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The aim of this inquiry is to excavate a profound comprehension concerning the quest for a polygamy license, by delving into the judicial decree regarding the rationale of the Surabaya Religious Tribunal in bestowing such a license, scrutinizing and dissecting the juridical and communal dimensions of ruling number 1751/Pdt.G/2024/PA. Sby. Here, the Seeker sought approval for polygamy against the Opponent due to the Opponent’s incapacity to satisfy the Seeker’s carnal desires, attributed to the presence of diabetes. The quandaries investigated pertain to the statutes and stipulations governing polygamy petitions and the Jurist’s rationale in adjudicating the polygamy license request. This investigation employs a normative jurisprudence technique, drawing upon an examination of texts, and adopts a legislative framework in its approach. The findings of this examination indicate that the Panel of Jurists factors in both legal and compassionate facets in its deliberations.

Background: Diabetes mellitus is a metabolic disorder that causes an increase in blood glucose levels and can trigger chronic complications in various organs. Diabetic foot exercises are an exercise method carried out by diabetes mellitus sufferers to improve foot health. Goal: foot exercises for DM sufferers are to improve blood circulation, especially in the foot area, apart from strengthening the muscles and small nerves in the feet and preventing complications of diabetic feet, such as blood vessel disorders, open wounds. Method: The method for implementing health education is in the form of pre and post tests, then presentation of material using leaflets as well as demonstrations of foot exercises to prevent diabetes mellitus wounds. By delivering it via leaflets and demonstrations, it is hoped that the entire audience can understand and convey it well. Conclusion: Of the 15 audience members present, all of them understood the education about diabetes mellitus foot exercises which can increase knowledge in preventing foot wounds in diabetes sufferers.

The enzyme α-amylase is one of the enzymes that plays a role in the process of degrading starch into maltose and glucose. Organic compounds such as polyphenols and flavonoids are inhibitors of α-amylase. The star fruit plant (Averrhoa bilimbi L.) has α-amylase enzyme inhibition activity and has the potential to be used in the therapy of type 2 diabetes mellitus. This study aims to determine whether ethanol extract and the fraction of star fruit (Averrhoa bilimbi L.) have α-amylase enzyme inhibition activity, inhibition against α-amylase enzyme and better inhibition activity. The test of α-amylase enzyme inhibition activity was carried out using 3 test groups, namely negative control, positive control (acarbose) and samples (ethanol extract and star fruit fraction) with concentrations of 12.5 ppm, 25 ppm, 50 ppm, 100 ppm and 200 ppm. The results of testing the inhibitory activity of α-amylase enzyme of ethanol extract and the fraction of star fruit (Averrhoa bilimbi L.) obtained IC50 values of 5.581 μg/mL, 76.725 μg/mL, 43.152 μg/mL and 55.447 μg/mL, respectively. Based on these results, it can be concluded that the ethanol extract of star fruit (Averrhoa bilimbi L.) at a concentration of 200 ppm has a very strong activity in inhibiting the α-amylase enzyme with an inhibition percentage of 85.217% and an IC50 value of 5.581 μg/mL.

Background; The number of people with diabetes mellitus in the Sukoharjo Regency area is 17,184, while the number of people with diabetes mellitus in Kartasura District is 2142. Blood sugar levels are affected by diet, activity patterns, and medication adherence. Diabetic foot exercises are one of the efforts to lower blood sugar levels. When exercising, the muscles contract and relax. Sugar will be burned and converted into energy, so blood sugar will drop. The objectives of research; To find out the results of the implementation of diabetic foot exercises on the reduction of blood sugar levels in patients with diabetes mellitus. Method; This type of research is a case study that uses a descriptive research method. Foot exercises are done for 3 consecutive days, done once a day for 20 minutes. Result: The results of blood sugar levels before diabetic foot exercises were carried out in Mrs. F were 221 mg/dl and in Mrs. R were 158 mg/dl. The results of blood sugar levels after diabetic foot exercises were 175 mg/dl for Mrs. F and 138 mg/dl for Mrs. R. Summary: Foot exercises done for three days in a row can lower blood sugar levels.

Diabetes is one of the non-communicable diseases that is considered dangerous due to its susceptibility to complications. This disease is caused by high blood sugar levels in a person's body, which makes the blood more alkaline and slows down the metabolic process. In this study, we observed 8 variables that are considered influential in diabetes and will build a regression model that can predict the response variable (y) through Logistic Regression Analysis. Logistic Regression Analysis is a statistical analysis method used to describe the relationship between a dependent variable with two or more categories and one or more independent variables that are categorical or continuous. Based on the results, the logistic regression model for factors influencing diabetes in the Indian Pima tribe includes variables such as number of pregnancies, glucose level, blood pressure, body mass index, and diabetes pedigree function

Indonesia still faces big challenges in developing public health. Changing people's lifestyles are one of the reasons for the shift in patterns from infectious diseases to non-communicable diseases (epidemiological transition). One of the non-communicable diseases that occupies the fourth position as the cause of death is diabetes mellitus, which was recorded as contributing 1.5 million cases in 2019 (Sarifah & Siyam, 2023). The signs and symptoms in diabetes mellitus patients are high blood sugar levels. The purpose of this writing is to find out and provide family nursing care to Mrs. S Family Mr. N With Endocrine System Disorders: Diabetes Mellitus in Bonjot Hamlet, Kalibuntu Village, RT 02 RW 04, Losari District, Brebes Regency, in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that Mrs. S complains of frequent urination. There were two diagnoses found, namely knowledge deficit and instability of blood glucose levels. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

Diabetes Mellitus is a metabolic disease that has hyperglycemia caused by abnormalities in insulin secretion, insulin performance, or both. DM will cause several complications, one of which is sensory neuropathy or damage to sensory nerve fibers which causes DM patients to experience decreased foot sensitivity. The number of DM sufferers at the Sangkrah Health Center in 2022 was 2,404 cases. To describe the results of the implementation before and after the application of diabetic foot exercises on foot sensitivity in patients with diabetes mellitus. This study used a descriptive design by observing foot sensitivity in 2 respondents, carried out in the morning for 1 week with 2 meetings each meeting 15 minutes. The instruments used were observation sheets, monofilament test tools, and newspapers. There was an increase in foot sensitivity scores after diabetic foot exercises were carried out for 2 days in 1 week each meeting 15 minutes to both respondents. The application of diabetic foot exercises can be useful for increasing foot sensitivity in both respondents with diabetes mellitus.

Diabetes mellitus is a chronic disease of insulin metabolism which is characterized by glucose levels exceeding normal values.  Diabetic ulcers are one of the causes of the risk of infection if not treated properly and correctly.  Factors that cause diabetic ulcers are poor blood circulation, age, gender, lack of physical activity, and an increase in diabetes mellitus. This application aims to determine the effect of foot exercises on the risk level of diabetic ulcers in people with diabetes mellitus. Descriptive by conducting an application to 2 respondents 3 times in 1 week with an interval of 2 days.  Respondents measured the highest systolic blood pressure between the right and left brachials and the right and left ankles which was then divided to obtain the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises. After implementing it 3 times, the result was that the ABI value for both respondents increased, namely by the difference between Mrs.  Sa 0.25 mmHg and Mrs.  Si 0.30 mmHg. It was found that there was an increase in the Ankle Brachial Index (ABI) value before and after carrying out diabetic foot exercises in both respondents.

Bay leaves are one of the toga plants (family medicinal plants) which can be used to stop excessive defecation. Apart from that, bay leaves can also be used to treat gout, stroke, high cholesterol, improve blood circulation, stomach inflammation, itching and diabetes. Therefore, there is a need for education in the form of counseling regarding the use of bay leaves and how to process them as herbal medicine to help cure diseases. Kaffir lime is a natural ingredient in various food and beverage products in Indonesia and other Asian countries. Kaffir lime plants contain compounds including essential oils which are also rich in benefits such as antioxidants, antimicrobials, antileuchemicals, antitussives, insecticides, illaricides and phenolic compounds such as flavonoids, flavanones, flavones, flavonols and glycerolipids which according to research function as a source of antioxidants, anti-inflammatory , antiviral, anti-allergic, and anti-carcinogenic, anti-aging for the human body. The planting of kitchen spices in the form of bay plants and orange leaves is grown using organic and environmentally friendly materials.

The epidemiological transition from infectious diseases to non-communicable diseases is expected to occur massively in 2030, both at the regional, national, and global levels. It is estimated that the number of deaths due to non-communicable diseases and accidents will increase. According to the World Health Organization (WHO), non-communicable diseases include hypertension, diabetes, coronary heart disease and other chronic diseases (Putri et al., 2023). In 2021, in Brebes Regency, there were 666,732 cases of hypertension in the population aged 15 years and over. Around 257,361 hypertension sufferers have visited health services (Fadriana & Wilis, 2023).

Background:Data obtained from Central Java, on average 40% of DM patients from those aged 40-69 suffer from DM, people who suffer from DM on average have feelings of anxiety about their disease. Anxiety is a vague feeling of restlessness due to discomfort or fear accompanied by a response that causes the individual to be unspecific or unknown. One way to treat anxiety is five finger hypnosis therapy. Objective: To describe the results of applying five finger hypnosis to the health of diabetes mellitus patients. Method: This study method uses the HARS (Hamilton Anxiety Rating Scale) Method: According to the HARS scale, there are 14 symptoms that appear in individuals who experience anxiety. Each item observed is given 5 levels of score (Likert scale) between 0 (Zero Present) to 4 (severe). Results: After performing hypnosis on Mrs. E and Mrs. R, which initially had a score of 27, became 20 and a score of 25 became 18. Conclusion: The application of five finger hypnosis therapy can reduce anxiety in Diabetes Millitus patients.

Diabetic ulcers is a complication of diabetes mellitus resulting from autonomic neuropathy and/or vascular disorders of the limbs. One of the diabetic ulcer treatment techniques is using aloe vera gel contains anti-bacterial, anti-inflammatory and can repair tissue damage of diabetic ulcers.. To determine changes after applying aloe vera gel to diabetic ulcer wound healing. This research uses descriptive case studies by observing nursing care for diabetic ulcer patients using aloe vera gel at the Boyolali with an application 3x and application is carried out every 2 days using the Bates-Jensen Wound Assessment Tool. Results: The results of the assessment score before application in respondent 1 score 24 points with categories wound regeneration and respondent 2 score 30 points with categories wound regeneration. After application with aloe vera gel the score on respondent 1 was 14 points with categories wound regeneration while on respondent 2 was 11 points with categories Tissue Health. The application of aloe vera gel can be used as an effective nonpharmacological method for diabetic ulcer wound.

Diabetes Mellitus (DM) is a chronic metabolic disease that often occurs in the elderly, characterized by hyperglycemia due to impaired insulin secretion or action. This research focuses on family nursing care for Mr. A, a DM sufferer, in Kalibuntu Village, Losari District, Brebes Regency. Based on data, the prevalence of diabetes in Indonesia is very high, with Indonesia ranking third in Southeast Asia. In Brebes Regency, the prevalence of DM is also significant, requiring special attention in management. The Friedman model is used in family nursing care, which emphasizes the role of the family in supporting the patient's health management. The care process includes assessment, diagnosis, planning, implementation, and evaluation. The assessment is carried out by collecting family data using clear and simple language. Nursing diagnoses are established based on data analysis, while nursing interventions are designed to meet the patient's specific needs. Implementation is carried out by carrying out the plans that have been prepared, followed by ongoing evaluation to assess the effectiveness of the intervention and make necessary adjustments. Management of DM in Mr. A involves five main pillars: education, meal planning, physical exercise, pharmacological interventions, and blood sugar checks. A positive attitude towards treatment plays an important role in achieving good glucose control and improving quality of life. These findings emphasize the importance of family involvement in DM care to ensure effective and sustainable management.

Non -communicable disease (PTM) is one of the increasing health problems in society every year and contributes to the largest proportion of death worldwide. According to a global status report on non -communicable diseases, non -communicable diseases can occur due to lack of exercise, smoking and malnutrition, which causes increased blood pressure, increased blood sugar levels and increased blood lipids. If not prevented, this increase will get worse and lead to chronic diseases such as hypertension, diabetes, cholesterol, dysplidemia, gout arthritis and obesity. The World Health Organization (WHO) reports that 40 million people worldwide suffer from non -communicable diseases, with the cause of cardiovascular disease, diabetes and injuries to be the main cause (Syam'ani, 2023).      

Diabetes Mellitus (DM) is a long-term metabolic disorder caused by the body's insulin hormone which cannot be used properly to regulate blood sugar balance, resulting in hyperglycemia (Zakiudin et al., 2023). There are two factors that can affect a person's glucose levels, the first is endogenous factors such as insulin, glucagon, and cortisol which act as receptor systems in liver and muscle cells. The second factor is the amount and type of food consumed, which is an exogenous factor. Blood glucose levels are also influenced by a person's character (gender, family history of diabetes, and age), dietary factors (high energy, high carbohydrates, high fat, high protein, and low fiber), lack of physical activity, nutritional status, hypertension and knowledge about nutrition (Viera Valencia & Garcia Giraldo, 2019).

. Pharmacogenomics, the science that combines genetics with pharmacology, plays a vital role in determining the optimal dosage of drugs for patients, especially those with chronic diseases. In Indonesia, the use of pharmacogenomic approaches is still limited even though the genetically diverse population requires more personalized dosage adjustments. This study aims to analyze the effect of genetic variation on drug response in patients with chronic diseases, such as diabetes, hypertension, and cardiovascular disease, in Indonesia. By collecting and analyzing genetic data and patient clinical data, this study will identify genetic biomarkers associated with drug metabolism and therapeutic effectiveness. The results of this study are expected to provide guidance for more accurate and personalized drug dosage determination, which will ultimately improve therapeutic outcomes and reduce the risk of side effects. This study is also expected to encourage wider adoption of pharmacogenomic approaches in clinical practice in Indonesia, as part of the effort towards more personalized and effective medicine.

The development of time has changed the types of diseases from infectious to non-communicable or degenerative such as asthma, cancer, stroke, chronic kidney disease, diabetes, and hypertension that are influenced by lifestyle, nutrition, and physical activity. Insulin resistance or lack of pancreas triggers diabetes mellitus, causing hyperglycemia that damages the nervous system and blood vessels. International Diabetes Federation predictions show an increase in diabetes mellitus cases worldwide, including in Central Java, which ranks second only to hypertension. Diabetes mellitus can be identified through blood glucose monitoring and symptoms include hunger, thirst, and frequent urination. Risk factors for diabetes include age, genetics, obesity, inactivity, hypertension, dyslipidemia, and poor nutrition. Prevention and management of diabetes can be done through family care that involves educators, counselors, and collaborators to help families manage the disease well. This study examines the nursing care of Mr. K's family. K with endocrine system disorders Diabetes Militus in Kalibuntu Village, Losari District, Brebes Regency, with the results of the patient's lack of understanding about diabetes and rarely doing exercise.

The incidence of type 1 diabetes mellitus mostly occurs in children and adolescents has increased significantly every year, especially in developed countries in Western Europe which continue to experience the highest increase. The purpose of this study was to analyze the risk factors for type 1 diabetes in children and adolescents in developed countries in Western Europe. This type of research is a systematic literature review. The literature search strategy as a source of information was carried out by accessing electronic databases online, namely Science Direct, PubMed, and Google Scholar. Article quality assessment using Critical Appraisal Skill Programme (CASP). The results showed that out of 10 (2014-2024), conducted in the United Kingdom (n=1), Sweden (n=1), Germany (n=1), England (n=2), Denmark (n=3), Norway (n=1) and conducted in Norway and Denmark (n=1). Of the 10 articles, 5 out of 10 articles examined BMI on the development of type 1 diabetes in children and adolescents. The results of this systematic review found that age, gender, race, family history of diabetes, socioeconomic, BMI, nutritional intake in mothers and children, physical activity, infection and smoking will increase the risk of type 1 diabetes mellitus in children and adolescents in developed countries in Western Europe.  

Diabetes Mellitus sufferers continue to increase. The percentage of patients with type 2 DM in Surakarta city is 24%, this figure exceeds the national target of 20%, with the number of patients in Surakarta as many as 18,833 cases, in Banyuanyar Health Center as many as 2,404. Type 2 DM disease that is not properly managed will lead to complications. Efforts that can be made to prevent these complications by increasing self efficacy in its management.Objective; Knowing the description of self efficacy in patients with type 2 diabetes mellitus. Method; The type of research used is descriptive research, with a total of 86 respondents using purposive sampling technique. The research instrument used the Diabetes Management Self Efficacy Scale (DMSES).Results; From the results of the study, the majority of respondents' characteristics were based on age 40-64 years (74.4%), female gender (65.1%), high school education level (37.2%), self-employed work (43.0%), long suffering from DM ≥5 years (57.0%) and sufficient self efficacy category (41.9%). Conclusion; Self efficacy of patients with Type 2 Diabetes Mellitus in the Banyuanyar Health Center working area is in the moderate category    

Wrong eating patterns in Diabetes Mellitus (DM) sufferers will cause blood sugar levels increases, so dietary factors or planning eating is very important in control blood sugar levels. Good diet​​ become component main success DM management. The purpose of study This is For know control blood sugar levels with diet in diabetes mellitus sufferers through literature study. Search journal using Google database schoolar, pubmed , conchrance and springer ago produced 3 journals For followed up. Journal analyzed using appropriate PRISMA diagrams with inclusion criteria used​ that is journal use Language English and Indonesian, using design RCT research, and published between January 2018 to June 2024 about control blood sugar levels with diet in diabetes mellitus sufferers. Proven diet capable lowering blood sugar in diabetes mellitus sufferers.