSHIPS LEVEL OF KNOWLEDGE ABOUT THE BLOOD SUGAR LEVELS OF COMPLIANCE PATIENT DIABETES MELLITUS IN CONTROLLING BLOOD SUGAR IN HEALTH CENTERS DEPOK 3, SLEMAN, YOGYAKARTA

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Siti Uswatun Chasanah ◽  
Anida Anida ◽  
Desi Susana
Keyword(s):  
Diabetes Mellitus ◽  
Health Center ◽  
Blood Sugar ◽  
Patient Compliance ◽  
Diabetes Mellitus Patient ◽  
Chi Square ◽  
Patients With Diabetes ◽  
Chi Square Test ◽  
Level Of Knowledge ◽  
Sugar Levels

Background: Mellitus Diabetes is a chronic degenerative disease of increasing prevalence. Diabetes Mellitus  has characteristics such  as hyperglycemia that occurs due to abnormal insulin sekreksi. Insulin or both that cause a variety of chronic complications in the eyes of the kidneys, nerves, and blood vessels.Objective: to determine the relationship of the level of knowledge about the blood sugar levels in Diabetes Mellitus patient compliance to blood sugar control in the health center in Depok 3, Sleman, Yogyakarta.Method: Kind of research is observasional analytic with cross sectionalapproach. The study population was all patients with Diabetes Mellitus in thehealth center in Depok 3, Sleman, Yogyakarta, totaling 95 people. A sample size 48 people. Data collection was done bygiving kueaioner to all the respondents of the study. Processing data using Chi Square test with a standard error of 5% and α = 0,05.Result: Based onbiavariate analiysis there is no relationship between the level of knowledge about the blood sugar levels in Diabetes Mellitus patient compliance to blood sugar control in primary Depok 3, Sleman, Yogyakarta is (p = 0,119).Conclusion: There is no relationship between the level of knowledge about the blood sugar levels in Diabetes Mellitus patient compliance to blood sugar control in health center in Depok 3, Sleman. Yogyakarta.

scholarly journals DIABETES MELLITUS;

2017 ◽  
Vol 24 (02) ◽  
pp. 308-314
Author(s):  
Farhat Bashir ◽  
Farzana Rehman ◽  
Samina Ghaznavi ◽  
Jamal Ara
Keyword(s):  
Diabetes Mellitus ◽  
Carotid Plaque ◽  
Intima Media Thickness ◽  
Carotid Intima Media Thickness ◽  
P Value ◽  
Diabetic Patients ◽  
Chi Square ◽  
Media Thickness ◽  
Chi Square Test ◽  
Student’S T

Diabetes mellitus is a modifiable risk factor for generalized atherosclerosis.Measurement of carotid intima media thickness by Doppler ultrasonography can be used tomeasure the extent of atherosclerosis. Objectives: To determine the association of carotidatherosclerosis in patients with type 2 diabetes mellitus and its relationship with glycemiccontrol. Study Design: Cross-sectional comparative study. Period: 12 months June 2015 toMay 2016. Setting: Creek General Hospital in the Department of Medicine and Radiology,Karachi, Pakistan. Method: The subjects were selected from diabetic patients presenting tothe Out-Patient Department and controls from their attendants. All subjects had a detailedhistory, physical examination and laboratory investigations recorded. The variables includedage, gender, weight, BMI, blood pressures, fasting and post prandial blood sugars, HbA1cand lipid profile. All individuals underwent B-mode ultrasound for carotid Doppler studies. Asingle operator conducted all the Doppler studies. The carotid intima media thickness wasmeasured and the presence of carotid plaque was recorded for each subject. The data wasentered on SPSS ver 20.0. Numbers and percentages were calculated for categorical datawhile mean±standard deviation was calculated for continuous data. The carotid intima mediathickness and its association with diabetes were analyzed by Student’s t test. P-value of <0.05was considered significant. Among the diabetic patients the relationship of glycemic controland carotid intima media thickness was analyzed through student’s t-test. P-value of <0.05was considered significant. The association of presence of carotid plaque for diabetic and nondiabeticsubjects was assessed by Chi-square test. P-value of <0.05 was taken as significant.Association of carotid plaque among diabetic patients with satisfactory and unsatisfactoryglycemic control was also assessed through the Chi-square test and p-value of<0.05 wasconsidered significant. Result: Out of the total study population of 237 subjects, which consistedof 119 diabetic and 118 normal controls, there were 105 male and 132 female patients. Themean fasting blood sugar was 113.3±55.2 mg/dl, mean random blood sugar was 185.9±102.0mg/dl, mean HbA1c was 6.98±2.5 %. Mean ±SD of carotid intima media thickness was0.91±0.17 mm. Results revealed that diabetes has significant association with the thicknessof carotid intima media (p-value<0.000). A total of 28 individuals (11.8%) had a carotid intimamedia thickness that was classified as a localized carotid artery plaque. The presence of carotidplaque also showed a significant association with the presence of diabetes. The degree ofglycemic control showed no relationship with carotid intima media thickness. The presenceof carotid plaque also showed no association with degree of glycemic control. Conclusion:CIMT measured by Doppler ultrasonography was found to be significantly associated with thepresence of diabetes mellitus. There was no relationship of glycemic control with CIMT amongthe diabetic patients.

scholarly journals Hubungan Diabetes Melitus dengan Gangguan Fungsi Kognitif Post Stroke Iskemik di Rumah Sakit Bethesda

2018 ◽  
Vol 6 (3) ◽  
pp. 647
Author(s):  
Satrianti Totting ◽  
Rizaldy Taslim Pinzon ◽  
Bowo Widiasmoko
Keyword(s):  
Diabetes Mellitus ◽  
Chi Square ◽  
Cross Sectional ◽  
Stroke Registry ◽  
Post Stroke ◽  
Chi Square Test ◽  
Diabetes Melitus

Ada setengah pasien post stroke mengalami gangguan fungsi kognitif. Diabetes mellitus merupakan salah satu factor risiko stroke sekaligus factor risiko terjadinya gangguan fungsi kognitif. Tujuan penelitian adalah mengukur pengaruh diabetes mellitus terhadap gangguan fungsi kognitif post stroke iskemik. Penelitian ini menggunakan metode cross sectional. Data diambil dengan melakukan pengukuran fungsi kognitif pasien post stroke iskemik menggunakan instrument MoCA-INA dan CDT, data sekunder diambil dari Stroke Registry di RumahSakit Bethesda Yogyakarta pada tahun 2010-2017. Data dianalisis dengan chi-square test untuk analisis bivariat, serta regresi logistic untuk analisis multivariat. Dari 110 subjek penelitian terdapat pasien dengan gangguan fungsi kognitif (MoCA-INA < 26 dan CDT > 1) sebanyak 75 (68.2%) pasien, dan fungsi kognitif baik (MoCA-INA >= 26 dan CDT = 1) sebanyak 35 (31.8%) pasien. Analisis bivariat menunjukkan bahwa diabetes mellitus tidak berhubungan dengan gangguan fungsi kognitif post stroke iskemik (OR: 1.506, 95% CI: 0.654-3.466, p: 0.334). Analisis multivariate dengan regresi logistik didapatkan usia, onset, serangan stroke berulang, lesi temporal dan parietal sebagai faktor yang paling berpengaruh terhadap terjadinya gangguan fungsi kognitif post stroke iskemik. Simpulan penelitian ini adalah diabetes mellitus tidak mempengaruhi terjadinya gangguan fungsi kognitif post stroke iskemik.

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