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Background: Diabetes mellitus is a chronic disease that can cause complications in the form of peripheral vascular disease. According to data from the World Health Organization (WHO) in 2022, around 422 million people in the world suffer from DM. The prevalence of DM sufferers in 2023 will reach 3,579 cases. Type 1 DM cases reached 2,541 cases, Type 2 DM cases reached 1,038 cases. One non-pharmacological therapy is the Buerger Allen Exercise (BAE). Objective: To describe the results of the comparison of Ankle Brachial Index (ABI) values ​​before and after implementing BAE in Type II Diabetes Mellitus. Method: This research design uses a case study method, a descriptive research method and observing events that have occurred by observing the ABI values ​​for 2 respondents. 1 time in 6 consecutive days for 15 minutes. The instruments used in this research were a 45° angle meter made of plywood, chairs, blankets, stopwatch, sphygmomanometer, SOP sheet, observation sheet to record developments. Conclusion: The application of BAE could potentially increase the ABI value in Diabetes Mellitus in both respondents.

Diabetes mellitus, which is a non-communicable disease, can be prevented by utilizing the power of prevention. Diabetes mellitus prevention behavior includes various aspects such as healthy eating patterns, sufficient physical activity, and regular health checks. It is important for the public to understand the risk factors for diabetes mellitus in order to improve prevention and early detection efforts in at-risk community groups. The aim of this research is to analyze the relationship between factors that influence diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. This research uses quantitative methods using observational analytics and a cross-sectional approach. The population in this research is the people of Mlagiarjo Village aged 20-79 years. The research sample was 197 respondents. This research was analyzed using univariate tests and bivariate tests. The results of the research showed that there was a relationship between knowledge, diet, physical activity, family history, family support, support from health workers, and access to health services (P-value = 0.024) with diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. . However, there is no relationship between attitudes and diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. It is important for health workers to provide education regarding diabetes mellitus prevention behavior to the public.

Diabetes Mellitus (DM) or what is commonly called diabetes is a chronic metabolic disorder caused by the insulin hormone in the body which cannot be used effectively to regulate blood sugar balance, thereby increasing the concentration of sugar levels in the blood. The aim of this community service is to increase community knowledge regarding diabetes mellitus. The benefits of community service activities are providing education about diabetes. The location of the community service activities is at BTN Bukit Permai in the Kerka Community Health Center Unit 1 Sumbawa area. This community service activity has been carried out well involving public health students and nursing students, in carrying out outreach activities to the community with the title "Productive Healthy Living Free of Diabetes with Health Education about Diabetes Mellitus in the Pkm Unit 1 Sumbawa Working Area" on Saturday 29 June 2024

Diabetes mellitus is a degenerative disease characterized by high blood sugar levels caused by impaired insulin secretion in the body. The main chronic complications in diabetes mellitus sufferers are macrovascular, microvascular and neuropathy. One of the consequences of peripheral neuropathy is ulcers. To prevent trauma to the feet or ulcers, you can provide foot care. This research aims to develop the application of foot care that contains the risk of ulcers in diabetes mellitus sufferers in Sukarami Village. This research uses qualitative research with a case study approach. There were 3 respondents who suffered from diabetes mellitus with inclusion and exclusion criteria. This research was carried out by providing foot care interventions carried out for 4 consecutive days in diabetes mellitus sufferers. The results of implementing EBP showed that there was an improvement in the condition of the respondents' feet. It is hoped that the results of this research will increase independent foot care behavior to prevent the risk of ulcers.

Background: Type 2 diabetes mellitus is a type of metabolic disorder characterized by hyperglycemia which leads to serious complications. One physical activity that can be applied is progressive muscle relaxation, which focuses on sequentially tightening and relaxing muscle groups resulting in controlled blood glucose levels so that holistic treatment is needed. Objective: To determine the results of the application of Progressive Muscle Relaxation (PMR) to reduce blood glucose levels in people with type 2 diabetes mellitus at RSUD Dr. Moewardi Surakarta. Method: This research is a type of qualitative descriptive research with a case study approach (Case Study). The design for this application was a control group design which was applied to 1 respondent with Diabetes Mellitus Type 2. Results: Based on the results of this application, it was found that blood glucose levels decreased after Progressive Muscle Relaxation was carried out, which was indicated by the number of high glucose levels decreasing. Comparison before and after applying Progressive Muscle Relaxation, before being given the application of PMR high blood sugar levels were 415 mg/dl and after being given the application of PMR 2 times a day (morning and evening) for 3 consecutive days normal blood sugar levels were 173 mg/dl etc. Conclusion: Blood sugar levels before the application were given were high and after the application was given the patient's blood sugar levels were normal.

The incidence of diabetes continues to increase worldwide. The state of hyperglycemia during pregnancy can trigger oxidative stress which can result in hypoxic conditions in the tissues characterized by an increase in HIF-1α. Basil which contains antioxidants is expected to reduce the expression of HIF-1α. This study aims to determine the effect of the administration of basil on the expression of HIF-1α in gestational diabetes mellitus model rats. To determine the effect of the administration of basil extract (Ocimum basilicum) on the expression of HIF-1α in gestational diabetes mellitus model rats. This research is experimental research conducted using the post test only control group design method. The research sample used biological material stored from rat RNA that had been induced by streptozotocin 40 mg/kgBB as an animal model of DMG in humans stored in the Biomedical Lab, FK Unand. The results of this study indicate the effect of the administration of basil extract (Ocimum basilicum) on the expression of HIF-1α in gestational diabetes mellitus model rats. Researchers used conventional PCR tools and still manually used ImageJ to look for HIF-1α expression values from electrophoresis results, so the possibility of bias still exists.

The most common health problem suffered by the elderly is hypertension. In Indonesia, hypertension is in first place with the most problems experienced by the elderly, followed by arthritis, diabetes mellitus, heart disease and stroke. One non-pharmacological treatment that can be done is consuming Ambon bananas twice a day for 7 days. Objective: This research is to determine the effect of Ambon bananas on reducing blood pressure in elderly people with hypertension in the Tebing Tanjung Balai Karimun health center working area. This research design uses a Group Experimental with a Quasy Experiment design using a One Group Pretest and Posttest Design. The respondents in this study were 30 respondents divided into 15 intervention groups and 15 control groups. The sampling technique used was purposive sampling. Results: statistical paired sample t test showed p value = 0.000 (< 0.05) so Ho was rejected. This shows that there is an influence of consumption of Ambon bananas on reducing blood pressure in the intervention group. Conclusion: with this research, consumption of Ambon bananas can be used as a non-pharmacological therapy to lower blood pressure. Suggestion: Respondents should always apply non-pharmacological walking exercises to control blood pressure.

Hyperglycemia is the main characteristic of diabetes mellitus (DM) disease characterized by an increase in blood sugar levels above the normal threshold (200 mg/dL) which can be caused by relative or absolute insulin deficiency, or by cellular resistance to insulin action. Hyperglycemia is one of the metabolic disorders with a high risk of hospitalization and disability, especially in patients with diabetes mellitus with an increasing prevalence. To provide an overview of the implementation of health education through leafleat media to improve the stability of blood glucose levels in patients with diabetes mellitus at the GPM Ambon Source of Life Hospital. Subject Research Patient was Mrs. R in the Atalia Room of Sumber Hidup Hospital on May 16-17, 2022. The research found that Mrs. R did not understand several things about the stability of blood glucose levels. The nursing diagnosis raised in the patient is the risk of blood glucose instability. Nursing action is to provide health education about the lack of exposure to information about Hyperglycemia, Mrs. R can understand the stability of blood glucose levels. Based on the results of research conducted in the Atalia room at the GPM Ambon Living Source Hospital on May 16-17, 2024 in patient "Mrs.R" with DM, it can be concluded that providing health education using Leaflet media in overcoming the lack of exposure to information regarding Hyperglycemia in Diabetes Militus patients is very important.

Cancer is a non-communicable disease characterized by the presence of abnormal cells/tissues that are malignant, grow quickly and uncontrollably and can spread to other places in the patient's body. Cancer cells are malignant and can invade and damage the function of the tissue. Digestive cancer, also called gastrointestinal cancer, attacks the organs of the digestive system. Digestive cancer also includes gastrointestinal cancer, liver cancer, stomach cancer, colorectal cancer, and pancreatic cancer. Risk factors for digestive cancers are varied because many different organs can be affected. Some factors that contribute to cancer throughout the digestive system include age, heavy drinking (alcohol), smoking, and diabetes sufferers. This type of liver cancer is cancer that grows in liver cells. Liver cancer is a type of cancer that ranks second as the cancer that causes the most deaths in the world. Gastric cancer is a group of malignant diseases that have multifactorial causes, namely genetic, lifestyle and environmental factors. The symptoms caused by stomach cancer are initially not as typical as the symptoms of general digestive complaints. The diagnosis of colorectal cancer can be carried out in stages, including through an appropriate history, physical examination, and supporting examinations in the form of laboratory examinations, both from clinical laboratories and anatomical pathology laboratories. The etiology of colorectal cancer is currently still unknown. Symptoms of colorectal cancer are varied and non-specific. The main complaints of patients with colorectal cancer relate to the size and location of the tumor. Tumors in the right colon, where the contents of the colon are fluid, tend to remain hidden until they are very advanced.

Fatty liver is a medical condition in which fat builds up in liver cells, which can develop into steatohepatitis, fibrosis, cirrhosis and liver cancer if not treated properly. Fatty liver in the elderly causes an increased risk of serious complications due to the high prevalence of metabolic risk factors such as hypertension, diabetes, hyperlipidemia and obesity which are more common in the elderly. The importance of education and understanding risk factors so that the elderly community can adopt a healthy lifestyle is the main focus of this community service activity. Through the Plan-Do-Check-Act (PDCA) method, initial assessment, education, implementation of healthy eating and exercise patterns, and evaluation of the effectiveness of the intervention are carried out. The results showed that the majority of elderly people had cholesterol levels and liver function within normal limits, although 9.7% had hypercholesterolemia and 43% had SGOT levels that were not optimal. Continuous education and support are key in preventing and managing fatty liver and dyslipidemia in the elderly, thereby improving their quality of life.

Abstract: Obesity is a global epidemic and a significant public health problem. In the elderly population, obesity is defined as a BMI ≥ 25 kg/m². In the United States, the prevalence of obesity among the elderly is 37.1% in men and 33.6% in women over the age of 60. Obesity increases the risk of chronic diseases such as type 2 diabetes, hypertension and cardiovascular disease, and can cause psychological problems such as sleep disorders and lack of self-confidence. Accurate obesity risk assessment involves measuring Body Mass Index (BMI) and waist circumference. This activity uses the Plan-Do-Check-Act (PDCA) methodology to screen for obesity in the elderly at Hana Nursing Home, South Tangerang. The screening includes anthropometric measurements of BMI and waist circumference, followed by evaluation and nutritional counseling for at-risk individuals. 9 people (14.75%) had overweight nutritional status, 3 people (4.92%) had obese nutritional status, and 35 people (57.38%) were at risk of central obesity. Routine anthropometric measurements are critical for monitoring obesity and implementing preventive measures to improve overall health outcomes, improve quality of life, and reduce obesity-related morbidity and mortality rates. Keywords: Obesity, Central Obesity, Elderly, Body Mass Index, Waist Circumference

Chronic diseases in humans are very difficult to detect visually, for example glaucoma, hypertension, diabetes, and others. So it takes a lot of time for further medical examination by visiting a health center or hospital. Therefore, this research aims to find a solution combining medical and computer science to classify quickly and precisely. Classifying eye images requires good features and characteristics so that disease images can be classified. This research uses the Deep Learning method, namely Convolutional Neural Network with MobileNet-V3 architecture which can extract features from large resolution images very well. This research resulted in accurate classification of images of chronic diseases Normal, Diabetes, Glucoma, Cataract, Age related macular degeneration, Hypertension, Pathalogical Myopia. uses the MobileNet-V3 architecture, with transfer learning reaching 81%, and loss only 0.4913.

Temporary blood sugar is the level of glucose in the blood that measured without considering the time of the last meal, and often used to detect diabetes mellitus or impaired glucose tolerance. This community service activity aims to describe the distribution of blood sugar levels in 68 men and women of productive age at  Kalam Kudus II High School, Jakarta. This community service activity is carried out using the Plan-Do-Check-Action method. The results showed that the majority of respondents had normal fasting blood sugar levels (97.1%), with an average of 113.26 mg/dL and a median of 104 mg/dL. Lifestyle factors, nutrition, genetics, and chronic medical conditions can affect blood sugar levels at any time. Regular monitoring of blood sugar levels is essential for early detection and management of diabetes mellitus, which can prevent serious complications such as cardiovascular disease and nephropathy. Prevention strategies include a healthy diet, physical activity, patient education, and appropriate medical interventions. Comprehensive public health programs are needed to increase awareness and management of diabetes, as well as improve the quality of life of individuals affected by this disease.

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.

This study aims to explore the role of nutrition in disease prevention and identify the factors influencing the nutritional status of the population in Indonesia. Using a qualitative descriptive approach, this research analyzes scientific literature and secondary data from official sources such as the Central Statistics Agency (BPS) and the Indonesian Ministry of Health. The analysis results indicate that macro and micronutrients, such as complex carbohydrates, plant-based proteins, healthy fats, and vitamins and minerals, play a significant role in reducing the risk of chronic diseases such as type 2 diabetes, heart disease, and cancer. The Mediterranean diet and plant-based eating patterns have proven effective in improving health and preventing disease. However, Indonesia faces complex nutritional challenges, including a high prevalence of stunting in children and rising obesity rates in adults. Stunting is primarily caused by limited access to nutritious food and lack of nutritional knowledge, while obesity is associated with high-calorie diets and low physical activity. This study suggests increasing nutrition education, access to nutritious food, and promoting healthy lifestyles as essential steps to address nutritional problems in Indonesia and improve the overall quality of life.  

Diabetes mellitus (DM) is a disorder of carbohydrate, protein and fat metabolism characterized by hyperglycemia or increased blood glucose levels that occur as a result of abnormal insulin secretion or decreased insulin action (Buraerah, 2015). The DM management includes 4 main pillars, one of which is physical exercise. Physical exercise is one of the pillars in the management of DM which functions to improve insulin sensitivity and also to maintain a healthy body (Mala, 2018). However, when sufferers don’t go through this management, this is where the role of the family is as a support (Waspadji, 2014). To find out the description of family knowledge about physical exercise in diabetes mellitus patients at the Juwana Pati Healty Center. The type of research used is quantitative research using descriptive studies. The number of samples in this study were 55 respondents with a total sampling technique. The results showed that the family's knowledge of physical exercise in patients with diabetes mellitus was mostly female, 35 respondents (63.6%), housewife job level was 28 respondents (50.9%), high school education level was 16 respondents (29, 1%), the level of moderate physical exercise is 26 respondents (47.3), the level of sufficient family knowledge is 19 respondents (34.5%), and vulnerable aged 47-57 years as many as 22 respondents (40.0%). That most of the family's knowledge about physical exercise in patients with diabetes mellitus has sufficient knowledge as many as 19 respondents (34.5%).

Diabetic ulcers are one of the chronic wounds resulting from the chronic complications of diabetes mellitus. Patients with diabetes mellitus are at risk of developing diabetic foot ulcers due to their vulnerability to nerve damage (neuropathy) and peripheral vascular disease in the lower limbs. In this case, a 68-year-old male presented with a non-healing ulcer on his right foot that has been progressively enlarging for the past month. The patient reported that the ulcer is currently pus-filled and wet. Previously, he often experienced numbness and tingling. The patient has been irregular in taking his diabetes medication. The wound has continued to enlarge, severely affecting the patient's foot. Prior to his departure to Madinah, he was hospitalized in Indonesia and underwent debridement for the ulcer. Non-adherence to diabetes treatment is a major cause of complications such as diabetic foot ulcers. Maintaining blood glucose levels as close to normal as possible is crucial for improving various hyperglycemia-related factors that can impede wound healing. In addition to providing pharmacotherapy and non-pharmacotherapy, doctors play a vital role in educating patients and their families about the disease. Doctors emphasize the importance of adhering to prescribed treatments, regularly monitoring blood glucose levels to keep them under control, and providing guidance on proper wound care.  

A complication of diabetes that has been going on for a long time and spreads to the bones is called Diabetic Foot Osteomyelitis (DFO). The condition Diabetic Foot Osteomyelitis is associated with advanced peripheral neuropathy accompanied by peripheral arterial disease and foot deformity. The most serious complication of Diabetic Foot Osteomyelitis is amputation of the wound area. The non-operative action that can be carried out is wound care using the Conservative Sharp Wound Debridement (CSWD) technique by removing necrotic tissue, both bone and soft tissue that is infected. The aim of the study was to analyze the results of modern wound care using the CSWD technique in Diabetic Foot Osteomyelitis. The research method uses interviews and observation. The sample used was 1 client Mr. T who experienced Diabetic Foot Osteomyelitis using the Bates-Jensen Wound Assessment Tools (BWAT) wound assessment instrument. The results of this research are that the use of CSWD in debridement is effective in helping the wound healing process, this is proven by a decrease in the BWAT score from 34 to 28.. The conclusion of this study is that the use of the CSWD technique is effective in reducing necrotic tissue and bone that has experienced infection so that it can help the wound healing process.

Biofilms are surface-adhering communities of microorganisms that produce extracellular polymeric substances (EPS) and can grow on any surface, including metal, plastic, glass, soil particles, stainless steel, wood, and biotic surface. biofilm infections lead to different disorders, for instance, diabetes mellitus, dental caries, medical implants and wound infections that significantly affect the quality of life, cancer development, and subsequently, increase the global morbidity rate.This study aims to summarize the recent evidence supporting the potentional of probiotic and natural ingridient as antibiofilm and antibacterial using a PRISMA-oriented (Preferred Reporting Items for Systematic reviews and Meta-analyses) statement. This review found significant aspects exemplified by the properties of probiotics and natural ingridients related to as antibiofilm and antibacterial for further indepth studies to make it into pilot scales.

This article investigates the relationship between sleep quality and the management of chronic illnesses such as diabetes and hypertension. By analyzing data from patient surveys and health records, the study finds that poor sleep quality is associated with worsened disease management and higher healthcare utilization. The findings suggest that improving sleep quality should be an integral part of chronic illness management strategies to enhance patient outcomes.