scholarly journals CEGAH AMPUTASI DENGAN PENATALAKSANAAN DIABETES MELITUS DI MASA PANDEMI COVID-19

2021 ◽  
Vol 1 (1) ◽  
pp. 017-025
Author(s):  
Fitria Alisa ◽  
Vivi Syofia Sapardi ◽  
Lola Despitasari ◽  
Muhammad Farid ◽  
Alex Contesa
Keyword(s):  
Diabetes Mellitus ◽  
Insulin Sensitivity ◽  
Physical Exercise ◽  
Beta Cells ◽  
Community Service ◽  
Monitoring And Evaluation ◽  
Improve Insulin Sensitivity ◽  
Insulin Insufficiency ◽  
Diabetes Melitus

Background : Diabetes mellitus (DM) is an insulin insufficiency disorder caused by disruption of insulin products by Langerhans beta cells or the body's cells are less responsive to insulin. Covid-19 attacks all ages, especially those who have chronic diseases (co-morbid) have a more frequent risk of getting it with bad complications from this disease. Physical exercise (Diabetes leg exercises) is one of the pillars in the management of DM, which functions to improve insulin sensitivity and maintain body fitness during the COVID-19 pandemic. The goal of this community service is to prevent amputation by managing diabetes mellitus. Method : This community service method refers to action research with the formation of a DM prolanis group at the MERCUBAKTIJAYA clinic in Padang, socialization and education related to the management of diabetes mellitus, as well as monitoring and evaluation that have been carried out in collaboration with the MERCUBAKTIJAYA clinic in Padang as a follow-up to this activity.  Result: 90% of the participants were enthusiastic about the activity and were able to re-practice the material presented.

scholarly journals Upaya pencegahan Diabetes Melitus melalui edukasi kesehatan pada masyarakat Kampung Pelita Medika Buluh Cina

2020 ◽  
Vol 2 ◽  
pp. 298-302
Author(s):  
Miftah Azrin ◽  
Suyanto Suyanto
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Community Service ◽  
Rural Areas ◽  
The Public ◽  
The Village ◽  
Control Diabetes ◽  
Diabetes Melitus

The incidence of Type 2 Diabetes Mellitus (DM) in rural areas shows an increasing number. For this reason, efforts to control diabetes need to be done through education to the public. Community service was conducted in the village of BuluhCina which is one of the fostered villages of Kampung Pelita Medika FK UNRI. Education is provided with Kukerta students through socialization of a healthy diet and checking blood sugar as a risk factor. Through this service, it is hoped that the community will have the awareness to control the risk factors for DM in BuluhCina village.

scholarly journals Perkembangan Diabetes Melitus Tipe 2 dari Prediabetes di Bogor, Jawa Barat

2018 ◽  
pp. 59-69 ◽  
Author(s):  
Eva Sulistiowati ◽  
Marice Sihombing
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Plasma Glucose ◽  
Central Obesity ◽  
Fasting Glucose ◽  
Diabetes Melitus

Abstrak Prediabetes merupakan kondisi gula darah puasa 100-125mg/dL (Impaired Fasting Glucose/IFG) atau kadar gula darah 2 jam setelah pembebanan 75 g glukosa 140-199 mg/dL (Impaired Glucose Tolerance/IGT). Prediabetes meningkatkan risiko terjadinya Diabetes Mellitus tipe 2 (DM tipe 2). Tujuan analisis ini untuk mengetahui terjadinya DM Tipe 2 pada responden dengan prediabetes dalam follow-up 2 tahun. Prospektif studi dalam 2 tahun pada 3344 responden Studi Kohor Faktor Risiko PTM non-DM tipe 2. Data yang dikumpulkan meliputi wawancara, pemeriksaan fisik (BB, TB, lingkar perut, tekanan darah), dan laboratorium (GDP, GDPP, Kolesterol total, HDL, LDL, Trigliserida). Kadar glukosa darah untuk DM Tipe 2 dan prediabetes mengacu pada kriteria ADA 2011. Analisis deskriptif tentang karakteristik, life tabel perkembangan DM Tipe 2 dari prediabetes. Prediabetes yang terjadi sebesar 24,6% (IFG 2,3%; IGT 19,2% dan mix IFG/IGT 2,8%) dan 13,4% mengalami DM tipe 2 dalam kurun waktu 2 tahun. Progresivitas terjadinya DM dari IFG, IGT dan mix TGTmasing-masing 6,21; 6,12 dan 14,6 per 100 orang per tahun. Faktor risiko yang mempengaruhi terjadinya DM tipe 2 antara lain: umur (40-54 tahun RR=1,97; CI 95%:1,02-3,82), 55-65 tahun (RR=2,74; CI 95%: 1,34-5,58), obesitas sentral (RR=4,42; CI 95%: 2,36-8,29), hipertensi (RR= 1,99; CI 95%: 1,29-3,06) dan hipertrigliserida (RR=1,83; CI 95%: 1,18-2,83). Proporsi prediabetes dan terjadinya DM tipe 2 di Bogor Tengah dalam pengamatan 2 tahun, meningkat dengan bertambahnya umur dan dipengaruhi oleh obesitas sentral, hipertensi, hipertrigliserida. Pengendalian faktor risiko dan pemeriksaan gula darah secara rutin dapat mencegah terjadinya DM tipe 2. Perlu ditunjang dengan posbindu PTM aktif di masyarakat, lingkungan kerja maupun sekolah. Kata kunci: Prediabetes, Diabetes Melitus tipe 2 (DM tipe 2), Bogor Tengah Abstract Prediabetes is a condition that fasting plasma glucose 100-125 mg/dL (Impaired Fasting Glucose/IFG) or blood glucose 2 hours after loading 75 g glucose 140-199 mg/dL (Impaired Glucose Tolerance/IGT). Prediabetes increases the risk of type 2 Diabetes Mellitus (T2DM). This analysis is to determine the progression rate to T2DM in prediabetes respondents during 2 years follow up. This is an two years prospective study in 3344 respondents Cohort Study of Risk Factors NCD without T2DM. The data collected included interviews, physical examination (body weight, height, abdominal circumference, blood pressure), and laboratory (fasting plasma glucose/FPG, plasma glucose 2 hours after loading 75 g glucose, total cholesterol, HDL, LDL, triglycerides). Blood glucose levels for DM and prediabetes refers to ADA criteria 2011. Data analisized by descriptive about characteristics, life table of T2DM development from prediabetes. Prediabetes occurred at 24.6% (IFG 2.3%, IGT 19.2% and mix IFG / IGT 2.8%) and 13.4% experienced type 2 diabetes within 2 years. The progression of DM from IFG, IGT and mix TGT is 6.21; 6.12 and 14,6 per 100 person per year respectively. The risk factors of T2DM are age (40-54 years old (RR=1,97; CI 95%:1,02-3,82), 55-65 years old (RR=2,74; CI 95%:1,34-5,58), central obesity (RR=4,42; CI 95%:2,36-8,29), hypertension (RR=1,99; CI 95%:1,29-3,06) and hypertriglyceride (RR=1,83; CI 95%:1,18-2,83). The proportion of prediabetes and progression T2DM in Central Bogor at 2 years follow up is quite high, increasing with age and influenced by central obesity, hypertension and hypertriglyceride. Controlling risk factors and checking blood glucose regularly can prevent T2DM. Need to be supported by posbindu PTM active in the community, work environment and school. Keywords: Prediabetes, type 2 Diabetes Mellitus (T2DM), Central Bogor

scholarly journals Edukasi Online Pelaksanaan Aktifitas Fisik Pada Pasien Diabetes Melitus Di Masa Pandemi Covid-19

2020 ◽  
Vol 2 (2) ◽  
pp. 53-57
Author(s):  
Weny Amelia ◽  
Fitria Alisa ◽  
Lenni Sastra ◽  
Lola Despitasari
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Online Education ◽  
Community Service ◽  
Improve Insulin Sensitivity ◽  
Service Activities ◽  
History Of ◽  
Sugar Levels ◽  
Almost All ◽  
Diabetes Melitus

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood sugar levels as a result of insufficient insulin function caused by disruption of insulin products by beta Langerhans cells or the body's cells are less responsive to insulin. Covid-19 attacks almost all ages, especially people who have a history of chronic disease (co-morbid) have a risk of getting it more frequently and with worse complications from this disease. One of the chronic disease history is DM. Physical exercise or physical activity is one of the pillars in the management of DM which functions to improve insulin sensitivity and also to maintain body fitness during the COVID-19 Pandemic. The form of community service activities carried out in the DM patient group includes education to patients and families about online education for DM sufferers during the COVID-19 pandemic. The results of community service activities obtained an increase in knowledge about the implementation of physical activity for DM patients during the COVID-19 pandemic.

Pengaruh Diskusi grup dan Brief Telephone Counseling Terhadap Peningkatan Sikap Pasien Diabetes Mellitus (DM) Terkait Pencegahan Komplikasi di PROLANIS Puskesmas Bojonegoro dan Puskesmas Wisma Indah

2021 ◽  
Vol 11 (1) ◽  
pp. 59-64
Author(s):  
Angger Anugerah Hadi H.S ◽  
Bayu Khayudin
Keyword(s):  
Diabetes Mellitus ◽  
Telephone Counseling ◽  
T Test ◽  
P Value ◽  
Test Design ◽  
Post Test ◽  
Paired T Test ◽  
Diabetes Melitus

ABSTRAK Diabetes Melitus merupakan salah satu penyakit kronis yang banyak dialami oleh masyarakt Indonesia. Semakin lama durasi pada penderita DM, maka semakin besar kemungkinan munculnya penyakit-penyakit komplikasi. Penyakit stroke, jantung coroner, luka DM dan gagal ginjal merupakan contoh penyakit yang dapat timbul akibat DM Tujuan dari penelitian ini adalah untuk meningkatan sikap pasien DM terkait pencegahan komplikasi dengan metode yang efektif dan efisien. Penelitian ini menggunakan pendekatan pra-eksperimental dengan rancangan one group pre-post test design. Sampel dalam penelitian ini adalah pasien DM yang mengikuti prolanis di puskesmas Wisma indah, dan puskesmas  Bojonegoro sebanyak 32 responden. Diskusi grup dan Brief Telephone Counseling dilakukan dengan 2 tahapan yaitu pendidikan kesehatan terkait pencegahan komplikasi dan follow-up melalui telepon. Berdasarkan hasil uji paired T-test didapati hasil p-value 0,000. Dengan demikian disimpulkan hasil terdapat peningkatan sikap responden setelah dilakukan intervensi yang dilakukan oleh peneliti. Penelitian ini diharapkan dapat menghasilkan artikel ilmiah yang terbit dalam jurnal nasional. Selain itu, luaran lain yang diharapkan adalah buku saku terkait pencegahan komplikasi DM Kata Kunci : Diabetes Mellitus, Komplikasi Diabetes Mellitus, Diskusi Grup, Brief telephone Counseling, Sikap

scholarly journals GAMBARAN PENGETAHUAN PASIEN DIABETES MELLITUS (DM) DAN KELUARGA TENTANG MANAJEMEN DM TIPE 2

2018 ◽  
Vol 5 (2) ◽  
pp. 22-45
Author(s):  
Ni Wayan Trisnadewi ◽  
I Made Sudarma Adiputra ◽  
Ni Kadek Mitayanti
Keyword(s):  
Diabetes Mellitus ◽  
Physical Exercise ◽  
Health Center ◽  
Management Education ◽  
Univariate Analysis ◽  
Patient Knowledge ◽  
Knowledge Level ◽  
Sugar Levels ◽  
Diabetes Melitus

Pendahuluan: Diabetes Melitus (DM) adalah suatu penyakit degeneratif yang dikarenakan tidak berfungsinya insulin  yang ditandai dengan peningkatan kadar gula darah. Penanganan pasien DM tipe 2 dilakukan dengan 4 pilar, diantaranya : edukasi, diet, latihan fisik, dan pengobatan. Keberhasilan terapi untuk pasien DM dipengaruhi oleh pengetahuan responden tentang penyakit DM. Tujuan penelitian ini untuk mengetahui gambaran pengetahuan pasien dan keluarga tentang manajemen DM di Wilayah Kerja Puskesmas Tabanan II. Metode : Metode penelitian yaitu deskriptif kuantitatif, dengan jumlah sampel sebanyak 80 responden. Pengumpulan data menggunakan kuesioner dan didapatkan selama 2 minggu. Hasil : Hasil analisa dengan univariat berdasarkan tingkat pengetahuan pasien tentang manajemen DM tentang edukasi (65%) , diet (83,8%), latihan fisik (77,5%) dalam katagori baik, sementara pengobatannya (61,3%) dalam katagori kurang. Pengetahuan keluarga tentang manajemen DM yaitu edukasi (67,5%), diet (72,5%), latihan fisik (90%) dalam katagori baik, sementara pengobatan (53,8%) katagori kurang. Diskusi : Kesimpulannya bahwa pengetahuan tentang manajemen DM pada penderita DM dan keluarga di wilayah puskesmas Tabanan II belum optimal, sehingga perlu dikembangkan edukasi manajemen yang berkelanjutan dalam pelayanan kesehatan. Kata kunci : manajemen DM, pengetahuan, pasien, keluarga ABSTRACT   Introduction : Diabetes Mellitus (DM) is a degenerative disease due to insulin malfunction characterized by elevated blood sugar levels. Handling of patients with type 2 diabetes is done with 4 pillars, including: education, diet, physical exercise, and treatment. The successfully of therapy for DM patients is influenced by the knowledge of respondents about DM disease. This research aimed to know the description of knowledge of patient and family about DM management in Health Center of Tabanan II Working Area. Method : The method of this research is descriptive quantitative, with the number of samples as much as 80 respondents. Data was collected used questionnaires and obtained for 2 weeks. Result : The Result of univariate analysis based on patient knowledge level about DM management about education (65%), diet (83,8%), physical exercise (77,5%) in good category, while treatment (61,3%) in less category. Family knowledge about DM management of education (67,5%), diet (72,5%), physical exercise (90%) in good category, while treatment (53,8%) in less category. Discussion: The conclusion of this resaearch are the knowledge about DM management of DM Patients and family at Health Center of Tabanan II are not optimal yet, so it is necessary to develop continuous management education in health services. Keywords: DM management, knowledge, patient, family

scholarly journals Effects of physical exercise on beta cells of the pancreas: a systematic review

2020 ◽  
pp. 1-6
Author(s):  
Edson Meneses da Silva Filho ◽  
Jéssica Andrade de Albuquerque ◽  
Roberta de Oliveira Cacho ◽  
Rodrigo Pegado de Abreu Freitas
Keyword(s):  
Insulin Resistance ◽  
Insulin Sensitivity ◽  
Physical Exercise ◽  
Beta Cells ◽  
Pancreatic Beta Cells ◽  
Randomized Clinical Trials ◽  
Qualitative Evaluation ◽  
Cochrane Collaboration ◽  
Cochrane Library ◽  
Beneficial Effects

Background: Diabetes mellitus is a chronic disease that is rising in many parts of the world causing damage to functionality, quality of life and public health system. Objective: Verify the effects of physical exercise on beta cells of the pancreas in diabetic subjects. Methods: The database Cochrane Library via Wiley – CENTRAL, Pubmed, LILACS, SCIELO, Web of Science, Scopus, CINAHL were used to search the articles. The descriptors and synonyms of this topic were used in the search strategy. Controlled randomized clinical trials and quasi-randomized studies, which included in their samples diabetic humans undergone any type of physical exercise were included. The Cochrane collaboration bias risk tool was used to assess the risk of bias. Results: A total of 3.133 articles were initially identified and after reading the titles/abstracts and the full text 6 articles were selected for the qualitative evaluation. Most of the studies showed positive results of physical exercise on pancreatic beta cells, insulin secretion, insulin resistance and insulin sensitivity. The main limitations were the number of studies, few, and their methodological qualities. Conclusions: Physical exercises have beneficial effects on pancreatic beta cells, insulin resistance and insulin sensitivity; however better studies designs, with fewer biases and larger samples are needed so that the results presented do not be overestimated. This review is recorded in the Prospective Register of Systematic Reviews with registration number 42017054213

scholarly journals Pemberian Terapi Senam Kaki Pada Pasien Diabetes Mellitus Di Desa Gunung Labuhan Sungkai Selatan Lampung Utara

2021 ◽  
Vol 4 (5) ◽  
pp. 1266-1271
Author(s):  
Apriyadi Apriyadi ◽  
M. Arifki Zainaro
Keyword(s):  
Diabetes Mellitus ◽  
Physical Exercise ◽  
Physical Movement ◽  
Glucose Levels ◽  
Muscle Work ◽  
The Village ◽  
Diabetes Melitus

ABSTRAK Data Riskesdas Provinsi Lampung tahun 2013 jumlah penderita diabetes mellitus yang terdiagnosis dokter sebesar 0,7%. Prevalensi penderita diabetes mellitus di Lampung utara berada di posisi kelima terbanyak dengan jumlah 0,8%. Sementara jumlah penderita di Lampung yang terdiagnosis dan yang tidak terdiagnosis tetapi selama sebulan terakhir mengalami gejala-gejala diabetes mellitus berjumlah lebih besar yaitu 0,8% dengan prevalensi di Lampung utara sebesar 0,8%. Penatalaksanaan diabetes mellitus terdiri dari 5 pilar utama olahraga atau latihan fisik merupakan salah satu dari penatalaksanaan tersebut selain dari diet, obat-obatan, edukasidan pemantauan, Olah raga dalam arti gerak fisik atau kerja otot dapat meningkatkan metabolisme atau pembentukan dan pengeluaran energi tubuh, salah satunya yaitu senam kaki. Tujuan setelah penyuluhan dan demonstrasi, diharapkan pemberian senam kaki dapat untuk menurunkan kadar glukosa pada klien diabetes melitus. Adapun kegiatan yang dilakukan berupa penyuluhan menggunakan leaflet dan demonstrasi senam kaki. Terdapat penurunan kadar glukosa pada klien diabetes melitus setelah pemberian akupresur selama 7 hari di Desa gunung labuhan sungkai selatan, Lampung Utara. Dengan demikian, pemberian senam kaki pada klien diabetes melitus sangat efektif dalam menurunkan glukosa. Kata Kunci: Senam kaki, diabetes melittus  ABSTRACT Lampung Province Riskesdas data in 2013 the number of people with diabetes mellitus diagnosed by doctors (0.7%). The prevalence of people with diabetes mellitus in northern Lampung is in the fifth position (0.8%). While the number of sufferers in Lampung who were diagnosed and those who were undiagnosed, during the last month experiencing symptoms of diabetes mellitus was greater, namely (0.8%) with a prevalence in northern Lampung (0.8%). Management of diabetes mellitus consists of 5 main pillars of sports or physical exercise is one of these treatments apart from diet, drugs, education, and monitoring, Sports in the sense of physical movement or muscle work can increase metabolism or the formation and expenditure of the body's energy, one of which is foot exercise. The aim after counseling and demonstration is expected to provide foot exercises to reduce glucose levels in clients with diabetes mellitus. The activities were carried out in the form of counseling using leaflets and foot exercises. There was a decrease in glucose levels in diabetes mellitus clients after giving acupressure for 7 days in the village of Gunung Labuhan, South Sungkai, North Lampung. Thus, giving foot exercises to diabetes mellitus clients is very effective in reducing glucose. Keywords: Foot exercises, diabetes Mellitus

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