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Daun pala (Myristica fragrans) gunakan masyarakat untuk mengobati bebrapa penyakit seperti nyeri. Bahan kimia yang terkandung dalam daun pala seperti saponin, polifenol, flavanoid, dan minyak atsiri. Untuk membuktikan aktivitas ekstrak etanol daun pala (myristica fragrans) terhadap aorta tikus (rattus norvegicus) diabetes. Penelitian ini merupakan jenis penelitian yang bersifat eksperimen laboratorium (laboratory experimen) secara in vivo menggunakan hewan coba tikus putih (rattus norvegicus) jantan galur wistar. Daun pala menggunakan pelarut etanol 96%. Diperoleh hasil maserasi sebanyak 300 g, dipekatkan dengan alat rotary evaporator diperoleh ekstrak kental sebanyak 42,673 g dengan %rendamen sebesar 14,23%. Didapatkan gambaran histologi terdapat lumen diameter yang lebih tipis dan lebih lebar dan sel busa pada bagian tunika intima dan media aorta tikus.

Diabetes Mellitus (DM) is a chronic disease that occurs when the pancreas is disable to produce insulin, which isenergy. Good knowledge determines adherence to diet in patients with type 2 diabetes mellitus. The purpose of this study was to determine the relationship between knowledge and dietary compliance of patients with type II diabetes mellitus at WolterMonginsidiTk.IIHospital Manado. This study was conducted in August on patients with diabetes mellitus at WolterMonginsidiTk.IIHospital Manado with population are 141 respondents and 35 respondents was taken as samples of this research with using non-probability sampling technique type which is accidental sampling technique. The type of this research was using descriptive analytic method with a cross sectional approach, and used questionnaire as research instrument. The data was collected and analysed using Chi-square test with a significance (α) ≤0.01. The results of Chi-square statistical test obtained ρ-value (α = 0.01). This means that there is a significant relationship between knowledge and dietary compliance in patients with diabetes mellitus at the WolterMonginsidiTk.II Hospital Manado. The conclusion of this studythere is a relationship between knowledge and dietary compliance in patients with diabetes mellitus. The suggestion from this study is hopefully this study can give benefit in Nursing development.  

Background The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risks of communicable and non-communicable diseases (PTM), especially through nutritional interventions for the first 1000 days of life, improving balanced nutrition consumption patterns for the whole family, increasing regular and measurable physical activity. , improve a healthy lifestyle, improve a healthy environment and reduce cigarette and alcohol consumption. Purpose is to improve the health status of the community through early detection of non-communicable diseases (DD-PTM), especially those with diabetes mellitus. Method begins with interviews with health cadres in the Bulustalan village area, followed by early detection programs and fitness exercises. Results:. Result The health checks carried out were anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and temporary blood sugar measurements. Of the 50 residents who participated in the DD-PTM implementation, as many as 24% of the residents (12 people) just found out that they had pre-diabetes mellitus, 16% (8 people) already knew that they had hypertension and diabetes mellitus, as many as 6% (3 people) ) had an abdominal circumference of more than 100 cm, 54% (27 people) were in good health. Conclusion: Early detection of non-communicable diseases is very important to prevent further complications. Keywords: 

Background: Level knowledge is the result sensing human or result know someone towards an object in oder to know different once with trust, superstition, and are fallible. Where as behavior is action or deed an organism observable even learning. Diabetes Mellitus is disease metabolic to characteristic of hiperglikemia which occurs because abnormality secretion insulin, work insulin or whether both research aims to know relations level knowledge by behavior diet in patiens diabetes mellitus in Polyclinic Internal in Rumah Sakit Tingkat II Udayana. Method: This research uses descriptive correlation design with cross sectional approach, the number of samples cases wholly is 30 respondents taken by means consecutive sampling. Analyzed data in bivariat by test spearman rho. Results: The result showed that most respondent having a level knowledge enough, namely 15 people (50,0%) and behavior diet enough, namely 17 people (56,7%). The result analysis bivariat obtained value p=0,000 < ? (0,05) with price r count (0,683) > r table (0,361). Conclusion: Concluded that a significant relation exists between the level of knowledge in patiens with the diet of diabetes mellitus, where by a level close correlation coefficient is a strong positive correlation.Key words: Knowledge; Behavior; Diabetes Mellitus

Background: Diabetes Mellitus is a degenerative disease caused by changes in lifestyle such as diet can play a role in increasing blood glucose levels. This change in lifestyle is due to a lack of patient knowledge about DM management, leading to failure in DM management and complications for type II DM. The purpose of this study to determine the level of knowledge of Type 2 Diabetes Militus patients in RSUD Wangaya Kota Denpasar. Method: The method used in the study is to use descriptive methods. The study population was patients visiting the Wangaya Hospital Polyclinic in Denpasar City with medical diagnosis of type II DM. The research sample of 30 respondents with purposive sampling. The data obtained from the questionnaire that had previously been tested for validity and reliability. Then the data is analyzed univariately to see the patient demographic characteristics and is presented in the frequency distribution. Results: the results of the study obtained the level of patient knowledge about management of Type 2 DM (73.3%) in either category. When viewed by the DM management component, the patient's knowledge of DM (63.3%) is sufficiently knowledgeable, the patient's knowledge of diet (63.3%) is good, the DM patient's knowledge of medicine (90.0%) is well-informed and knowledgeable DM patients about physical exercise (60.0%) lack knowledge. Conclusion: knowledge of type II DM patients about DM management as a whole is well known, but when elaborated the components of DM management which consist of the concept of disease from type II DM, diet, medication and physical exercise are not fully well known.Keywords: Type 2 diabetes mellitus; DM management; Knowledge

Background: Diabetes Mellitus is a disease with high levels of glucose (simple sugar) in the high blood because the body can not release or use insulin adequately. One complication that is feared by people with Diabetes is Diabetic Foot or Diabetic Gangrene. This research aims to determine the behavior of patients with diabetes mellitus in the prevention of diabetic foot in room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital. Methods: Types of research used in this research is descriptive survey approach. Sample of the study are 40 patients with diabetes mellitus hospitalized in the room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital using consecutive sampling technique. Data is collected in the period March to May 2012 by filling out a questionnaire about behavioral prevention of diabetic foot. Results: The results of data analysis showed that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot based on education level, age, gender and occupation. From the 40 respondents there were: 55% of the level of knowledge good, 80% good attitude, 70% good actions and 67,5% good actions in the category of good behavior. Conclusion: It can be concluded that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot is in a good category with the factors assessed including knowledge, attitudes, and actions.Keywords : Diabetes mellitus; diabetic foot; behavioral

Latar belakang: Timbulnya komplikasi dan berujung kematian pada pasien DM (Diabetes Mellitus) ini dikarenakan rendahnya self efficacy dan perilaku perawatan diri pasien DM itu sendiri. Perilaku perawatan diri pasien DM masih rendah dikarenakan kurangnya paparan informasi dan media yang tepat yang dapat dijadikan acuan dalam melakukan perawatan mandiri dirumah. Tujuan: Memberikan pendidikan kesehatan dengan media kalender DM kepada pasien DM agar dapat melakukan perawatan mandiri dirumah dengan tepat. Metode: Pendidikan kesehatan diberikan kepada pasien DM diwilayah kerja puskesmas Sukawati I sebanyak 48 orang dengan pemilihan sampel secara accidental menggunakan metode ceramah diskusi disertai demonstrasian dengan media kalender DM dan dinilai gula darah sewaktu sebelum dan sesudah penerapan kalender DM dalam perawatan diri dirumah. Hasil: . Hasil evaluasi menunjukan hasil 100% peserta mengikuti kegiatan dari awal hingga akhir. Nilai gula darah sewaktu peserta sebelum kegiatan menunjukan hasil lebih dari normal dan ada yang masuk dalam kategori gula darah tidak terkontrol (Mean: 183) sedangkan setelah menjalankan program manajemen DM dengan media kalender DM nilai gula darah sewaktu peserta rata-rata masuk dalam kategori terkontrol (Mean:146). Simpulan: penerapan kalender DM sebagai media dalam manajemen DM secara mandiri dapat membantu pasien mempertahankan guladarahnya tetap terkontrol. Program pengabdian ini juga berdampak positif dalam meningkatkan kemampuan pasien DM dalam manajemen DM secara mandiri.

Diabetes melitus merupakan penyakit kronis karena gangguan metabolisme glukosa yang dapat menyebabkan neuropati. Neuropati pada kaki dapat menyebabkan munculnya luka ulkus diabetikum dan menimbulkan masalah gangguan integritas kulit. Tujuan penelitian memberikan gambaran pengelolaan gangguan integritas kulit pada pasien ulkus diabetikum di Dusun Tegal Melik, Desa Gebugan, Kecamatan Bergas, Kabupaten Semarang. Jenis penelitian deskriptif dengan pendekatan asuhan keperawatan berupa pengkajian, analisis data, merumuskan diagnosa keperawatan, perencanaan, pelaksanaan, dan evaluasi. Pengambilan sampel dengan convinience sampling pada salah satu penderita diabetes melitus. Teknik pengumpulan data dilakukan dengan menggunakan tehnik wawancara, pemeriksaan fisik, observasi dan studi dokumentasi. Pengelolaan gangguan integritas kulit dengan ulkus diabetes ini dilakukan selama 3 hari pada Tn. S dan dilakukan rencana keperawatan yaitu perawatan luka, pemberian salep antibiotic dan pendidikan kesehatan tentang perawatan luka. Hasil akhir didapatkan pasien mengatakan masih ada luka di kaki kiri diatas pergelangan kaki dan sudah mulai mengering, data obyektif yaitu diameter luka 3-4 cm, kedalaman luka 1 cm, warna merah kehitaman, glukosa darah sewaktu H. 280 Mg/dl. Berdasarkan pengelolaan disimpulkan masalah gangguan integritas kulit belum teratasi. Saran bagi pasien yaitu pentingnya memelihara kebersihan luka dan bagi masyarakat mau merubah perilaku menuju perilaku bersih dan sehat.

Diabetes Mellitus (DM) is a chronic disorder of the body's metabolism due to the hormone insulin in the body which cannot be used effectively in regulating blood sugar balance thereby increasing the concentration of sugar levels in the blood (hyperglycemia). The purpose of this study is to be able to understand diabetes mellitus and practice diabetic foot exercises in order to minimize tissue damage. Health education about diabetes mellitus and diabetic foot exercises can increase the knowledge of Karangjongkeng villagers to try their best to prevent more severe diabetes mellitus, namely tissue damage. Health education to residents can increase the knowledge and skills of diabetic foot exercises in preventing diabetes mellitus.

Diabetes mellitus is a metabolic disorder caused by a lack of the hormone insulin. The hormone insulin is produced by a group of beta cells in the gland of the pancreas and plays an important role in glucose metabolism in body cells. According to the World Health Organization (WHO, 2013) 80% of DM sufferers in the world come from developing countries, one of which is Indonesia. The prevalence of DM in Indonesia reaches 4.7% of the national population and is expected to reach 5.9% by 2030. In general, the prevalence of DM in Aceh province is 1.8%. The purpose of this study was to determine the effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City. This study uses Quasi Experiment Design research design using one group pre test-post test design. The sampling technique uses total sampling by measuring blood sugar levels before and after diabetes exercises with a total sample of 16 people. Bivariate analysis uses paired t-test. The results showed that there was an Effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City with a statistical result of 0,000.

The elderly are a group of people who are vulnerable to degenerative diseases such as hypertension, diabetes mellitus, and others. The causes include a lack of knowledge about healthy diet and the lack of health checks. The purpose of this community service activity is to improve the quality of life of the elderly in Kelurahan Utama of South Cimahi by socializing healthy diets and conducting health checks. Media used for healthy diet counseling are power points, videos, and posters. Health examinations conducted include measurements of body mass index, blood pressure, blood glucose levels, triglycerides, total cholesterol, and uric acid. The results of the health examination showed quite a lot of elderly people who suffer from degenerative diseases. Through this activity, the elderly in Kelurahan Utama of South Cimahi gained knowledge about healthy diet in order to avoid various diseases and know the disease that is being experienced so that they can immediately undergo proper treatment.

Diabetes Mellitus Gestasional (DMG) adalah penyakit yang terjadi selama kehamilan di tandai dengan peningkatan kadar glukosa (hiperglikemia) dan dapat menyebabkan makrosomia, hipoglikemia janin, kebutuhan perawatan intensif neonatal dan kematian neonatal. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan melalui media booklet terhadap upaya pencegahan Diabetes Mellitus Gestasional pada ibu hamil trimester I di RS Bhayangkara Tk.III Manado. Metode Desain penelitian ini menggunakan pra-eksperimental (one-group pra-post test design).Sampel dalam penelitian ini 20 responden diambil dengan menggunakan accidental sampling. Instrumen penelitian menggunakan kuisioner untuk pengukuran tingkat pengetahuan ibu hamil trimester I. Selanjutnya data yang telah terkumpul diolah dengan mengunakan bantuan aplikasi SPSS 16.0 untuk dianalisa dengan  menggunakan uji Wilcoxon. Dengan tingkat kemaknaan α= 0.05. Hasil penelitian ini menunjukan ada pengaruh pendidikan kesehatan melalui media  booklet terhadap upaya pencegahan Diabetes Mellitus Gestasional pada ibu hamil trimester I dengan nilai p-value = 0,000 Kesimpulan dalam penelitian terdapat pengaruh pendidikan kesehatan melalui media booklet terhadap upaya pencegahan diabetes mellitus gestasional pada ibu hamil trimester I di RS Bhayangkara Tk.III Manado.Diharapkan kepada responden yang masih memiliki pengetahuan yang masih kurang baik, agar tingkatkan lagi pengetahuan tentang DMG.    

Aging or the process of getting old is a process of disappearing or decreasing health functions in meeting the needs of life. Aging is characterized by sagging skin, gray hair, poor hearing, and worsening vision.1 The WHO classification of elderly (elderly) includes middle age (45-59 years), elderly (60-59 years). 74 years), old (75 – 90 years), very old (above 90 years).2  

Gestational diabetes mellitus (GDM) is a glucose tolerance disorder that was first discovered during pregnancy which had never been diagnosed with diabetes in the mother and then showed high glucose levels during pregnancy. Women with GDM almost never give complaints even though the incidence of GDM can be threatening and very dangerous because it can cause several complications during pregnancy, childbirth and after childbirth is also one of the causes in cases of maternal and infant mortality. Pregnancy accompanied by diabetes is also at risk of causing maternal death up to 4 times 2. One other prevention that can be done is more intensive counseling and counseling from officers to all pregnant women about the description of the incidence of DMG. This activity was carried out at the Tanralili Public Health Center with the method of individual counseling to pregnant women in turn with brochures distributed to each pregnant woman, after which they took blood/glucose checks while. This activity was attended by 2 lecturers and 2 midwifery students as well as 20 pregnant women. This community service provides good benefits, namely getting knowledge about Gestational Diabetes Mellitus and being able to know glucose levels in the blood as screening so that it can prevent and detect early complications that will occur.

The elderly group during the pandemic is the group most at risk of experiencing severity/morbidity and mortality due to Covid-19 disease. This is because elderly patients (geriatric) generally have various comorbidities, such as cardiovascular disease, chronic respiratory disease, diabetes mellitus and hypertension. The elderly as a vulnerable group, of course, really need the right information related to Covid-19 with the right media. Media that can be used to provide information on Covid-19 to the elderly are posters and power points. This provision can be done by nurses. This research will be conducted on 50 elderly people at Kelurahan Bendungan Semarang. The study was conducted by measuring the level of knowledge with a knowledge level questionnaire about the problem of covid-19, before and after treatment. The design of this study was a quasi-experimental pre-test post-test with control group. The research sample was determined by total sampling with certain criteria, namely: 1) elderly aged 60 years and over, 2) can read, write, communicate well, 3) do not experience sensory, cognitive, and movement disorders, 4) participate in all activities with 100% attendance. The division of the group was 25 people for the intervention group and 25 people for the control group. The provision of posters and PPT media was held 4 times in 4 weeks. This is done in combination because the combination of the two media can increase the level of better knowledge, especially for the elderly who have experienced a decline in function. There is an increase in the level of knowledge from low level 4 people (16%), medium level 15 people (60%), high level 6 people (24%) to low level 1 person (4%), medium level 9 people (36%), high level 15 people (60%).

Prevalensi   diabetes   tipe 2   terkait   usia   lansia   sampai   tahun   2030 mengalami peningkatan tajam karena diprediksi lebih dari 82 juta populasi lansia di negara berkembang menderita diebetes. Tipe 2 merupakan bentuk penyakit yang sering di lansia dan merupakan ancaman serius terhadap kesehatan karena terjadi komplikasi kronis. Tanda dan gejala diabetes pada lansia sering kali tidak jelas  dan  diagnosa  biasanya  terlambat.  Gejala  diabetes  dapat  muncul  tidak spesifik  dan  tidak  pasti,  seperti  keletihan,  inkontinensia  urin,  atau  perubahan status mental seperti depresi, konfusi, dan apatis. Beberapa ahli berpendapat bahwa dengan meningkatnya umur maka intoleransi terhadap glukosa juga meningkat. Peningkatan kadar gula darah pada lansia disebabkan oleh beberapa hal, yaitu fungsi pankreas dan sekresi insulin yang berkurang, perubahan karena lansia sendiri  yang berkaitan dengan resistensi insulin akibatnya kurangnya massa otot dan perubahan vaskuler, aktifitas fisik yang  berkurang,  banyak  makan  dan  kegemukan,  stress,  sering  menggunakan obat-obatan, dan adanya faktor keturunan. Stres memicu  reaksi  biokimia  tubuh melalui  2  jalur,  yaitu  neural  dan neuroendokrin. Reaksi pertama respon stres  yaitu  sekresi  sistem  saraf  simpatis untuk  mengeluarkan  norepinefrin  yang menyebabkan    peningkatan    frekuensi jantung. Kondisi ini menyebabkan glukosa darah meningkat guna sumber energi untuk perfusi.  Peningkatan hormon  stres yang diproduksi dapat  menyebabkan kadar gula darah menjadi meningkat. Kondisi yang rileks dapat mengembalikan kotra-regulasi  hormon  stres  dan  memungkinkan  tubuh  untuk  menggunakan insulin lebih efektif. Seseorang  yang  terkena  diabetes  akan  memerlukan  pengobatan  yang terus-menerus untuk  mengontrol  kadar gula  darah  dan  mencegah  komplikasi. Tapi ada pengobatan lain yang bisa dilakukan sendiri untuk membantu mencegah penyakit ini bertambah buruk. Stres yang tinggi yang dialami penderita dapat meningkatkan angka kesakitan dan kematian, sehingga dibutuhkan kemampuan penderita dalam melakukan perawatan diri   dengan memanajemen stress yang dialami.    

Background: Diabetes Mellitus is a significant cause of morbidity and mortality today. The risk of death on diabetes mellitus patients due to its complication is steadily increasing. A low level of knowledge about diabetes mellitus complications influences the behavior and prevention of further complications. A routine blood glucose control is an important prevention of diabetes mellitus complication, especially on patients with insulin therapy. Purpose:This descriptive study aimed to describe the knowledge about signs and symptoms of hypoglycemia among diabetes mellitus patients in the Public Health Centre of I East Denpasar. Methods: This was a descriptive study conducted in the Public Health Centre of I East Denpasar. There were 72 diabetes mellitus patients chosen by the purposive sampling technique that participated in this study. The Knowledge Attitude Practice (KAP) questionnaire employed to collect the participant's knowledge about hypoglycemia. Results: Statistical analysis showed that 69.4%, 25%, and 5.5% of participants were having a moderate, good, and poor level of knowledge, respectively. Conclusion: The majority of diabetes mellitus patients in the Public Health Center of I East Center Denpasar was having a moderate level of knowledge about the signs and symptoms of hypoglycemia (64.9%). ABSTRAK Latar Belakang :. Diabetes Mellitus merupakan salah satu masalah kesehatan utama yang menyebabkan kecacatan dan kematian. Peningkatan angka kematian pada diabetes mellitus disebabkan pasien mengalami komplikasi karena pengetahuan pasien tentang Penyakit DM berdampak pada perilaku dan pola pencegahan komplikasi lanjutan, salah satu upaya penanganan yang dilakukan pasien DM adalah dengan pengendalian kadar glukosa darah secara rutin dan komplikasi Diabetes Mellitus yang menjalani terapi obat khususnya terapi insulin. Tujuan: Untuk mengetahui Gambaran Pengetahuan Pasien DM Tentang Tanda dan Gejala Hipoglikemi di Puskesmas I Denpasar Timur. Metode : Penelitian ini menggunakan metode penelitian deskritif. Tempat penelitian dilaksanakan di Puskesmas 1 Denpasar Timur. Cara pengambilan sampel secara purposive sampling dengan jumlah sampel 72 orang dan cara pengumpulan data dengan pengisian kuesioner KAP (Knowledge Attitude Practice). Hasil : Hasil penelitian ini didapatkan bahwa sebagian besar memiliki tingkat pengetahuan cukup sebesar (69.4%), Baik (25%), Kurang (5.5%). Simpulan : Berdasarkan hasil dari gambaran pengetahuan pasien DM tentang tanda dan gejala hipoglikemi Puskesmas 1 Denpasar Timur memiliki tingkat pengetahuan Cukup sebesar (69.4%)

Background: The Central Government and Local Governments including Badung Regency are facing the burden of communicable and non-communicable diseases which has not ended until now. Purpose: to find out the most priority diseases to be prevented and controlled in Badung Regency. Methods: This is a descriptive-analytic study using secondary data from monthly reports of outpatient visits and inpatients at the health center and the Mangusada Regional Hospital during 2014 - 2018. Besides, interviews were also conducted with respondents with a health education background. Results: The scoring results show Hypertension as the first ranked disease to be treated in Badung Regency with a score of 63.8. This disease is classified as a non-communicable disease group. The disease that is ranked second is HIV / AIDS which is an infectious disease with a score of 58.9, and the third rank is occupied by Diabetes Mellitus, which is also a non-communicable disease with a score of 58.7. Conclusion: Based on the results of the interview, hypertension is the most priority disease to be tackled in Badung Regency in 2019. The second and third priority diseases are respectively occupied by HIV / AIDS and Diabetes Mellitus. Latar belakang: Pemerintah Pusat maupun Pemerintah Daerah termasuk Kabupaten Badung menghadapi beban penyakit menular dan penyakit tidak menular yang tidak kunjung usai sampai dengan saat ini. Tujuan: untuk mengetahui penyakit yang paling prioritas untuk dicegah dan dikendalikan di Kabupaten Badung. Metode: adalah penelitian deskriptif analitik menggunakan data sekunder laporan bulanan kunjungan pasien jalan dan pasien rawat inap di puskesmas serta RS Daerah Mangusada sepanjang tahun 2014 – 2018. Selain itu, juga dilakukan wawancara kepada responden dengan latar belakang pendidikan kesehatan.  Hasil: Hasil scoring menunjukan Hipertensi sebagai penyakit ranking pertama untuk ditangani di Kabupaten Badung dengan nilai score 63,8. Penyakit ini tergolong dalam kelompok penyakit tidak menular. Penyakit yang menduduki ranking kedua adalah HIV/AIDS yang merupakan penyakit menular dengan nilai score 58,9, dan ranking ketiga diduduki oleh penyakit Diabetes Melitus yang juga penyakit tidak menular dengan nilai score 58,7. Simpulan: Hipertensi merupakan penyakit yang paling prioritas untuk ditanggulangi di Kabupaten Badung pada tahun 2019. Penyakit kedua dan ketiga yang menjadi prioritas masing-masing ditempati oleh penyakit HIV/AIDS dan Diabetes Melitus.

The aging process in the elderly causes a decrease in glucose tolerance and basal metabolism, which affects blood sugar control. The activities and conditions of older adults influence their nutritional needs, which impact total calorie intake. Types of blood glucose level checks, including fasting, post-prandial, and others, are used to monitor elderly health conditions related to diabetes. Seniors are also susceptible to hypertension, which can cause serious complications such as stroke and heart disease. WHO notes the high prevalence of hypertension worldwide, emphasizing the importance of early detection and appropriate management to prevent adverse impacts on public health

Diabetes mellitus type 2 is most often occurring and cause acute vascular diseases of vascular perifer and the loss of perifer blood circulation. One management of peripheral blood circulation in people with diabetes mellitus is to use diabetic feet spa therapy. The purpose of this case study is to describe the application of diabetic feet spa to peripheral blood circulation after and before therapy of diabetic feet spa. The type of the study belongs descriptive with a case study approach. The subjects of this study were two patients with type 2 diabetes mellitus, experienced mild peripheral blood circulation disorders who did not have ulcer wounds, and had the will and willing to follow a diabetic feet spa. Analysis of peripheral blood circulation was carried out descriptively and measured by the Ankle Brachial Index (ABI). The results of the case study showed that there was an increase in peripheral blood circulation subjects in both subjects, in subject I  from 0.83 (mild) to 0.92 (normal) and in subject II from 0.88 (mild) to 0.95 (normal) after being done therapy for diabetic feet spa. It is suggested to Puskesmas officers need to treat spa diabetics as one of the peripheral blood circulation management in patients with type 2 diabetes mellitus.