GAMBARAN PENYAKIT PERIODONTAL PADA PENDERITA DIABETES MELITUS DI RUMAH SAKIT UMUM PUSAT PROF. DR. R. D KANDOU MANADO

e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Ezra G. R. Tambunan ◽  
Karel Pandelaki ◽  
Christy N. Mintjelungan

Abstract: Diabetes mellitus (DM) is a group of metabolic diseases with characteristic hyperglycemia that occurs due to insulin secretion, insulin action or both. This disease affects many societies and continuously growing in Indonesia. Periodontal disease is an oral health problem which has a relatively high prevalence in the community where periodontal disease in all age groups in Indonesia.The purpose of this study was to determine the periodontal disease in patients with diabetesmellitus in RSUP Prof. dr. R. D. Kandou Manado. This descriptive study has 68 sample taken with total sampling technique. The sample is examined using evaluation criteria gingival index and CPITN index. The result show that subjects with periodontitis with a score of 4 is the highest as many as 18 people (44%) and subject with a score of 2 is that at least as many as 8 people (19.5%). And subjects with bad gingivitis is the highest as many as 10 people (52.6%) and subject with the good gingivitis is the at least as many as 5 people (26.3%). Based on the result of this study, periodontal disease in patients with diabetes mellitus in RSUP Prof. Dr. R. D. Kandou most that periodontitis with the number of 41 people (68.3%) compared to gingivitis which is just as many as 19 people (31.7%)Keywords: diabetes mellitus, periodontitis, gingivitis, periodontalAbstrak:Diabetes Melitus (DM) merupakan suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena sekresi insulin, kerja insulin atau kedua-duanya. Penyakit ini merupakan penyakit yang banyak diderita kalangan masyarakat dan terus berkembang di Indonesia. Penyakit periodontal merupakan masalah kesehatan gigi dan mulut yang memiliki prevalensi cukup tinggi di masyarakat dimana penyakit periodontal pada semua kelompok umur di Indonesia.Tujuan penelitian ini adalah untuk mengetahui penyakit periodontal pada penderita diabetes mellitus di RSUP Prof. dr. R. D. Kandou Manado. Jenis penelitian ini adalah penelitian deskriptif dengan jumlah sampel 60 orang yang diambil dengan teknik total sampling. Sampel diperiksa dengan menggunakan kriteria penilaian indeks gingiva dan indeks CPITN. Hasil menunjukkan bahwa yang mengalami periodontitis dengan skor 4 adalah yang paling tinggi yaitu sebanyak 18 orang (44%), dan subjek yang mengalami skor 2 adalah yang yang paling sedikit yaitu sebanyak 8 orang (19.5%). Sedangkan yang mengalami gingivitis yang paling tinggi yaitu gingivitis buruk sebanyak 10 orang (52.6%) dan yang paling sedikit adalah yang mengalami gingivitis ringan yaitu sebanyak 5 orang (26.3%). Berdasarkan hasil penelitian ini dapat disimpulkan bahwa penyakit periodontal yang paling banyak ditemui pada penderita diabetes melitus di RSUP Prof. Dr. R. D. Kandou Manado adalah penyakit periodontitis yaitu sebanyak 41 orang (68.3%) dan yang paling sedikit adalah gingivitis yaitu sebanyak 19 orang (31.7%)Kata kunci: diabetes melitus, periodontitis, gingivitis, periodontal

2020 ◽  
Vol 1 (2) ◽  
pp. 130
Author(s):  
Hafna Ilmy Muhalla

Introduction: Indonesia is ranked 4th in the world for the number of diabetics according to WHO, and most of diabetics experience complications, one of which is ulcer diabetikum. This can be a trigger for the emergence of body image disorders from diabetics, so researchers need to know the picture of ulcus sufferers' body image to later be mapped and make it easier in subsequent handling. The research objective is to describe the image of body image in patients with diabetes mellitus with ulcus complications. Physical changes in the body can affect body image and self-esteem Methods: Design of this study used a descriptive research design, the population in this study were all patients who have diabetes mellitus with ulcus diabeticum in Ibnu Sina Hospital Gresik regency with a sample of 20 respondents, samples were taken by using purposive sampling technique. Data collection using questionnaires with 15 multiple choices question. Furthermore, the data were analyzed with coding, scoring, tabulating presentatif, and described. Results: The results showed a total of 20 respondents obtained ii'om 5 respondents (25%) have a good body image, 7 respondents (35%) had a poor body image and 8 respondents (40%) who did not have a good body image.  Conclusion: Based on the results of this study indicate that in patients with diabetes mellitus who are already experiencing complications of ulcus diabetic almost half of respondents do not have a good body image, and a small proportion of respondents have a good body image. This is due to several factors, namely the respondents admitted that the wounds on his legs is a sign of personal failure on him therefore to improve body image and the changing assessment of the physical condition and provide social support.


2019 ◽  
Vol 4 (2) ◽  
pp. 29
Author(s):  
Susanti Susanti

ABSTRAK Penderita Diabetes Mellitus (DM) berisiko mengalami penurunan sensitivitas pada kaki. Kebiasaan maupun perilaku penderita seperti kurang menjaga kebersihan kaki dan tidak menggunakan alas kaki saat beraktivitas akan beresiko terjadi perlukaan pada daerah kaki. Keadaan kaki diabetik lanjut yang tidak ditangani secara tepat dapat memicu dilakukannya tindakan amputasi kaki.  Tujuan penelitian untuk menganalisis Pengaruh Senam Kaki Diabetes terhadap Leg Sensitivity Monofilament Test pada penderita Diabetes Melitus di Wilayah Posyandu Lansia Endrosono Surabaya. Penelitian ini menggunakan metode pre-experiment designs dengan rancangan yang digunakan yaitu one group pretest-postest dengan sample 54 responden lansia di Posyandu Lansia Endrosono Kelurahan Wonokusumo Kecamatan Semampir Kota Surabaya diambil menggunakan tehnik sampling Simple Random Sampling. Pengukuran Leg Sensitivity dipeoleh dari observasi menggunakan Monofilament Test. Data dianalisis menggunakan Uji Mc. Nemar didapatkan p value = 0,008 pada kaki kanan dan p value = 0,003 pada kaki kiri dengan α=0,05 (p< α). Hal ini berarti tidak terdapat pengaruh antara senam kaki diabetes dengan leg sensitivity monofilament test (H0 diterima, H1 ditolak). Implikasi hasil penelitian bahwa senam kaki diabetes tidak dapat mempengaruhi leg sensitivity monofilament test. sehingga perlu lebih ditingkatkan aktivitasnya sehari-harinya dan melakukan senam kaki diabetes 5-7x perhari. Kata Kunci : Senam Kaki Diabetes, Leg Sensitivity, Monofilament Test   ABSTRACT Patients with Diabetes Mellitus (DM) are risked with Leg Sensitivity decreasing. Patient’s habits or behavior such as less maintaining of their cleanliness and not wearing footwear or slippers will make the risk of them infect their feet increase. If the conditions of further diabetics are not handled properly, it can increase the act of foot amputations.  This research objective is to analyze the effect of Diabetics Foot Exercise against Leg Sensitivity Monofilament Test to patients with Diabetes Mellitus in Posyandu Lansia Endorsono Surabaya. This research is using pre-experiment designs methods and the design used is one group pretest-posttest with 54 elderly respondents from Posyandu Lansia Endorsono Wonokusumo Village, Semampir sub-district, Surabaya as sample and using Simple Random Sampling as the sampling technique. Leg sensitivity measuring is collected from Monofilament Test observation. The Data are analyzed by SPSS 16.0 program and using Mc. Nemar obtained p value = 0,008 for the right foot and p value = 0,003 for the left foot α=0,05 (p< α). It means that there is no effect between Diabetic Foot Exercise with the Leg Sensitivity Monofilament test (H0 is approved, H1 is disapproved). The implication of the research is that Diabetic Foot Exercise cannot be affecting Leg Sensitivity Monofilament Sensitivity Test. As the result patients with diabetes mellitus need to increase their daily activity and do the Diabetic Foot Exercise 5-7 times per-day. Key words: Diabetic Foot Exercise, Leg Sensitivity, Monofilament Test


Author(s):  
Manish Deheriya ◽  
Anuj Bhargava ◽  
Dushyant Pippal ◽  
Anupama Ahirwar

Background: Diabetes mellitus is a group of chronic metabolic disorders known to exhibit a myriad of complications over a period of time. Periodontal disease is the sixth most common complication in diabetic patients. The aim of the study was to assess the periodontal status of adult diabetic patients.Methods: 100 diabetic patients in the age group of 25-80 years fulfilling the inclusion criteria were examined by a calibrated WHO CPI probe to assess their periodontal status as per the scoring criteria of the community periodontal index. Student t test, Chi square test and ANOVA F were applied for statistical analysis. p>0.05 was considered not significant and p<0.01 was considered highly significant.Results: A prevalence of 73% periodontitis was found in diabetic study population with statistically high significance (p=0.001) found according to age. A total of 52% Shallow pockets and 15% Deep pockets were reported respectively in middle (41-56 years) and older (57-80 years) age groups. Further, 47% male population was found to have statistically significant (p=0.027) more periodontitis (shallow and deep periodontal pockets) compared to female (26%) population.Conclusions: Within limitations of the study it may be safely concluded that assessment of periodontal status of DM patients revealed chronic periodontal destruction particularly in age groups beyond 40 years in majority of study population depicting that age is significantly associated with the increased prevalence and severity of periodontal disease in patients with diabetes.


2021 ◽  
Vol 18 (2) ◽  
pp. 41
Author(s):  
Inneke Cahyani ◽  
Ghina Giovani Putri

Periodontitis causes destruction of tooth attachment to bone and may predispose to systemic disease. Diabetes mellitus is a risk factor for periodontal disease, these two diseases are correlated; periodontal disease can be favored by bacterial infection caused by an alteration of the immune system because of diabetes mellitus as well as chronic inflammation caused by periodontal disease leads to poor glycemic control in these patients. Case report: A 56 years old female complaining of mobility at anterior teeth. Intra oral examination was found oral hygiene tends to be poor, 11th grade 2 luxation, 6,5 mm clinical loss attachment, 3,5 mm gingival recession, and 3 mm probing depth. She had been diagnosed diabetes mellitus and 2 years ago and has medical treatment for this diseases. The therapy provided is in the form of education, scaling, and splinting wire. Discussion: Diabetes mellitus is associated with periodontal ligament destruction which subsequently can lead to tooth loss. Gingival crevicular fluids and saliva have higher concentrations of inflammatory mediators including different types of cytokines among diabetic patients with periodontitis as compared to non-diabetic individuals with periodontal disease. Conclusion: Chronic periodontitis in patients with diabetes melitus must be monitored periodically both blood glucose levels and plaque control in the oral cavity.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
You Lv ◽  
Xue Zhao ◽  
Weiying Guo ◽  
Ying Gao ◽  
Shuo Yang ◽  
...  

Metabolic diseases, especially diabetes mellitus, have become global health issues. The etiology of diabetes mellitus can be attributed to genetic and/or environmental factors. Current evidence suggests the association of gut microbiota with metabolic diseases. However, the effects of glucose-lowering agents on gut microbiota are poorly understood. Several studies revealed that these agents affect the composition and diversity of gut microbiota and consequently improve glucose metabolism and energy balance. Possible underlying mechanisms include affecting gene expression, lowering levels of inflammatory cytokines, and regulating the production of short-chain fatty acids. In addition, gut microbiota may alleviate adverse effects caused by glucose-lowering agents, and this can be especially beneficial in diabetic patients who experience severe gastrointestinal side effects and have to discontinue these agents. In conclusion, gut microbiota may provide a novel viewpoint for the treatment of patients with diabetes mellitus.


2021 ◽  
Vol 4 (1) ◽  
pp. 90-94
Author(s):  
Pratiwi Christa Simarmata ◽  
Sari Desi Esta Ulina Sitepu ◽  
Abdi Lestari Sitepu ◽  
Ruttama Hutauruk ◽  
Rita Ayu Butar-butar

Diabetes mellitus is a disorder of the endocrine system characterized by increased levels of glucose in the blood. The purpose of this study was to assess the effect of Buerger's Allen exercise on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a quasi-experimental pretest and posttest without a control. The study was conducted from March to May 2021 at Grandmed Lubuk Pakam Hospital with 48 respondents, with consecutive sampling technique. Data were analyzed using the Wilcoxon test. The Buergers Allen exercise intervention was performed twice a day, for three weeks. The procedure is performed by lifting the lower extremities up at an angle of 45-90 degrees for 2-3 minutes, then the patient sits at the bedside with the legs hanging down, accompanied by flexion, extension, pronation and supination movements for 5-10 minutes, and the patient lies down. with both feet resting for 10 minutes. There was a significant effect between the mean ABI value before intervention 0.83 and after intervention 0.95, p=0.00. The difference in mean ABI p=0.000, p<0.05. The results of the study concluded that there was an effect of buerger allen exercise on the ABI value before and after the intervention where the ABI value was getting better. It is recommended for nurses to make Buergers Allen exercise one of the independent nursing interventions in providing nursing care to patients with diabetes mellitus.


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


2018 ◽  
Vol 1 (1) ◽  
pp. 69
Author(s):  
Citra Windani Mambang Sari ◽  
Fitri Nurul Khotimah ◽  
Sri Pratiwi Hartati

Diet is one of the main factors related to various diseases including Diabetes Mellitus (DM). High carbohydrate, fat, protein, and low fiber diets can increase the risk of type 2 DM occurrence, especially in the patient’s family as a risk group. Previous research on students with DM families in Central Java still had a high-calorie food consumption pattern. The diversity of population, culture, and age may affect the results. Therefore, this study aimed to describe the diet in the family of patients with type 2 DM in the working area of Puskemas (Community Health Center) Garuda Bandung.This research used a quantitative descriptive method by purposive sampling technique. The respondents in this study involved 46 people who were the children of type 2 DM patients in the working area of Puskesmas Garuda. Dietary data obtained from the food record sheet for 3 days and was calculated using Nutrisurvey software in kilocalories (kcal) as the unit of measurement then the results were categorized based on Consensus Perkeni 2015. Data analysis was using frequency distribution.The results showed that 39 (84.8%) respondents in the diet category less than body requirements, 37 (80.4%) respondents in the category of sufficient carbohydrate intake, 39 (84.6%) respondents in the category of excess fat intake, 45 (97.8%) respondents in the category of adequate protein intake, and 41 (89.1%) respondents in the category of less fiber.The conclusions from this study that almost all families of patients with type 2 DM in the work area of Puskesmas Garuda were in the diet category less than body requirement but with the excess fat intake and less fiber. Based on these results, the nurses in Puskesmas are expected to optimize the outreach programs by addressing families of DM patients to make the diet as an attempt to prevent the risk in the family of patients with type 2 DM.Key words: Diet, DM patients’ families, food record. Gambaran Diet pada Keluarga Pasien Diabetes Melitus Tipe 2AbstrakDiet adalah salah satu faktor utama yang berhubungan dengan berbagai penyakit termasuk Diabetes Melitus (DM). Diet tinggi karbohidrat, lemak, protein, serta rendah serat dapat meningkatkan risiko kejadian DM tipe 2 terutama pada keluarga pasien sebagai kelompok berisiko. Penelitian sebelumnya pada mahasiswa dengan keluarga DM di Jawa Tengah masih memiliki pola konsumsi makanan yang tinggi kalori. Perbedaan populasi, budaya, serta usia mungkin akan mempengaruhi hasil. Oleh karena itu, tujuan penelitian ini untuk menggambarkan diet pada keluarga pasien DM tipe 2 di wilayah kerja Puskemas Garuda Kota Bandung.Penelitian ini menggunakan metode deskriptif kuantitatif dengan teknik purposive sampling. Responden dalam penelitian ini berjumlah 46 orang yang merupakan anak kandung pasien DM tipe 2 di Wilayah Kerja Puskesmas Garuda. Data diet diperoleh melalui lembar food record selama 3 hari dihitung mengunakan software Nutrisurvey dengan hasil ukur dalam kilokalori (kcal) yang kemudian hasilnya dikategorikan berdasarkan Konsensus Perkeni 2015. Analisis data menggunakan distribusi frekuensi.Hasil penelitian menujukkan bahwa sebanyak 39 (84,8%) responden dalam kategori diet kurang dari kebutuhan, sebanyak 37 (80,4%) responden dalam kategori asupan karbohidrat cukup, sebanyak 39 (84,6%) responden dalam kategori asupan lemak berlebih, sebanyak 45 (97,8%) responden dalam kategori asupan protein cukup, dan 41 (89,1%) responden dalam kategori serat kurang.Simpulan dari penelitian ini bahwa hampir seluruh keluarga pasien DM tipe 2 di wilayah kerja Puskesmas Garuda berada pada kategori diet kurang dari kebutuhan tetapi dengan asupan lemak berlebih dan serat yang kurang. Berdasarkan hasil tersebut, maka perawat puskesmas diharapkan dapat mengoptimalkan program luar gedung dengan menyasar keluarga penderita DM untuk menjadikan diet sebagai upaya untuk mencegah risiko DM pada keluarga pasien DM tipe 2.Kata kunci : Diet, food record, keluarga pasien DM.


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


2019 ◽  
Vol 1 (2) ◽  
pp. 92
Author(s):  
Tesaviani Kusumastiwi ◽  
Lilis Suryani ◽  
Denny Anggoro P

Diabetes melitus merupakan penyakit metabolik yang memiliki prevalensi yang cukup tinggi di Indonesia. Penanganan jangka panjang pada penyakit ini dapat memberikan beban baik fisik maupun mental pada penderitanya. Munculnya masalah kesehatan mental pada pasien diabetes melitus akan memperburuk prognosis pasien. Penanganan holistik baik fisik dan mental diharapkan dapat dilakukan pasien diabetes melitus, salah satunya melalui kelompok swabantu (self help group) yakni kelompok yang terdiri dari para penderita diabetes melitus yang saling berbagi permasalahan dan memberikan dukungan satu sama lain. Program pengabdian masyarakat kelompok swabantu  penderita diabetes mellitus dilaksanakan di Desa Bogoran, Trirenggo, Bantul. Kegiatan swabantu berisi tentang sharing dari masing-masing penderita yang dipantau/dimonitor oleh dokter ahli jiwa. Pada kelompok swabantu di Desa Bogoran, Trirenggo, Bantul ditemukan komorbiditas gejala klinis depresi dan cemas pada penderita diabetes. Beberapa permasalahan yang dialami oleh para penderita adalah manajemen stres, gangguan tidur, kepatuhan minum obat, ketakutan akan komplikasi dan penyesuaian gaya hidup. Kegiatan kelompok swabantu selain dapat membantu para penderita diabetes dalam menangani permasalahan yang dihadapi terkait dengan diabetes melitus, juga dapat memberikan rasa kebersamaan dan saling menguatkan antar penderita diabetes.Kata kunci: diabetes melitus, kelompok swabantu, kesehatan mentalAbstractDiabetes mellitus is a metabolic disease that has a high prevalence in Indonesia. Long-term treatment of this disease can provide physical and mental burden on the sufferer. The emergence of mental health problems in patients with diabetes mellitus will worsen the patient's prognosis. Holistic handling both physically and mentally is expected to be carried out by patients with diabetes mellitus, one is through self-help groups (self-help group), which is a group consisting of people with diabetes mellitus who share problems and provide support for each other. The community service program for self-help groups with diabetes mellitus was carried out in Bogoran Village, Trirenggo, Bantul. Self-help activities are about sharing from each sufferer who is monitored by a psychiatrist. In the self-help group in the Bogoran Bantul area, comorbid clinical symptoms of depression and anxiety were found in diabetics. Some of the problems experienced by sufferers are stress management, sleep disorders, compliance with medication, fear of complications and lifestyle adjustments. Self-help group activities besides being able to help diabetics in dealing with problems faced with diabetes mellitus, they can also provide a sense of togetherness and mutual support among diabetics.


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