scholarly journals Effect of Sleep Quality on Blood Glucose Level of Type 2 Diabetes Mellitus Patients in Medan, Indonesia

2020 ◽  
Vol 8 (E) ◽  
pp. 574-577
Author(s):  
Rina Amelia ◽  
Juliandi Harahap ◽  
Novita Sari Harahap ◽  
Hendri Wijaya ◽  
Reni Asmara Ariga ◽  
...  

BACKGROUND: Sleep disturbance is one of the problems complained by diabetes mellitus (DM) patients. The decrease in sleep quality has an impact on not controlling blood glucose levels (BGL). AIM: The aim of the study was to analyze the effect of sleep quality on control BGLs of type 2 DM patients in Medan. METHODS: This study is analytic with a cross-sectional design. The study population was type 2 DM patients who came to the Medan Labuhan Primary Health Care with a total sample of 83 people, sample collection by consecutive sampling method (inclusion and exclusion criteria). Management data using the SPSS computer program and data analysis using the Chi-square test. RESULTS: The majority of patients were female (57.8%), the most age group was above 50 years (98.8%), with the highest duration of illnesses being above 5 years (77.1%), family history of suffering from DM was mothers with DM (36.1%), and mean of BGL was 215 mg/dl. The Chi-square test results showed a significant relationship between sleep quality and BGL of type 2 DM patients in Medan (p < 0.05), with an odds ratio of 4.3. CONCLUSION: Sleep quality affects blood sugar control in type 2 DM patients. The risk of increasing blood sugar due to sleep disorders is 4.3 times compared to DM patients who do not experience sleep disorders.

2021 ◽  
Vol 4 (2) ◽  
pp. 511-516
Author(s):  
Eka Anita ◽  
Muhammad Taufik Daniel Hasibuan

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.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Reza Ekatama Rajasa ◽  
Afriwardi Afriwardi ◽  
Setia Budi Zein

AbstrakAda banyak faktor yang mempengaruhi komplikasi pada pasien DM tipe 2, salah satunya adalah keteraturan berolahraga. Aktivitas fisik yang kurang akan  berisiko terjadinya hiperglikemia. Kondisi ini lambat laun akan menyebabkan kerusakan mikrovaskular dan makrovaskular. Olahraga yang teratur dapat membuat normal gula darah. Tujuan penelitian ini adalah meneliti lebih lanjut tentang hubungan keteraturan berolahraga terhadap komplikasi DM tipe 2. Penelitian ini dilakukan pada masyarakat yang berkunjung ke poliklinik RSUP Dr. M. Djamil Padang. Ini merupakan studi retrospektif dengan jumlah subjek 73 orang. Pengumpulan data responden dilakukan dengan wawancara dan rekam medis. Analisis statistik yang digunakan adalah uji chi-square.Hasil penelitian ini menunjukkan bahwa 65,8% responden menderita 3 atau lebih komplikasi (banyak), sedangkan 34,2% menderita kurang dari 3 komplikasi (sedikit). Kesimpulan studi ini adalah terdapat hubungan antara keteraturan berolahraga dengan komplikasi DM tipe 2.Kata kunci: keteraturan berolahraga, komplikasi DM tipe 2AbstractThere are many factors correlate to complications in  type 2 diabetes mellitus (DM) patients, one of them is exercise regularity. Lack of physical activity can lead to the hiperglycemia condition. It  could be the cause of  micovascular and macrovascular injuries. Exercise regularity can lead blood glucose toward normal. The objective of this study was to investigate the correlation of exercise regularity to the type 2 DM complications.The research was conducted to the  people who visit polyclynic of M. Djamil Hospital. It is a retrospective study with 73 subjek. Data collection was performed through interviews and using medical records. The statistical analysis was performed chi-square test.The result of this research found that 65.8% of respondent had many complication ( three or more), whereas 34.2% of had less than three complications. Analysis by chi square test, concluded that there was a significant relation between exercise regularity and complications of type 2 DM.Keywords: exercise regularity, complication of type II DM


2020 ◽  
Vol 5 (02) ◽  
pp. 30-38
Author(s):  
Gargee RB ◽  
Gopalakrishna G ◽  
Sowmyashree UP

Background: Non-communicable diseases are posing major health and development threats. The Worldwide, approximately 200 million people currently have type 2 DM, a prevalence that has been predicted to increase to 366 million by 2030. Diabetes Mellitus comprises a group of common metabolic disorders that share the phenotype of hyperglycemia, with an increase incidence worldwide. The Indian subcontinent has a higher prevalence of DM than any other region in the world, and two to three times the reported prevalence in western countries. Recent surveys say that diabetes is affecting 10-16% of urban population. The disease Madhumeha described in Ayurveda bears close resemblance to Diabetes Mellitus. Objectives: To evaluate the effect of Saptachakra Choorna in the management of Madhumeha w.s.r. to type 2 DM and to compare it with drug taken in the control group. Materials and Method: In the present study, two groups were taken each comprising of 20 patients who fulfilled the diagnostic and inclusion criteria. Subjects of group A were administered Saptachakra Choorna 6gms twice daily and subjects of group B were administered tablet Metformin 500 mg one tablet twice daily, both before food and for a period of 45 days. Observation and Results: In the present study, majority of the symptoms showed clinically significant improvement by Saptachakra Choorna and metformin 500 mg, however it was not statistically significant. In the glycemic parameters like FBS, PPBS, FUS and PPUS within the group administered Saptachakra Choorna 6 gms only FBS and PPBS showed significant improvement where as parameters like FUS and PPUS there was no much improvement and within the group administered tablet Metformin 500 mg significant improvement in all the parameters were observed. On comparing the results between the two groups, the group administered tablet Metformin 500 mg showed a better result than the group administered Saptachakra Choorna. Conclusion: By seeing overall improvement and applying Chi Square Test, tablet Metformin 500 mg showed a better result than Saptachakra Choorna.


2020 ◽  
Vol 5 (2) ◽  
pp. 1-14
Author(s):  
Y Mukhtar ◽  
A Galalain ◽  
U Yunusa

Diabetes mellitus is one of the most common endocrine disorders that affect the body’s ability to make or use insulin. Diabetes mellitus (DM), or simply diabetes, is a group of chronic metabolic diseases in which a person experience high blood sugar, either because the pancreas does not produce enough insulin or because the body cells do not effectively use or respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger). Conventionally, diabetes has been divided into three types namely: Type 1 DM or insulin-dependent diabetes mellitus (IDDM) in which body fails to produce insulin, and presently requires the person to inject insulin or wear an insulin pump. This is also termed as "juvenile diabetes". Type 2 DM or non-insulin-dependent diabetes mellitus (NIDDM), results from insulin resistance, a condition in which cells fail to use insulin properly, with or without an absolute insulin deficiency. This type was previously referred to as or "adult-onset diabetes". The third main type is gestational diabetes which occurs when women without a previous history of diabetes develop a high blood glucose level during her pregnancy and may metamorphose to type 2 DM after giving birth. Currently available pharmacotherapy for the treatment of diabetes mellitus includes insulin and oral hypoglycemic agents. Thus, the present review underscores the issues surrounding the symptoms, diagnosis and treatment (especially use of anti-diabetic herbal species) of this killer disease with a view to suppressing its global spread and resurgence.


2021 ◽  
Vol 8 (1) ◽  
pp. 14-19
Author(s):  
Lukatul Khoiriyah ◽  
Ramli Effendi ◽  
Thia Oktiany

The level of family knowledge is a very important factor in the actions of families of people with Diabetes Mellitus, behavior based on knowledge will be easier to carry out than those not based on knowledge. Diabetes Mellitus is a disease that requires proper and immediate treatment efforts because it can cause complications such as heart disease, kidney failure, and damage to the nervous system. One way to overcome the effects of Type 2 Diabetes Mellitus is by applying a diet. This study aims to determine the relationship between the level of family knowledge with efforts to prevent complications of type 2 diabetes mellitus in the work area of Babakan Puskesmas, Cirebon Regency. This research method uses descriptive correlational, this research uses cross section research. The population is all families with type 2 Diabetes Mellitus in the work area of Babakan Puskesmas in Cirebon Regency as many as 144 respondents and sampling using Purposive Sampling obtained 60 respondents. The instruments used were questionnaire sheets, and data analysis using chi-square test that is the significance value α = 0.1. The results of the above study indicate between the level of family knowledge and prevention of complications of type 2 diabetes mellitus in getting p-value = 0.04, because the p-value of 0.04 <0.1 then Ho is rejected and Ha is accepted which means there is a relationship between the level of family knowledge and prevention of complications of type 2 diabetes mellitus in the work area of Babakan Health Center, Cirebon Regency.


2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Mengyao Chao ◽  
Chunyan Wang ◽  
Xiaosheng Dong ◽  
Meng Ding

Objective. To investigate the effects of Tai chi in type 2 diabetes mellitus (type-2 DM) patients using systematic review and meta-analysis. Methods. Seven electronic resource databases were searched, and randomized controlled trials on the role of Tai chi in type-2 DM patients were retrieved. The meta-analysis was performed with RevMan 5.3, and research quality evaluation was conducted with the modified Jadad scale. Results. Fourteen studies, with 798 individuals related to the intervention of Tai chi on diabetes, were included. The results showed that, compared with nonexercise, Tai chi had the effect of lowering fasting blood glucose [MD = −1.39, 95% CI (−1.95, −0.84), P<0.0001] and the subgroup effect size decreased with the increase of total exercise amount, there is no significant difference between Tai chi and other aerobic exercises [MD = −0.50, 95% CI (−1.02, 0.02), P=0.06]; compared with nonexercise, Tai chi could reduce HbA1c [MD = −0.21, 95% CI (−0.61, 0.19), P=0.31], and the group effect size decreased with the increase of total exercise amount. The reducing HbA1c effect of Tai chi was better than that of other aerobic exercises, but the difference was at the margin of statistical significance [MD = −0.19, 95% CI (−0.37, 0.00), P=0.05]; compared with nonexercise, Tai chi had the effect of reducing 2 h postprandial blood glucose [MD = −2.07, 95% CI (−2.89, −1.26), P=0.0002], there is no significant difference between Tai chi and other aerobic exercises in reducing 2 h postprandial blood glucose [MD = −0.44, 95% CI (−1.42, 0.54), P=0.38]. Conclusion. Tai chi can effectively affect the management of blood glucose and HbA1c in type-2 DM patients. Long-term adherence to Tai chi has a better role in reducing blood glucose and HbA1c levels in type 2 DM patients.


2020 ◽  
Vol 11 (2) ◽  
pp. 197
Author(s):  
Yanuarita Tursinawati ◽  
Arum Kartikadewi ◽  
Kamala Nuriyah ◽  
Setyoko Setyoko ◽  
Ari Yuniastuti

<p>Diabetes mellitus (DM) often give a macrovascular complication such as Peripheral arterial disease (PAD). Ankle-brachial index (ABI) is a sensitive and specific examination for PAD. Obesity can be a risk factor of PAD. Obesity can be classified by the BMI (Body Mass Index) classification. The purpose of this research is to analyze the relationship of BMI with ABI in Type 2 DM (T2DM) patients of Javanese ethnicity. This study was an observational analytic research with case-control design and used a purposive sampling technique. There were 40 case samples and 40 control samples. Data analysis used the Independent T-test and Chi-square test. There was a significant differences on age (p=0,000), METs (p-value=0,003), and ABI (p-value=0,002) between the two groups. In the DM group was found that most abnormal ABIs were found in the higher BMI, even though there was no significant correlation by the statistic (p-value=0,255). BMI contributed less to the ABI value of Javanese ethnic T2DM patients.</p>


2020 ◽  
Vol 17 (2) ◽  
pp. 165-173
Author(s):  
Nurul Mutmainah ◽  
Muhammad Al Ayubi ◽  
Anggie Widagdo

Diabetes mellitus is a chronic disease that requires treatment for a long period of time. Adherence to consuming drugs is one of the most important things in achieving treatment goals. This study aims to determine the level of adherence and quality of life and determine the relationship to the quality of life of patients with type 2 DM in hospitals in Central Java. This study uses analytic design by asking cross-sectional. Samples were taken at two hospitals in Central Java. Sampling was purposive sampling with the criteria of type 2 diabetes mellitus patients who are undergoing outpatient care in the hospital, have undergone therapy for at least 3 months, and can communicate well. As a measurement used the Medication Adherence Rating Scale (MARS) questionnaire while the quality of life measure used the Short Form 36 (SF-36) questionnaire. Score data received and quality of life that has been obtained was processed with the SPSS (Product Statistics and Service Solutions) chi-square test. Research results in 200 respondents found 9 people (4.5%) had low adherence, 46 people (23%) were moderately related and 145 people (72.5%) have high adherence. While the quality of life found 41 people (20.5%) had a poor quality of life and 159 people (79.5%) had a good quality of life. The lowest aspect of quality of life is physical limitations and the highest aspect of quality of life is mental health. From the results of the analysis on the chi square test, the p value was obtained: 0.00. This shows that there is a significant relationship between adherence and quality of life in patients with Type 2 diabetes mellitus at the hospitals and a Prevalence Ratio value of 23.47.


2021 ◽  
Vol 3 (2) ◽  
pp. 168-171
Author(s):  
Raini Panjaitan ◽  
Reno Irwanto ◽  
Andreais Boffil Cholilullah ◽  
Salmi Angraini

Diabetes mellitus is a chronic disease characterized by hyperlycemia. Risk factors for type 2 diabetes mellitus due to intake of carbohydrates, fats and protein. This study aims to see the relationship between diet in the nutrient status of type 2 diabetes mellitus in out patient in Grandmed Hospital Lubuk Pakam. This research method is an observational description with cross-sectional design. The sample is patients type 2 diabetes mellitus in out patient in Grandmed Hospital Lubuk Pakam. The sample is 30 people. The instruments are Food Recall 24 Hours and analyzed by nutrition app Nutri Survey. The data analysis used in this study was the Chi-Square test (95% CI) From the result of this research showed that 44,6% of patients with excess carbohydrate intake with a p value of 0.000 ≤ α (0,05). this research showed that 49,0% of patients with excess fat intake with a p value of 0.000 ≤ α (0,05). this research showed that 38,0% of patients with excess protein intake with a p value of 0.000 ≤ α (0,05). The conclusion are that there is significant relationship between diet in the nutrient status of type 2 diabetes mellitus in out patient in Grandmed Hospital Lubuk Pakam and type 2 diabetes mellitus in out patient nutrient status characteristics categorized as obesity.  


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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