scholarly journals Hubungan Tingkat Kecemasan Dengan Peningkatan Kadar Gula Darah Klien Diabetes Mellitus

2019 ◽  
Vol 4 (8) ◽  
pp. 474
Author(s):  
Litae Litae ◽  
Maria Magdalena Purba ◽  
Irene Febriani Febriani

Diabetes Mellitus (DM) is a medical disorder is a collection of symptoms caused by elevated levels of sugar or due to insulin resistance. DM is a non-communicable diseases. Riskesdas 2007 in Central Kalimantan diabetes prevalence of 0.9%, but were diagnosed by health personnel by 0.6%. While in the city of Palangkaraya. Prevalence of diabetes of 1.4%, but were diagnosed DM client just as much as 1.1%. This study aims to determine the relationship of the level of anxiety with increased blood sugar levels in diabetes mellitus clients in the region of Bukit Pukesmas Hindu city of Palangkaraya. Methods descriptive analytic cross sectional study design. The research sample as many as 65 people. The results showed that the DM Client Anxiety in Puskesmas Bukit Hindu city of Palangkaraya that her blood sugar levels <200 mg / dl was 23.1% mild anxiety and 24.6% were worried. Anxiety DM client that blood glucose levels> 200 mg / dl was 21.5% mild anxiety, and 30.8% were worried. Obtained a significant relationship between the level of anxiety with increased levels of sugar in clients with diabetes mellitus, where respondents blood sugar> 200 mg / dl with a moderate level of anxiety has peluag 5.787 times greater risk than the volunteers were mild anxiety level.

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

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


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Mohammad R. S. Utomo ◽  
Herlina Wungouw ◽  
Sylvia Marunduh

Abstract: Diabetes mellitus (DM) is a chronic disease characterized by blood glucose levels that exceed normal values. Riskesdas in 2013 showed that North Sulawesi is one of the provinces with the highest prevalence of diabetes in Indonesia. HbA1c measurement is the most accurate way to determine blood sugar levels over the past two to three months. HbA1c is also the best single examination to assess risks to the tissue damage caused by high blood sugar levels. This study aims to determine the levels of HbA1c in patients with type 2 diabetes mellitus in Bahu Community Health Center Manado. This study is a descriptive cross sectional study. Primary data were collected through interviews, physical examination and laboratory tests. Respondents were all patients with type 2 diabetes mellitus who came in Bahu Community Health Center and willing to become respondents. The sample size is 22 people. The results of this study prove that more than half of the respondents have not controlled HbA1c levels (> 7%) of 17 respondents. Of the 17 respondents were 9 respondents have overweight body mass index, 13 respondents not take the medicine as directed by doctor and 9 respondents did not exercise regularly. It can be concluded that the blood glucose levels of patients in Bahu Community Health Center is still not controlled, by HbA1c values above 7%.Keywords: HbA1c, Diabetes Mellitus Type 2Abstrak: Diabetes mellitus (DM) merupakan penyakit menahun yang ditandai oleh kadar glukosa darah yang melebihi nilai normal. Laporan Riskesdas tahun 2013 menunjukkan bahwa Sulawesi Utara merupakan salah satu provinsi dengan angka prevalensi DM yang tertinggi di Indonesia. Pengukuran HbA1c adalah cara yang paling akurat untuk menentukan tingginya kadar gula darah selama dua sampai tiga bulan terakhir. HbA1c juga merupakan pemeriksaan tunggal terbaik untuk menilai risiko terhadap kerusakan jaringan yang disebabkan oleh tingginya kadar gula darah. Penelitian ini bertujuan untuk mengetahui kadar HbA1c pada pasien diabetes melitus tipe 2 di Puskesmas Bahu Kota Manado. Penelitian ini bersifat deskriptif dengan rancangan cross sectional study. Data primer dikumpulkan melalui wawancara, pemeriksaan fisik dan pemeriksaan laboratorium. Responden adalah semua pasien diabetes melitus tipe 2 yang datang di Puskesmas Bahu dan bersedia menjadi responden. Besar sampel penelitian adalah 22 orang. Hasil penelitian ini membuktikan bahwa lebih dari setengah jumlah responden memiliki kadar HbA1c tidak terkontrol (> 7%) sebanyak 17 responden. Dari 17 responden tersebut 9 responden memiliki indeks massa tubuh overweight, 13 responden tidak mengkonsumsi obat sesuai anjuran dokter dan 9 responden tidak rutin berolahraga. Dapat disimpulkan bahwa kadar gula darah pasien di Puskesmas Bahu masih belum terkontrol berdasarkan nilai HbA1c di atas 7%.Kata kunci: HbA1c, Diabetes Melitus tipe 2


2018 ◽  
Vol 11 (2) ◽  
pp. 73-83
Author(s):  
M Faig Mujabi ◽  
Wachidah Yuniartika

High blood sugar levels will cause the occurrence of hyperglycemia. Hyperglycemia occurs because to an impaired insulin secretion or insulin work breakdown. People who hyperglycemia can experience interference in the form of phychological depression and decreased physical activity. People who are depressed and less activity can cause an increase in blood sugar levels. This research is a descriptive study using correlative approach cross sectional aims to do know the relationship between the blood sugar levels with the levels of depression and physical activity in people with Diabetes Mellitus in Sukoharjo Gatak Clinics. Sampling technique using a purpose sampling, while the research instrument using the BDI-II questionnaire of 21 items and IPAQ questionnaire. The result of the calculation of the correlation test product moment relationship with depression level blood sugar levels obtained result and significant value 0.473(p-value) of 0.00. Procut moment correlation test result of the relationship of physical activity with blood sugar levels obtained result –0.460 with a value of 0.00 significance. Then there can be summed up the relationship between the blood sugar levels with the levels of depression and physical activity in people with Diabetes Mellitus in Sukoharjo Gatak Clinics. Where the higher levels of depression, increases blood sugar levels, while the higher physical activity then the lower blood sugar levels.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e051237
Author(s):  
Emilio Ortega ◽  
Rosa Corcoy ◽  
Mònica Gratacòs ◽  
Francesc Xavier Cos Claramunt ◽  
Manel Mata-Cases ◽  
...  

AimThis study’s objective was to assess the risk of severe in-hospital complications of patients admitted for COVID-19 and diabetes mellitus (DM).DesignThis was a cross-sectional study.SettingsWe used pseudonymised medical record data provided by six general hospitals from the HM Hospitales group in Spain.Outcome measuresMultiple logistic regression analyses were used to identify variables associated with mortality and the composite of mortality or invasive mechanical ventilation (IMV) in the overall population, and stratified for the presence or absence of DM. Spline analysis was conducted on the entire population to investigate the relationship between glucose levels at admission and outcomes.ResultsOverall, 1621 individuals without DM and 448 with DM were identified in the database. Patients with DM were on average 5.1 years older than those without. The overall in-hospital mortality was 18.6% (N=301), and was higher among patients with DM than those without (26.3% vs 11.3%; p<0.001). DM was independently associated with death, and death or IMV (OR=2.33, 95% CI: 1.7 to 3.1 and OR=2.11, 95% CI: 1.6 to 2.8, respectively; p<0.001). In subjects with DM, the only variables independently associated with both outcomes were age >65 years, male sex and pre-existing chronic kidney disease. We observed a non-linear relationship between blood glucose levels at admission and risk of in-hospital mortality and death or IMV. The highest probability for each outcome (around 50%) was at random glucose of around 550 mg/dL (30.6 mmol/L), and the risks flattened above this value.ConclusionThe results confirm the high burden associated with DM in patients hospitalised with COVID-19 infection, particularly among men, the elderly and those with impaired kidney function. Moreover, hyperglycaemia on admission was strongly associated with poor outcomes, suggesting that personalised optimisation could help to improve outcome during the hospital stay.


2021 ◽  
Vol 17 (4) ◽  
pp. 157
Author(s):  
Ni Ketut Sutiari ◽  
Ali Khomsan ◽  
Hadi Riyadi ◽  
Faisal Anwar ◽  
Desak Putu Yuli Kurniati ◽  
...  

Health status and micronutrient intake among vegetarian and non-vegetarian in BaliBackground: Several studies have reported that vegetarian diets have health benefits for those adopting the diets.Objective: This study aimed to compare anemia status and micronutrient intake between vegetarians and non-vegetarians in Bali.Methods: This cross-sectional study was conducted in Bali. A total of 240 samples consisting of 160 vegetarians and 80 non-vegetarians were randomly selected. Hemoglobin (Hb) and fasting blood sugar levels were measured using the cyanmethemoglobin method and enzymatic colorimetric, respectively. Meanwhile, the data on micronutrient intakes were collected by interviews using the semi-quantitative food frequency questionnaire (SQFFQ). The data were analyzed using descriptive statistics, and the Mann-Whitney test was performed to analyze the differences.Results: The study’s results showed that the mean Hb levels in the vegetarian group were significantly lower than non-vegetarians (p=0.002; p<0.05), and the anemia status in vegetarian women were higher (22.5%) than non-vegetarian women (2.5%). The mean fasting blood glucose level in non-vegetarians was significantly higher than in the vegetarian group (p=0.000; p<0.05). There were no differences in zinc (Zn) intake between vegetarians and non-vegetarians, but there were significant differences (p<0.05) in vitamin C, vitamin D, vitamin B12, folic acid, magnesium (Mg), calcium (Ca), and iron (Fe) intakes.Conclusions: There were differences in anemia status and fasting blood glucose levels between vegetarians and non-vegetarians. The fasting blood glucose levels of non-vegetarians were higher than vegetarians, and there were differences in the intake of certain micronutrients between vegetarians and non-vegetarians.


2017 ◽  
Vol 4 (2) ◽  
pp. 24
Author(s):  
Fatifa Asmarani ◽  
Bambang Wirjatmadi ◽  
Merryana Adriani

Background: Diabetes mellitus (DM) is metabolic disorder syndrome characterized by hyperglycemia due to deficiency of insulin secretion. Patients of diabetic patients increases each year, so it needs proper handling. Corn flour is a source of carbohydrates with a low glycemic index to help reduce the rise in blood sugar levels. In addition, supplementation with tempeh flour containing isoflavones act to protect cells from free radical thereby inhibiting damage cells. Fiber in tempeh affect blood glucose levels because it slows the absorption of glucose.Objective: To determine the effect supplementation of corn flour with tempeh flour on blood sugar levels in diabetes mellitus Wistar rats.Methods: The study was true experimental design with Pre-posttest control group design, samples were 20 male Wistar rats aged 2-3 months were then divided into 4 groups (T0, T1, T2, T3.) T0 was injected with alloxan as 30 mg / 150 grams of BB rats are subsequently treated with standard diet; T1 was dministered by standard diet 50% + 50% corn flour; T2 was administered by standard diet 50% + 30% + corn flour tempeh flour 20%; and T3 was administered by standard diet of corn flour 50% + 15% + 35% tempeh flour for 2 weeks. Blood glucose levels were measured with a glucose kit (GOD FS). Research data were analyzed by One Way ANOVA followed by Tukey's Post Hoc test p-value <0.05.Results: There were significant differences on blood sugar levels in all groups (p = 0.000): control group (only dietary standards), T1 (administered by standard diet 50% + corn flour 50%), T2 (administered by a standard diet 50% + cornstarch 30% tempeh flour + 20%) and T3 (administered by standard diet of corn flour 50% + 15% + 35% tempeh flour).Conclusion: corn flour with tempeh flour supplementation effect on decresing of blood sugar levels.


2020 ◽  
Vol 2 (1) ◽  
pp. 65-72
Author(s):  
Desi Deswita ◽  
Sefrizon Sefrizon ◽  
Anita Mirawati ◽  
Zulharmaswita Zulharmaswita ◽  
Yudistira Afconneri ◽  
...  

The problem of elderly diabetes mellitus is complex and various interventions in the form of education have been carried out in controlling blood sugar levels but the results have not been optimal. Based on this, the researcher wants to know the effect of coaching intervention on controlling blood sugar levels of the elderly with diabetes in Indonesia. The quasi-experimental research design uses a treatment group. Sampling with consecutive sampling in which the intervention group was selected according to purpose, with 38 respondents. Independent t-test was used. The results obtained were significant differences in blood sugar levels after being given an intervention. Coaching interventions affect blood sugar levels of the elderly with diabetes. It was concluded that coaching interventions reduce blood sugar levels and provide opportunities for nurses to develop promotive and preventive efforts.  Keywords: blood glucose levels, coaching intervention, elderly


2020 ◽  
Vol 6 (3) ◽  
pp. 85-93
Author(s):  
Rita Irma ◽  
Emi Widianingsih ◽  
Rasmaniar Rasmaniar

Background: In Indonesia, the prevalence of Diabetes Mellitus (DM) has increased. DM can have a significant impact on health that requires serious countermeasures. Moringa leaves have been extensively studied in terms of their efficacy in the treatment and prevention of DM.Objective: To identify the relationship between the habit of consuming Moringa leaves and blood sugar levels of Muna tribe.Method: This study was a cross-sectional study design conducted among local people in the Muna tribe community at Gunung Jati sub-district, Kendari, Southeast Sulawesi, Indonesia. A total of 81 people was participated selected using a proportional random sampling.Results: The average of frequency consumption of Moringa leaves among Muna tribe was one time a day, with consumption as much as 160 grams/day. The average of normal blood sugar was 103.5 mg/dl. There was no relationship between age, gender, education, working status with the frequency and amount of Moringa leaf intake. Similarly, analysis of blood sugar based on characteristics, there was no relationship between gender, education, working status with blood sugar, but there was a significant relationship between age and blood sugar (p=0.00). There was no relationship between the frequency and amount of moringa leaf intake with blood sugar levels.Conclusion: There was no relationship between the habit of consuming Moringa leaves both in terms of characteristics and blood sugar level among Muna people in the Gunung Jati, Kendari, Southeast Sulawesi, Indonesia.


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).


2019 ◽  
Vol 2 (4) ◽  
Author(s):  
Agung B S Satyarsa

Diabetes mellitus is a degenerative disease that commonly found and related to an unhealthy lifestyle and genetic factors. Current management of diabetes mellitus includes control of blood sugar levels and prevention of complications. Recent studies found that many phytochemicals have the potential to control blood sugar levels in patients with diabetes. Alkaloid substances from leaves of Tapak Dara have an effect on decreasing blood glucose. This review article aims to describe the potential effects of the Alkaloid vindolicine from Tapak Dara leaves (Catharanthus Roseus L.) in reducing blood glucose levels in patients with type 2 diabetes mellitus. The activity of vindolicine alkaloid against ? cells in previous studies has shown to improve ? cells activity and induce insulin secretion thus preventing further hyperglycemia. In addition, the vindolicine alkaloid also has a role in activating pancreatic ?-TC6 cells and carrying out an immediate reaction in blood vessels. As conclusion, further research is needed to prove the maximum effect of the utilization of tread leaf extract as well as the toxicity test to determine the toxic effects of the alkaloid substances in the tread leaf. Keywords: Type 2 Diabetes Mellitus, Vindolicine Alkaloid, Tapak Dara, blood glucoselevels


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