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Non-Communicable Diseases (NCDs) such as Diabetes Mellitus and Gout pose a serious threat to the health of the elderly due to their often asymptomatic nature. Cost barriers hinder the elderly community from accessing laboratory services. This community service activity aims to improve health standards and early detection of NCDs through monitoring blood glucose and uric acid levels in the Generasi Kaleb community of the JKI Injil Kerajaan Church, Semarang. The Participatory Health Screening and Education method used includes health education, screening using the Point of Care Testing (POCT) tool, and personal consultation on the results. The service subjects were 50 elderly respondents. The examination results showed a prevalence of abnormal random blood glucose (GDS) of 8%, 32%, had high uric acid levels with a maximum value of 10.3 mg/dL. This activity successfully transformed the elderly's awareness from subjective perception to awareness based on objective data, and encouraged community independence in managing a healthy lifestyle to prevent further NCD complications. .

This community service study documents and analyzes a blood glucose screening program conducted by theology students of STT Kadesi–Bogor at the Pentecostal Church (Gereja Pantekosta Jakarta/GPJ) in West Jakarta from February to April 2026. A total of 80 examinations were performed over three consecutive months using the Accu-Check glucometer. Results revealed that 1 participant (1.25%) was classified as diabetic (random blood glucose/RBG ≥200 mg/dL) and 19 participants (23.75%) were classified as pre-diabetic or at elevated risk (RBG 126–199 mg/dL), bringing the total at-risk proportion to 25%. The mean participant age was 52.7 years (range: 21–82 years). Women constituted 78.75% of all participants and accounted for 70% of at-risk cases, while men showed a proportionally higher per-capita risk rate (35.3% vs. 22.2%). Five female participants recorded borderline-low glucose levels (70–75 mg/dL), indicating potential nutritional inadequacy. This study contextualizes its findings within biblical theology—particularly 1 Corinthians 3:16, which declares the human body to be the temple of the Holy Spirit—providing a theological imperative for holistic health stewardship. Practical recommendations include adoption of a balanced diet, engagement in regular physical activity, and periodic blood glucose monitoring as expressions of faithful bodily stewardship.

Diabetes Mellitus is a non-communicable disease with an increasing prevalence and has become a major public health concern globally and nationally. The incidence of diabetes mellitus is influenced by various individual and environmental factors. This study aimed to analyze the relationship between age, gender, and residential proximity to landfill areas and the incidence of diabetes mellitus in Bendosari District. A quantitative analytic observational design with a cross-sectional approach was employed. The study population consisted of 1,890 patient visit records recorded in the Management Information System of Bendosari Public Health Center in 2025. A total of 363 respondents were selected using proportionate stratified random sampling. Data were analyzed through univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis using multiple logistic regression. The findings showed that age was significantly associated with diabetes mellitus incidence (p=0.000; OR=79.790; 95% CI=53.511–118.974). Gender was also significantly related to diabetes mellitus incidence (p=0.000; OR=0.298; 95% CI=0.203–0.435), indicating that females had a higher risk than males. In contrast, residential proximity to landfill areas was not significantly associated with diabetes mellitus incidence (p=0.308; OR=1.247; 95% CI=0.439–3.540). Multivariate analysis revealed that age and gender were the dominant factors influencing diabetes mellitus incidence, with the model explaining 56.1% of the variation. The study concludes that age and gender are significant determinants of diabetes mellitus incidence, whereas residential proximity to landfill areas has not been proven to significantly affect its occurrence.

Diabetes Mellitus Type II is a chronic metabolic disease characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. Globally, the number of people with diabetes in 2024 is estimated to reach 800 million, with more than 95% being Type II Diabetes Mellitus. At RSUD Prof. M. Yamin, SH Pariaman in 2025, there were 189 recorded cases of Type II Diabetes Mellitus without complications. The purpose of this scientific paper is to provide nursing care to a patient with Type II Diabetes Mellitus in the Internal Medicine Ward of RSUD Prof. M. Yamin, SH Pariaman. The method used is a case study with a nursing process approach, including observation, interviews, physical examination, and data collection from medical records. This study was conducted in the internal ward for 5 days, from February 6, 2026 to February 10, 2026, with the subject Mrs. N. The assessment results identified nine nursing problems: unstable blood glucose levels, acute pain, impaired skin/tissue integrity, ineffective peripheral perfusion, impaired physical mobility, sleep pattern disturbance, fatigue, risk of infection, and risk of nutritional deficit. The evaluation after 5 days of nursing care showed that five diagnoses were resolved, namely unstable blood glucose levels, ineffective peripheral perfusion, fatigue, risk of infection, and risk of nutritional deficit. Meanwhile, the other four diagnoses were not fully resolved but showed improvement. It is expected that the patient and family will maintain adherence to a healthy lifestyle, therapy, diet, and regular follow-up in order to prevent complications.

This study analyzed trends in the prevalence, incidence, and burden of Diabetes Mellitus in Indonesia from 2021 to 2023 and identified geographic disparities across provinces. A descriptive-analytical approach was applied using standardized Global Burden of Disease data to assess changes in prevalence and disease impact measured by Disability-Adjusted Life Years. The results indicated a consistent increase in the prevalence of Diabetes Mellitus over the study period, with substantial variation between provinces. Regions with higher prevalence experienced a greater disease burden compared to low-prevalence areas, although a gradual decline in Disability-Adjusted Life Years was observed. These findings suggested improvements in disease management and complication prevention, while inequalities in health service access and socioeconomic conditions continued to influence regional differences. This study concluded that Diabetes Mellitus remained a major public health challenge in Indonesia and required more targeted, region-specific control policies emphasizing prevention, early detection, and strengthening of primary health care services to reduce disparities and future disease burden.

Type 2 diabetes is increasingly common in children and adolescents. Lifestyle choices such as obesity, lack of physical activity, and unhealthy diets are becoming increasingly popular among adolescents. An unhealthy lifestyle is influenced by many factors, including inadequate knowledge and attitudes regarding diabetes mellitus prevention. Good knowledge will foster positive attitudes regarding diabetes mellitus prevention. Through booklets, a person's knowledge and attitudes can be improved. The objective was to determine the effect of booklets on knowledge and attitudes regarding diabetes mellitus prevention in adolescent girls. The method used was a quasi-experimental study with a pretest-posttest design with a control group. This study was conducted at SMAN 1 Jasinga and SMK Giri Taruna. A sample of 70 students was used using a stratified random sampling technique. Data collection used a questionnaire as the research instrument. The data analysis techniques used were the Independent T-test and Chi-square test. The results showed an effect of booklets on knowledge regarding diabetes mellitus prevention in adolescent girls (p-value 0.003). There was a correlation between knowledge and attitudes regarding diabetes mellitus prevention in adolescent girls (p-value 0.016). The booklet can be used as an educational tool for adolescents, and educators can be more active in providing education about diabetes mellitus prevention to students, especially adolescent girls.

Diabetes mellitus (DM) is one of the global, national, and regional health problems. DM often requires complex medications and lifestyle management that can impact patients’ daily life, including spiritual practices such as fasting during Ramadhan. For Muslims with DM, fasting during Ramadhan can be challenging due to the need to modify the treatment regimens and risk of hypoglycemia.  This study aimed to analyze the effects of education intervention regarding Ramadhan fasting on knowledge improvement and blood glucose of patient with DM type 2. This study used a case study design involving three patients with DM type 2. All three respondents received education from the researchers. The patients’ knowledge and fasting blood glucose were measured before and after the intervention. The results of this study showed an improvement in knowledge in DM patients after the intervention, while fasting blood sugar results remained unchanged. Based on the results of the study, diabetes mellitus (DM) management education during fasting has been potentially effective in improving respondents' knowledge and prevent hypoglycemia during Ramadhan fasting. In conclusion, education alone is benefit in increasing patient’s knowledge and may prevent hypoglycemia during Ramadhan fasting.

Type II Diabetes Mellitus is a chronic metabolic disorder commonly found in the elderly due to insulin resistance and impaired pancreatic hormone secretion. This condition leads to elevated blood glucose levels, physical weakness, and decreased daily activity performance, which ultimately reduces quality of life. Blood glucose control can be achieved not only through pharmacological therapy but also by applying non-pharmacological approaches such as progressive muscle relaxation therapy. This study aims to determine the effect of progressive muscle relaxation therapy on blood glucose levels in elderly patients with Type II Diabetes Mellitus. This research employed a case study method involving Mrs. A, an elderly patient experiencing hyperglycemia with a fasting blood glucose level of 247 mg/dl. The intervention was carried out over three consecutive days, consisting of progressive muscle relaxation exercises for 15–20 minutes per session, accompanied by dietary education, light physical exercise, and fall prevention guidance. Data were collected through observation, interviews, and blood glucose measurements before and after the intervention. The results showed a decrease in blood glucose level from 215 mg/dl to 158 mg/dl after three therapy sessions. The patient appeared more relaxed, experienced reduced fatigue, improved sleep quality, and demonstrated better urinary control. Conclusion: progressive muscle relaxation therapy is effective in lowering blood glucose levels and improving both physical and psychological conditions in elderly patients with Type II Diabetes Mellitus.

Diabetes mellitus (DM) is one of the global, national, and regional health problems. DM often requires complex medications and lifestyle management that can impact patients’ daily life, including spiritual practices such as fasting during Ramadhan. For Muslims with DM, fasting during Ramadhan can be challenging due to the need to modify the treatment regimens and risk of hypoglycemia.  This study aimed to analyze the effects of education intervention regarding Ramadhan fasting on knowledge improvement and blood glucose of patient with DM type 2. This study used a case study design involving three patients with DM type 2. All three respondents received education from the researchers. The patients’ knowledge and fasting blood glucose were measured before and after the intervention. The results of this study showed an improvement in knowledge in DM patients after the intervention, while fasting blood sugar results remained unchanged. Based on the results of the study, diabetes mellitus (DM) management education during fasting has been potentially effective in improving respondents' knowledge and prevent hypoglycemia during Ramadhan fasting. In conclusion, education alone is benefit in increasing patient’s knowledge and may prevent hypoglycemia during Ramadhan fasting.

Non-communicable diseases such as Diabetes Mellitus (DM) can lead to serious complications, including neuropathy and angiopathy caused by microvascular and macrovascular damage. These conditions impair peripheral blood circulation, resulting in decreased foot sensitivity characterized by cramps, tingling, cold extremities, and pale skin. If untreated, the risk of diabetic foot ulcers and amputation increases significantly. This study aimed to analyze the effectiveness of Buerger Allen Exercise in improving foot sensitivity and peripheral perfusion among DM patients in Pebatuan Village. A nursing care intervention focusing on ineffective peripheral perfusion was conducted on six respondents aged 45–60 years with random blood glucose levels above 200 mg/dL. The exercise was performed for 15–30 minutes, twice daily, over six consecutive days. Foot sensitivity was assessed using daily pre-test and post-test observations. The results showed an increase in sensitivity scores from 0–1 to 2 in all participants. Clinical improvements included reduced cramps and tingling, normalized skin color and extremity temperature, and improved capillary refill time (<3 seconds). Buerger Allen Exercise proved to be an effective, simple, and cost-free intervention for enhancing lower-extremity blood circulation, improving foot sensitivity, and preventing diabetic foot complications.

Bariatric surgery is effective in treating obesity and type 2 diabetes mellitus (T2DM); however, pregnancy occurring within 12–24 months after surgery carries significant risks. This report presents a complex pregnancy case in a patient with a history of sleeve gastrectomy, post-hemithyroidectomy hypothyroidism, and T2DM. A 29-year-old primigravida conceived 2 months after undergoing sleeve gastrectomy, which successfully induced T2DM remission, with HbA1c decreasing from 11% to 5.5%. Although glycemic control and euthyroid status were maintained throughout pregnancy, the patient developed severe preeclampsia at 35–36 weeks of gestation, complicated by intrauterine growth restriction (IUGR) and oligohydramnios. An emergency cesarean section delivered a male infant weighing 2000 grams with Apgar scores of 8 and 9 at the first and fifth minutes, respectively. The neonate required 14 days of NICU care due to respiratory distress syndrome, respiratory failure, and hyperbilirubinemia. Maternal gestational weight gain was suboptimal at only 4 kg, below the recommended range for pregnant women with obesity. This case highlights the importance of adhering to the recommended surgery-to-conception interval following bariatric surgery. Early pregnancy after surgery, combined with multiple metabolic comorbidities, may contribute to adverse maternal and neonatal outcomes. Multidisciplinary management, comprehensive nutritional monitoring, and optimization of comorbidities before conception are essential to improve pregnancy outcomes in this population.

Therapeutic adherence is a fundamental cornerstone in managing Type 2 Diabetes Mellitus (DM) to maintain stable blood glucose levels and prevent chronic complications. Family support serves as a significant external determinant influencing the development of long-term patient adherence behaviors. This quantitative study, utilizing a correlational analytic design with a cross-sectional approach, aimed to analyze the relationship between family support and therapeutic adherence levels among Type 2 DM patients at Royal Prima Hospital, Jambi City. Through total sampling, 92 respondents were enrolled as the study sample. Data were collected via questionnaires and analyzed using the Chi-Square test. Univariate analysis revealed that the majority of respondents received moderate family support (46.7%) and demonstrated adherent behavior (62.0%). Bivariate analysis yielded a Pearson Chi-Square value of 17.186 with a p-value of 0,000 (α < 0,05), leading to the rejection of H0 and the acceptance of Ha. In conclusion, there is a statistically significant relationship between family support and therapeutic adherence levels among Type 2 DM patients at Royal Prima Hospital, Jambi City, indicating that more optimal family support is directly proportional to increased therapeutic adherence.

Diabetes Mellitus merupakan salah satu penyakit degeneratif dengan prevalensi yang terus meningkat, terutama pada kelompok usia lanjut. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan masyarakat mengenai pencegahan dan pengelolaan diabetes melitus melalui edukasi pola hidup sehat dan pemanfaatan tanaman obat. Kegiatan dilaksanakan di Desa Sambirata dengan sasaran ibu-ibu Posyandu Lansia. Metode yang digunakan meliputi penyuluhan kesehatan, pemeriksaan tekanan darah, pemeriksaan gula darah sewaktu, dan edukasi pemanfaatan tanaman obatantidiabetes. Sebanyak 44 peserta mengikuti kegiatan penyuluhan dan 71 peserta mengikuti pemeriksaan kesehatan. Hasil pemeriksaan menunjukkan 29 peserta mengalami hipertensi, 3 peserta memiliki kadar gula darah di atas normal, dan 50 peserta memiliki faktor risiko diabetes melitus. Kegiatan ini meningkatkan pengetahuan dan kesadaran masyarakat mengenai pentingnya pola hidup sehat serta penggunaan tanaman obat secara rasional dalam pencegahan diabetes melitus.

Drug-Related Problems (DRPs) are common in patients with type 2 Diabetes Mellitus (T2DM) who receive combination therapy involving oral antidiabetic agents and insulin. This literature review aims to identify the main types of DRPs and the factors contributing to their occurrence based on recent studies from PubMed, ScienceDirect, ResearchGate, and Google Scholar. The most frequently reported DRP is drug interaction, followed by underdosing, overdosing, therapy without indication, untreated indications, adverse drug reactions, and patient-related problems such as non-adherence. Several factors contribute to the occurrence of DRPs, including polypharmacy, inappropriate dosing, the presence of comorbidities, limited patient knowledge regarding therapy, and inadequate clinical monitoring. These conditions may increase the risk of poor glycemic control and treatment failure. Therefore, effective management of DRPs is essential to improve therapeutic outcomes. The findings of this review emphasize the important role of pharmacists in conducting medication reviews, identifying DRPs early, and implementing appropriate interventions to enhance patient safety and optimize treatment in T2DM patients.

Drug-Related Problems (DRPs) are common in patients with type 2 Diabetes Mellitus (T2DM) who receive combination therapy involving oral antidiabetic agents and insulin. This literature review aims to identify the main types of DRPs and the factors contributing to their occurrence based on recent studies from PubMed, ScienceDirect, ResearchGate, and Google Scholar. The most frequently reported DRP is drug interaction, followed by underdosing, overdosing, therapy without indication, untreated indications, adverse drug reactions, and patient-related problems such as non-adherence. Several factors contribute to the occurrence of DRPs, including polypharmacy, inappropriate dosing, the presence of comorbidities, limited patient knowledge regarding therapy, and inadequate clinical monitoring. These conditions may increase the risk of poor glycemic control and treatment failure. Therefore, effective management of DRPs is essential to improve therapeutic outcomes. The findings of this review emphasize the important role of pharmacists in conducting medication reviews, identifying DRPs early, and implementing appropriate interventions to enhance patient safety and optimize treatment in T2DM patients.

Diabetes mellitus, as a persistent non-infectious metabolic pathology increasingly prominent in the global epidemiological spectrum, is fundamentally characterized by dysfunctional hyperglycemia rooted in primary disruptions of pancreatic insulin hormone synthesis or peripheral resistance to its biological action, thereby inducing dynamic imbalances in gluconeogenesis and glycolysis pathways; amid the hypothesis that body mass index (BMI) as a measure of central adiposity potentially mediates variability in serum glucose levels, this quantitative observational study with a cross-sectional design rigorously tests the causal relationship between BMI and fasting/random blood glucose concentrations in a cohort of 134 adult subjects with type 2 diabetes mellitus affiliated with primary care services at Puskesmas Bongo II, Boalemo Regency, through an inclusive total sampling recruitment strategy, precision anthropometric measurement instruments (height, weight, WHO BMI categorization), and laboratory-validated glucometric validation, with multivariate inferential processing based on the Chi-Square independence test at a Type I error rate of α=0.05 using the latest edition of the SPSS analytical suite; the demographic profile highlights female gender supremacy (90 individuals, 67.2%), the normoweight group (78 cases, 58.2%), concurrent with substantial glycemic elevation prevalence (78 subjects, 58.2%), but the crucial statistical output reveals a p-value of 0.831 (>0.05) that negates any probabilistically meaningful association, thus the substantive conclusion affirms the non-significance of the BMI-glucose relationship in this local context, while implying the dominance of alternative etiopathogenic factors such as hypercaloric macronutrient intake patterns, deficits in aerobic/anaerobic physical activity, non-adherence to multidisciplinary pharmacological protocols (e.g., metformin/oral hypoglycemics), and a comprehensive management paradigm integrating behavioral education, continuous monitoring, and personalized interventions to mitigate long-term cardiovascular risks across the diabetes mellitus spectrum.

Diabetes mellitus, as a persistent non-infectious metabolic pathology increasingly prominent in the global epidemiological spectrum, is fundamentally characterized by dysfunctional hyperglycemia rooted in primary disruptions of pancreatic insulin hormone synthesis or peripheral resistance to its biological action, thereby inducing dynamic imbalances in gluconeogenesis and glycolysis pathways; amid the hypothesis that body mass index (BMI) as a measure of central adiposity potentially mediates variability in serum glucose levels, this quantitative observational study with a cross-sectional design rigorously tests the causal relationship between BMI and fasting/random blood glucose concentrations in a cohort of 134 adult subjects with type 2 diabetes mellitus affiliated with primary care services at Puskesmas Bongo II, Boalemo Regency, through an inclusive total sampling recruitment strategy, precision anthropometric measurement instruments (height, weight, WHO BMI categorization), and laboratory-validated glucometric validation, with multivariate inferential processing based on the Chi-Square independence test at a Type I error rate of α=0.05 using the latest edition of the SPSS analytical suite; the demographic profile highlights female gender supremacy (90 individuals, 67.2%), the normoweight group (78 cases, 58.2%), concurrent with substantial glycemic elevation prevalence (78 subjects, 58.2%), but the crucial statistical output reveals a p-value of 0.831 (>0.05) that negates any probabilistically meaningful association, thus the substantive conclusion affirms the non-significance of the BMI-glucose relationship in this local context, while implying the dominance of alternative etiopathogenic factors such as hypercaloric macronutrient intake patterns, deficits in aerobic/anaerobic physical activity, non-adherence to multidisciplinary pharmacological protocols (e.g., metformin/oral hypoglycemics), and a comprehensive management paradigm integrating behavioral education, continuous monitoring, and personalized interventions to mitigate long-term cardiovascular risks across the diabetes mellitus spectrum.

Diabetes mellitus (DM) is a degenerative disease commonly experienced by the elderly and requires proper treatment to prevent complications. One traditional treatment alternative used to lower blood sugar levels is bay leaf decoction. This study aimed to determine the effect of bay leaf decoction on reducing blood sugar levels among the elderly in Peuniti Village, Baiturrahman District, Banda Aceh City. The study employed a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 15 elderly participants selected from a population of 87 elderly individuals. Data collection was conducted by measuring blood sugar levels before and after administering bay leaf decoction once daily for 7 days. Blood sugar levels were checked using a blood glucose meter 20 minutes after consumption. Data were analyzed using a dependent t-test. The results showed that before treatment, all respondents (100%) were categorized as having DM, with an average blood sugar level of 211.0 mg/dL. After treatment, all respondents (100%) were categorized as non-DM, with an average blood sugar level of 160.4 mg/dL. Statistical analysis showed a significance value of 0.004 (p < 0.05), indicating that bay leaf decoction significantly reduced blood sugar levels in the elderly.

Diabetes Mellitus (DM) merupakan penyakit metabolik kronis dengan prevalensi yang semakin meningkat, tidak hanya pada orang dewasa tetapi juga pada remaja. Berdasarkan data Riskesdas (2018), Prevalensi DM berdasarkan pemeriksaan gula darah naik dari 6.9% menjadi 8.5%.Di Jawa Tengan, 64.709 dari 647.093 jiwa terdiagnosis DM pada 2022. Di Kecamatan Cawas, data Puskesmas Cawas I tahun 2024 menunjukkan terdapat 1.076 kasus DM. dan gejala pre-Diabetes mulai muncul pada kalangan remaja akibat gaya hidup konsumtif, kurangnya aktivitas fisik, serta pola makan yang tidak sehat. Tujuan: Agar siswa-siswi mengetahui tentang pentingnya pencegahan diabetes melitus sejak dini. Metode Penelitian: Metode yang digunakan dalam pengabdian masyarakat ini adalah dalam bentuk penyuluhan. Sasaran : Siswa-siswi Kelas XII SMA negeri 1 Cawas Klaten. Hasil: Pada Siswa-siswi Kelas XII SMA Negeri 1 Cawas menunjukkan pengetahuan yang meningkat setelah dilakukan penyuluhan tentang pencegahan dini diabetes melitus pada remaja. Terdapat perbedaan pengetahuan sebelum dan sesudah pemberian edukasi  kesehatan tentang pencegahan dini diabetes melitus pada remaja.

Obesity is closely linked to the risk of non-communicable diseases (NCDs), which are the ledading cause of death worldwide. Obesity in children and adolescents can predict obesity in odutkhood by 80%. Being overweight and obese increases the risk of diabetes by14%, ischemic heart disease by 23% and cancer by 7-41%, and an estimated 35,8 million (2,3%) DALYs (disability-adjusted life years) globally are caused by being overweight or obese. Obesity screening and education on the impact of obesity on adolescents at SMA 16 Bkeasi using the methods of obesity education, diabetes screening, and BMI evaluation on students. Of the 80 students, the majority had a normal BMI (76,25%). However, there were still students who were underweight (10%) and overweight (13,75%). In particular, several students experienced severe levels of underweight and overweight, which are of major concern. The factors causing these conditions are closely related to unhealthy eating habits