scholarly journals EVALUATION OF THE ACCURACY OF ANTIDIDIABETIC AGENTS IN PATIENTS WITH DIABETES MELLITUS TYPE II IN THE INPATIENT INSTALLATION OF ONE OF THE PRIVATE AREA HOSPITALS EAST BEKASI 2020

2021 ◽  
Vol 4 (IAHSC) ◽  
pp. 83-90
Author(s):  
Febriana Lulu Safitri ◽  
Wahyu Nuraini Hasmar

Introduction: The selection of appropriate drugs in patients with diabetes mellitus can control the blood sugar levels of a patient. When blood sugar levels can be controlled, then the incidence of complications can be avoided and the numbers of mortality and morbidity in diabetes mellitus will be decreased. The goal of this study is to determine the profile of the use of oral antidiabetic, insulin, or a combination, as well as to assess rationality the use of antidiabetic agents in patients with diabetes mellitus type 2 (DMT2) in the inpatient installation of one of the private hospitals in Bekasi 2020. Method: The research design used was an observational, descriptive, retrospective approach. Data derived from the medical records of DMT2 patients treated as inpatients at a private hospital in Bekasi Timur 2020. Results: Results for profile use of the drug antidiabetic agents most widely used in sequence, i.e., drug combinations of insulin with insulin, oral with oral, and insulin with oral. The evaluation of the accuracy of the use of the drug is set based on four parameters, namely the proper indication of 100%, the right drug of 58,33%, the right of the patient to 100%, and the right dose of 97,62%. Conclusion: It can be concluded that the evaluation of the use of the drug in patients with DMT2 still needs to be done so that the numbers of mortality and morbidity in patients with diabetes mellitus decrease.

2020 ◽  
Vol 3 (4(73)) ◽  
pp. 26-31
Author(s):  
A.T. Ahverdiev ◽  
N.F. Nagiev ◽  
R.Yu. Mamedov

With the purpose to determine the prevalence and significance of the influence of various clinical factors on the glycemic control of patients with diabetes mellitus type II, 118 case histories of a therapeutic hospital were analyzed. Analysis of the documentation included the identification of concomitant diseases and conditions, as well as the use of medicines that could directly or indirectly affect the level of HbA1c detected in the patient's blood. In the first case, the presence of such a pathology or condition was revealed in 35 patients (29.7% of the contingent). Moreover, in the 22s they influenced the direction of false understatement, and in 13, on the contrary, its false overestimation. Acceptance of medicines that had significant potential for falsification of the determined level of HbA1c was observed in 39 patients (33.1% of the examined). The quantitative values of the possible analysis error as a result of such influences are discussed. The need for a more thorough analysis of the upcoming course of medicinal therapy for patients with diabetes mellitus type II, including with the participation of a clinical pharmacist (pharmacologist), is indicated.


2021 ◽  
Vol 1 (2) ◽  
pp. 112-117
Author(s):  
Fahruddin Kurdi ◽  
Zainal Abidin ◽  
Ratna Puji Priyanti ◽  
Anja Hesnia Kholis

Elderly are high risk for the development of type 2 diabetes due to the combined effects of increasing insulin resistance and impaired pancreatic function with aging. Diabetes mellitus is a chronic disease that causes insulin in the pancreas is not effective one of the treatments that can be done by diabetics to reduce blood sugar levels One of them with physical activity, the activity is taichi exercises.The purpose of this study was to investigate the effect of taichi exercises on reducing blood sugar levels in patients with type II diabetes mellitus.The design of this study was pre-experiment one group pre-test and post-test design with a population of 88 patients and a sample of 44 respondents. Research sampling technique used purposive sampling. Data collection with observation sheets. The intervention was carried out four times during 4 weeks. Before the intervention, sugar levels of type II diabetics were classified as moderate as 24 people (54.5%) and high as many as 20 people (45.5%). After the management of taichi exercises sugar levels experienced changes in the categories of good as many as 16 people (36.4%), moderate as many as 20 people (45.5%) and high as many as 8 people (18.2%). Data analized with Wilcoxon Signed Rank test with a significant level α = 0.05, the result ρ-value = 0.001 means ρ-value <α so that there is a significant effect of taichi exercises on decreasing blood sugar levels in patients with type II diabetes mellitus. Blood sugar levels in patients with diabetes mellitus before doing taichi exercises with the number of respondents 44 people mostly experienced changes, evidenced by the level of blood sugar levels from moderate levels to good. Keywords: Elderly, Taichi, Diabetes Mellitus, Blood sugar level


2021 ◽  
Vol 1 ◽  
pp. 1088-1096
Author(s):  
Regina Merdekari Rizki Ananda ◽  
Dafid Arifiyanto

AbstractDiabetes Mellitus is a group of metaboloc disoreders with sysptoms of increased blood sugar levels(hyperglycaemia) which results in damages to insulin secretion, insulin secretion,insulin activity, or both wrong behaviour ina diabetic diet will make blood sugar levels unstable and will have an impact in patients health problems. This study aimed to describe compliance in patients with type 2 diabetes mellitus through a literature review. The method used in the literature review wa to search for articles from 2011-2021 through NCBI searchles and the Garuda Portal. The searching results were obtained in the from of full text and pdf,rhen reviewed by using the strobe instrument,extracted then discussed, and concluded. The results of a literature review of 5 articles showed that there was an effect of dietary compliancr in patients with diabetes mellitus with results. Dietary adherence of diabetes patients was 324 respondents (58%) non-adherence and 235 respondents (42%) obedient in dientary compliance in type 2 diabetes mellitus patients. It can be concluded thet non-adherence diabetic patients can experience unstable blood sugar levels. Nurses should be able to increase the understanding of the importance of dietary compliance for patients with diabetes mellitus.Keywords: Compliance, Diet, Diabetes Mellitus. AbstrakDiabetes melitus merupakan sekumpulan hambatan metabolik dengan gejala peningkatan kadar gula darah (hiperglikemia) yang berdampak kerusakan sekresi insulin,aktivitas insulin, atau keduanya. Perilaku yang salah dalam diet diabetes akan menjadikan kadar gula darah tidak stabil dan akan berdampak pada gangguan kesehatan pada pasien. Penelitian ini bertujuan untuk mengetahui pengaruh kepatuhan diet pada penderita diabetes melitus tipe 2 melalui literatur review. Metode yang digunakan dalam literature review adalah mencari artikel tahun 2011-2021 melalui penelusuran Ncbi dan Portal Garuda. Hasil pencarian yang didapatkan berupa fulltext dan pdf, kemudian direview dengan menggunakan Intrumen strobe, diekstraksi kemudian dibahas dan disimpulkan. Hasil penelitian literature review dari 5 artikel menunjukkan bahwa adanya pengaruh terhadap kepatuhan diet pada pasien diabetes mellitus dengan hasil Kepatuhan diet pasien diabetes 324 responden (58%) tidak patuh dan 235 responden (42%) patuh dalam Kepatuhan Diet Pada Penderita Diabetes Mellitus Tipe 2. Pada penelitian ini didapatkan hasil penderita diabetes tidak patuh menjalani diet sehingga kadar gula darah dalam tubuh tidak stabil. Bagi perawat hendaknya dapat meningkatkan pemahaman tentang kepatuhan guna dapat memperbaiki diet bagi pasien Diabetes mellitus.Kata kunci: Kepatuhan , Diet, dan Diabetes Mellitus.


Author(s):  
Mohammad Javad Zibaee Nezhad ◽  
Kamran Aghasadeghi ◽  
Hossein Hakimi ◽  
Hassan Yarmohammadi ◽  
Farzad Nikaein

2018 ◽  
Vol 25 (1) ◽  
pp. 33
Author(s):  
Nurhayati Muslimin ◽  
Lydia Fanny ◽  
Manjilala Manjilala

Diabetes Mellitus (DM) is a collection of symptoms that arise in someone who has increased blood sugar levels (Glucose) due to lack of insulin hormone. The content in purple and tempe sweet potatoes has high amylose fiber content, and low IG improves insulin sensitivity, decreases glucose uptake rate, and is useful in controlling blood glucose so as to reduce the risk of complications in people with diabetes mellitus type 2 .This study aims to determine the effect of pastry cake flour sweet potato purple and tempe powder to blood sugar levels in patients with diabetes mellitus Type 2 in dr. Tajuddin Chalid Makassar.This study is an analytical study with Pre-Experiments by looking at blood glucose levels in the subjects who suffer from diabetes mellitus type 2 with the number of samples senbanyak 12 respondents. The result of data analysis of the effect of sweet potato pie cake and tempe powder to Diabetes Mellitus Type 2 patients was analyzed using SPSS with Wilcoxon test. The presentation of data is presented in tabular and narrative form.The results show Asymp.Sig (2-tailed) is 0.005. Because Asymp.Sig (2-tailed) is worth 0.005 which means There is effect of cake pastry sweet potato purple powder and tempe powder to blood sugar while in patient of Diabetes Mellitus Type 2 in dr. Tadjuddin Chalid Makassar.It is advisable to control blood sugar regularly at least once a month, physical exercise such as doing regular physical activity at least 3 times a week, and multiply the activities at home. Should counseling about Diabetes Mellitus type 2 Related to the recommended foodstuffs and is not recommended for people with Diabetes Mellitus (DM) type 2.


Author(s):  
Fatkurochman Fatkurochman ◽  
Aghnaa Gayatri

Patient Mrs. L, a 62 y.o woman, private job, Javanese, address Kalikangkung Village RT/RW 03/06, Pangkah Subdistrict, Tegal Regency came to the Nusa Penida I Puskesmas to check blood sugar levels due to dentist referral with a molar tooth abscess 1 above right. The patient's right cheek is swollen for 2 days, pain when chewing and radiating to the right ear. Pulsating pain in the right upper jaw. The patient feels a foul smell coming from the oral cavity. The patient feels fever and headache. The maxillary teeth are sensitive to cold or heat for 2 weeks when eating hot or cold foods feels like the pain is electrocuted to the right temple. Previously the patient had never checked his blood sugar level.


2020 ◽  
Vol 1 (1) ◽  
pp. 54
Author(s):  
Nunung Sri Mulyani

Background: Wasting is nutritional status in school children. In the community it is known as thin nutrition which is an important public health problem because it has a big impact. Thin nutrition can increase the risk of illness and death in children Diabetes Mellitus is a disorder of carbohydrate metabolism caused by a deficiency of insulin released by the pancreas gland both relative and absolute. In addressing the prevalence of Diabetes Mellitus in the Regional General Hospital dr. Zainoel Abidin Banda Aceh held nutritional consultations in outpatients and inpatients aimed at making changes to the knowledge, attitudes, and behavior of patients' eating patterns. In Aceh, in 2016 the number of Diabetes Mellitus patients was 29% and increased in 2017 by was 30%.Objectives: To determine the effect of nutritional consultation on carbohydrate intake and blood sugar levels in Type II Diabetes Mellitus patients.Methods: This type of research is descriptive analytic, sampling is done by purposive sampling and obtained 30 samples. This research was conducted in June 2017 at in Endocrine Polyclinic of RSUZA hospital Banda Aceh. The data taken are primary and secondary data. Data collection by interview using a questionnaire, food recall with interview techniques and examination of blood sugar levels before and after consultation. Data analysis uses T-Dependent Test (Paired Sample T-Test) with SPSS.Results: The results showed that there were significant differences in carbohydrate intake between before and after nutrition consultations were given in patients of Diabetes Mellitus Type II with a p-value= 0.001. Blood sugar level also shows the difference between after being given a nutrition consultation with a value of p-value= 0.000 in patients  of Diabetes Mellitus Type II in the in Endocrine Clinic of RSUZA hospital, Banda Aceh.Conclusion: Nutrition consultation has a significant effect on carbohydrate reduction and blood sugar levels in patients with Diabetes Mellitus Type II in the Endocrine Polyclinic of RSUZA Banda Aceh. Keywords


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