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Background: Type 2 diabetes mellitus is a metabolic disorder characterized by an increase in blood sugar due to decreased insulin secretion by pancreatic beta cells or insulin resistance. Difficulty controlling blood sugar levels is a problem experienced by every person with type 2 diabetes mellitus. Several reasons cause uncontrolled blood sugar levels, such as the patient not wanting to exercise, poor diet and negligence in treatment. Management of diabetes mellitus can be done with non-pharmacological therapy in the form of physical exercise. Physical activity will make the body's metabolism work more optimally which will result in blood glucose levels being controlled so that holistic treatment is needed. One of the non-pharmacological physical exercise therapies that can be given to diabetes mellitus sufferers is progressive muscle relaxation techniques. Research method: Implementing Progressive Muscle Relaxation Therapy in Type II Diabetes Mellitus patients to reduce Blood Glucose Levels. Research results: The results of implementation and evaluation for 3 days with Progressive Muscle Relaxation Therapy intervention showed objective and subjective changes in Type II Diabetes Mellitus patients as well as changes in blood glucose levels before and after being given Progressive Muscle Relaxation Therapy. Conclusion: There is a decrease in Blood Glucose Levels after Progressive Muscle Relaxation Therapy.

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.

Degenerative diseases are chronic diseases that affect a person's quality of life. There are various degenerative diseases that should be treated as early as possible, such as diabetes mellitus, high blood pressure, heart stroke and other degenerative diseases. Indonesia bears a double burden of disease in the health sector, namely infectious diseases are still rampant and coupled with chronic degenerative diseases. Efforts to promote health are very important in efforts to prevent degenerative diseases in adolescence. This health promotion is carried out in adolescents because of the unhealthy lifestyle of adolescents, this can be seen from the smoking habits of adolescents and the habit of eating unhealthy foods or snacks carelessly, lack of consumption of vegetables and fruits, and minimal physical activity such as sports in efforts to prevent degenerative diseases in adolescents. The purpose of this activity is to increase knowledge about the prevention of degenerative diseases among adolescents and as an effort to overcome the problem of the emergence of degenerative diseases in adolescence. The results of community service activities show an increase in average knowledge from 6.61 to 13.80 and an increase in attitudes from 9.61 to 14.47. Community service activities can be carried out well, this is seen from the smooth running of the event and the participation of teenagers. Improving the quality of health needs to be done by raising awareness and increasing education for teenagers about preventing degenerative diseases.

Aim: Diabetes mellitus is a group of metabolic disorders characterized by increased blood glucose levels (hyperglycemia). Diabetic patients must carry out diabetes self-management to prevent complications and to achieve an optimal quality of life.Desain: Study Literature review Methods: Literature obtained from using PubMed, DOAJ, SINTA, and Google Scholar and 10 literature reviews were analyzed by PICO. Results:Research results from the 10 Literature Review obtained statistical test results with results p= 0.00 to p= 0.003 where p<0.05 from Suciana, et al, (2019); Asnaniar and Safruddin (2019); Putri (2019); Luthfa and Fadhilah, (2019); Oktaviani dan Sofiani, (2019); Navicharern (2019)which means that there is a significant relationship between diabetes self-management and the life quality of diabetes mellitus patients. Conclusion: If diabetes self-management is implemented well, the life quality of diabetes mellitus patients will be better.

The application of nursing care is in accordance with the nursing model with Sister Calista Roy with cases of Diabetes Mellitus in the inpatient room. The aim of this research is to provide nursing care to Mr. N with Diabetes Mellitus based on Sister Calista Roy's theory. This research method is a case study with a nursing care approach based on Sister Calista Roy's theory. Data collection was carried out by means of interviews, observations, physical examinations and documentation studies. The instrument used is an assessment format based on Sister Calista Roy's nursing theory. Results of the study Wounds that did not heal after amputation of the thumb and index toe of the left foot for approximately 4 weeks. The first wound was found between the big toe and forefinger approximately 4 months ago. The wound does not heal and slowly gets bigger and festers around the wound area. The first time he consulted at the Regional Hospital, he was then referred to Hospital P, where he was treated for 1 month. During his treatment at the hospital, his thumb and forefinger were amputated. But the surgical wound turned non-healing with pus and black color. So the doctor suggested a below-the-knee amputation. He underwent leg amputation surgery 3 weeks earlier. There are two nursing problems, namely damage to skin integrity and physical mobility. The interventions carried out are based on SLKI and SIKI. After providing nursing care for three days, it was concluded that two nursing problems had been partially resolved. It is hoped that nurses will be able to provide and improve the quality of service in providing nursing care based on the Sister Calista Roy approach.

Non-Communicable Diseases (NCDs) such as hypertension, diabetes mellitus and heart disease are the main causes of morbidity and mortality in the elderly (elderly). The elderly need early detection and health promotion to reduce the risk of NCD complications and improve quality of life. This activity aims to increase awareness and understanding of elderly people in Barusari Village regarding the importance of early detection and control of NCDs, as well as providing health education through community-based health promotion. Implementation Method: Free Health Check: Carry out a health check to detect early signs of NCDs, such as measuring blood pressure, blood sugar levels, and checking cholesterol. Community-Based Health Promotion: Holding a health promotion campaign involving community leaders, elderly families, and health workers to create an environment that supports a healthy lifestyle for the elderly. Results: Increased public awareness about the importance of early detection and prevention of NCD complications. Elderly people who take part in health checks gain knowledge about their health conditions and are given referrals to health facilities if necessary. Conclusion: This activity was successful in increasing elderly participation in early detection and health promotion, as well as forming a community that is more concerned about controlling NCDs in the elderly group.

Background: One of the non-communicable diseases (NCDs) that has received a lot of attention is Diabetes Mellitus. Diabetes management is divided into two ways. The first way is with non-drug therapy (non-pharmacological) and second with drug therapy. Drug therapy in the form of oral hypoglycemic drugs or insulin. Non-pharmacological methods with food planning and physical exercise. The type of light physical exercise recommended for patients with type II diabetes mellitus is walking and brisk walking. Objective: To determine the effect of brisk walking to reduce blood glucose levels in patients with type 2 diabetes mellitus. Methods: This review uses the literature review method. Searches were conducted in PubMed, Garuda, and Google Scholar. The search strategy used keywords with "brisk walking", "physical exercise", "glycemic control", "diabetes mellitus, type II",. Results: Seven articles were reviewed in this literature review. Six articles discussed brisk walking, one article discussed the difference in glycemic control in low - high intensity interval training with endurance training. The overall results of this review show that doing physical activity brisk walking has an effect in reducing blood glucose levels, reducing blood glucose levels by 49.75 mg/dL. Physical activity sessions can be done for 3 - 7 sessions per week with a duration of 15 - 60 minutes. Conclusion: The effect of brisk walking is proven to reduce blood glucose levels in patients with type 2 diabetes mellitus.

Diabetes Mellitus is a group of metabolic diseases characterized by hyperglycemia due to impaired insulin production, insulin action. Management of the 4 pillars of diabetes mellitus includes education on eating arrangements. The purpose of this study was to determine the effect of booklet media education on dietary compliance in patients with type 2 diabetes mellitus in the ranomuut health center work area.The research design used is a pre-experiment with a one group pre and posttest design approach. The sample in this study were 23 respondents using purposive sampling technique. the research instrument used was a questionnaire sheet. Then the data that has been collected is processed using the SPSS 16.0 program to be analyzed using the Mc.Nemar statistical test with a level of meaningfulness (α) = 0.05. Based on the results of the study when given education for the pre-test, the highest percentage was non-compliant 21 respondents (91.3%) and the post-test the highest percentage was compliant 22 respondents (95.7%). From the results of the Mc.Nemar statistical test, the P value = 0.000 with a significance of <0.05, which means Ha is accepted and Ho is rejected. The conclusion of this study is that there is an effect of booklet media education on dietary compliance in patients with type 2 diabetes mellitus in the ranomuut health center work area. This study is expected to increase knowledge in implementing dietary compliance so that it can control the problem of diabetes mellitus.

The risk of falling is an incident reported by the sufferer or family who saw the incident, which resulted in a person suddenly falling down, sitting on the floor or a lower place with or without loss of consciousness or injury. Based on an initial survey at the Posyandu Lansia Akbar (Elderly Center) in the working area of ​​the Puskesmas Jembatan Kecil (Community Health Center), it was found that some health problems which are still often experienced by the elderly are degenerative diseases such as hypertension, diabetes mellitus, and perceptual and sensory disorders that leads in decreasing balance, muscle strength and flexibility. These problems put elderly at high risk of falls. To reduce the risk of falls in the elderly, it is necessary to provide preventive, curative and collaborative health services in the form of health education and assistance with balance exercises. So the Community Service Team provides health education on preventing the risk of falls in the elderly.

Using the variables of maternal age, gravida status, history of preeclampsia, chronic hypertension, and diabetes mellitus, this study attempts to identify the risk factors for the occurrence of preeclampsia in mothers giving birth at Dr. Moewardi Hospital, Surakarta.  This study employs an analytical observational research design.  The case control design is employed in this study.  Retrospective research designs are well-known for this one.  Secondary data are the sort of data used in this study.  All patients diagnosed with preeclampsia at Dr. Moewardi Hospital in Surakarta between 2020 and 2023 comprised the study's population.  The study's findings demonstrated the features of mothers giving delivery at Dr. who had a history of preeclampsia in their families (20.5%), chronic hypertension in their families (25.9%), or diabetes mellitus in their families (14.5%).

Health is a valuable asset that we need to take good care of. However, in our daily lives, we often get caught up in hectic routines, poor diets, and unhealthy lifestyles. This is why counseling on improving quality of life is so important. Counseling attempts to raise awareness, provide information, and encourage individuals and communities to adopt healthy behaviors. The counseling materials provided are Preventing Disease and Improving Quality of Life. By increasing awareness of a healthy diet, adequate physical activity, stress management, and other life habits, it can help prevent various chronic diseases such as heart disease, diabetes, and cancer. By adopting healthy behaviors, one can improve their quality of life, reduce the risk of health complications, and enjoy a longer and better life. Increased physical activity or exercise. Physical activity is any movement of the body that causes energy expenditure. The recommendation from the Ministry of Health of the Republic of Indonesia is that physical activity should be done at least 30 minutes per day for 5 times a week or equal to 150 minutes per week. various types of physical activity that can be done such as climbing down stairs, jogging, brisk walking or cycling.

Non-compliance with taking medication in diabetes mellitus sufferers will cause blood sugar levels to decrease or increase beyond normal limits  and as a result will cause complications or death. There is a need for health education regarding knowledge of diabetes patient medication adherence to prevent this. This research was conducted using a quasi-experimental research method (one-group pre-post test design). The sample in this study was 29 respondents taken using purposive sampling instruments using SAP, lealeats and questionnaires. the collected data was processed using the SPSS 24 version of the computer program to be analyzed using the Mc.Nemar nonparametic test with a significance level (α) of 0.05. The results of the bivariate analysis show that there is an influence of health education on knowledge of the level of dringking compliance in patients with type diabetes mellitus. The value obtained is p = 0,000 which means that Ha is accepted and Ho is rejected. The conclusions in the research show that there is an influence of knowledge education on treatment compliance.

Sugar levels that accumulate in the blood due to not being absorbed well by body cells can cause various organ disorders. If not controlled properly, it can lead to various complications that can be life-threatening. Risk factors that can affect blood sugar levels are food, activity, and weight gain. Therefore, one way to keep blood sugar levels under control is by doing walking therapy activities. The purpose of this study was to determine the effect of walking on the fasting blood sugar levels when in patients with type 2 diabetes mellitus in Tuminting Village, Manado City. This research is a quantitative research with a method used pre-experimental method using a with a pre-test-post test one group design approach. The sample was taken based on the number of respondents obtained as many as 19 people using Purposive sampling. Data collection was done by using blood glucose test tools and observation sheets. The results of data analysis using the Paired sample t-test showed P value of 0.001 or smaller than ≤0.05 which means that the alternative hypothesis Ha is accepted or through walking activities can reduce the fasting blood sugar levels when in patients with type 2 diabetes mellitus.

Diabetes is a non-communicable disease. Diabetes is one of the most common chronic diseases in the world and is characterized by increased levels of glucose in the body. This metabolic disease occurs as a result of insufficient insulin secretion. Considering that every person has the right to have, to live a healthy, sustainable and prosperous life. The main target of this activity is the Lateri Village community. Socialization activities are carried out using 1 method, which is power point presentation of material. The specific objectives of implementing socialization to prevent diabetes with Tropicana Slim include increasing awareness of safe, healthy and sustainable living, as well as bringing positive changes in sustainable lifestyle behavior patterns by consuming Tropicana Slim products to stabilize sugar levels in the body.

The patient came with complaints that the body often felt weak even though the patient did not do strenuous activities. This complaint has worsened in the last 1 week, causing the patient to be discouraged from doing activities and disrupting his daily activities Patient also complained that his weight was decreasing. Another complaint that was felt was that the hands often felt numb. History of diabetes mellitus in the last 10 years, but the patient admitted that he did not routinely take medicine to control his blood sugar. The KGDS examination obtained in the patient was 324 mg/dl. The patient's BMI was 18.2 kg/m2 and classified as underweight. Primary data was obtained through autoanamnesa and physical examination by conducting home visits, filling out family folders, and filling out patient files. Assessment was carried out based on holistic diagnosis at the beginning, process, and end of the visit quantitatively and qualitatively. Interventions include education about the causes of diabetes mellitus, education about lifestyle modification and the importance of taking medication regularly to control blood sugar levels and explaining complications that may arise from the patient's disease so that patients make preventive efforts.  

Blood sugar levels, or blood glucose levels, are crucial for overall health and are regulated by the pancreas through insulin. Normal blood sugar levels range between 70-99 mg/dL when fasting and up to 140 mg/dL two hours after eating. Abnormal blood sugar levels can suggest a variety of health issues, including hypoglycemia (low blood sugar levels caused by excess insulin, certain drugs, or illnesses such as diabetes) and hyperglycemia (high blood sugar levels associated with diabetes). Regular blood sugar monitoring is necessary, especially for diabetics. Guava, a tropical fruit, includes a variety of phytochemicals that have been linked to pharmacological benefits such as antibacterial capabilities. This research uses an extraction process involving solid-liquid extraction or maceration, with methanol being the optimal solvent. The extract yields 9.51%. Wistar rats are used to investigate its antidiabetic efficacy. The rats are divided into three groups: positive control, negative control, and extract treatment. Diabetes is induced by subcutaneous injection of Alloxan, followed by oral administration of the methanol extract. Blood glucose levels are assessed after fasting for 6-8 hours. The extract from dried Guava leaf powder yields a concentrated extract with a 9.51% yield. In vivo assessments showed a significant reduction in blood glucose levels in rats treated with guava leaf extract, suggesting potential anti-hyperglycemic effects. The phenolic compounds in guava leaves contribute to antioxidant and anti-hyperglycemic effects. The study highlights the potential therapeutic effects of guava mint leaves and their extract components for diabetes management and antioxidant health benefits.

The aim of education and screening for type 2 diabetes mellitus in the elderly group is to provide early detection of type 2 diabetes mellitus and increase knowledge of type 2 diabetes mellitus using seminars, workshops, counseling, and leaflet media. This activity involves checking blood sugar levels as a screening for type 2 diabetes mellitus and providing education regarding signs and symptoms, risk factors, treatment, and complications that occur in type 2 diabetes mellitus. This activity is important to increase insight and create behavior that is willing to carry out self-care so that complications of type 2 diabetes mellitus can be avoided.

One of the patient safety indicators related to medical treatment of surgical wound infection is the main complication experienced by hospitalized patients, the determinants of the cause of surgical wound infection (ilo) post sectio caesaria are DM sufferers, wound care and HB levels Objective: determine hb levels, wound care and DM related to the incidence of surgical wound infection in post sc patients at H. Badaruddin Kasim Tanjung Hospital. The quantitative research method with the research design design carried out is a retrospective, retrospective observational study. The total population of 40 post-SC mothers in 2022 in September - December, total sampling technique. The data was analyzed using the Chi Square test. The results of the study found that there was a relationship between hb levels and ILO incidence in post sc patient respondents, p values = 0.001 and ? = 0.05, p < ?, there was a relationship between wound care and ILO events in post sc patient respondents, p values = 0.000 and ? = 0.05, p < ? and there was a relationship between dm and ILO events, p values = 0.000 and ? = 0.05, p < ?.

Diabetes Mellitus (DM) is the most common non-communicable disease (NCD) in the world. This disease is a heterogeneous disease, characterized by high glucose levels. DM is the 4th cause of death in most developing countries. One of the complications of DM is neuropathy, which is reduced sensation in the feet and is often associated with ulcers on the feet. The aim of this community service is to provide information and knowledge about promotive and preventive efforts in dealing with DM. This outreach method is pre-test, education and post-test which is carried out using leaflets and questionnaires containing questions to measure the level of community knowledge. From this counseling, results were obtained through comparison charts between the pre-test and post-test, namely that there was an increase in knowledge from before the education was carried out and after the education about diabetes mellitus and treating foot ulcers using foot exercises. It is hoped that this counseling will continue to have a good impact on participants and can change healthy living behavior for the better.

Hyperlipidemia is a metabolic disorder that indicates an increase in lipid levels in the body. Obesity, particularly central obesity, is correlated with hyperlipidemia and metabolic syndrome. Complications of hyperlipidemia such as coronary artery disease, type 2 diabetes, and high blood pressure can be fatal if left untreated. Education and early detection of hyperlipidemia are crucial to prevent serious complications and maintain good health. This community service involved 50 elderly at Santa Anna Elderly Care Facility. All respondents participated in a series of activities, including education through posters, physical examinations, and diagnostic tests. Results of the diagnostic tests indicated 2 respondents had LDL levels ? 135 mg/dL, 6 respondents had HDL levels < 40 mg/dL, and 12 respondents had total cholesterol levels ? 200 mg/dL. The results of the education activities are expected to increase public awareness, all of which can reduce the overall healthcare burden when applied correctly and properly.