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Diabetes Mellitus is a complication caused by severe disturbances, particularly in the metabolic composition of carbohydrates, fats, and proteins in the body. The level of patient compliance in taking medication is one of the factors that determine the success of diabetes mellitus therapy. Compliance with treatment plays a crucial role in controlling metabolic conditions, especially in diabetes mellitus patients. The impact of non-compliance with medication in type II diabetes mellitus patients will increase uncontrolled blood sugar levels, which can lead to various complications of organ damage. The purpose of this study was to examine the relationship between medication compliance and blood sugar levels in type 2 diabetes mellitus patients at Harapan Anda Islamic Hospital in Tegal City. This study used a quantitative cross-sectional approach. The sample size was 58 respondents using a purposive sampling technique. Data analysis techniques used univariate and bivariate analysis (chi-square). Characteristics of 58 patients suffering from type 2 diabetes mellitus at Harapan Anda Islamic General Hospital, Tegal City, most of them are aged 46-60 years, with female gender, with most of them having junior high school education, some with working status, with a duration of suffering for >5 years, most with moderate medication adherence and most with normal blood sugar levels. There is a relationship between medication adherence and blood sugar levels in type 2 diabetes mellitus patients at Harapan Anda Islamic General Hospital, Tegal City (0.000). It is hoped that it can provide valuable information for diabetes sufferers about the importance of medication adherence to blood sugar levels so that blood sugar levels can be controlled.

A 64-year-old male patient presented to the emergency department (ED) of RS Cut Meutia with complaints of left-sided chest pain radiating to both arms, which had been occurring for two days prior to his hospital admission. The chest pain was described as sharp, sudden, and progressively worsening, and it persisted without relief from positional changes. The pain intensity was rated as 9/10 and was accompanied by cold sweats and nausea. The patient had a history of type 2 diabetes mellitus for 15 years and had been on antidiabetic medications, although he could not recall the names of the medications. The patient was a smoker but had quit smoking upon being diagnosed with diabetes. Vital signs and general status were within normal limits upon examination. Local examination of the heart revealed a murmur on auscultation. Laboratory results showed anemia, leukocytosis, hyperglycemia, and hypercholesterolemia. Electrocardiography (EKG) indicated signs of inferior STEMI (ST-Elevation Myocardial Infarction). The patient was treated with furosemide 1 amp/12 hours, atorvastatin 1x20 mg, arixtra 1x0.25 mg, aspilet 1x8 mg, clopidogrel 1x75 mg, nitrokaf retard 2x2.5 mg, and bisoprolol 1x2 mg, along with non-pharmacological management, including three-way catheter insertion and oxygen therapy at 2-4 liters per minute. Acute Coronary Syndrome (ACS) carries a poor prognosis if not managed promptly and correctly. Understanding the appropriate management of ACS is crucial in preventing further myocardial occlusion and improving patient outcomes. Therefore, rapid and accurate intervention is vital in improving the prognosis for patients with ACS.

Red beans (Phaseolus vulgaris L.) are a type of legumes (Leguminaceae) that have a high content of starch and fiber. The high fiber content causes red beans to prevent coronary heart disease. Red beans also have a low glycemic index so they can lower cholesterol levels in the blood and the risk of diabetes. Red beans also contain phenolic compounds that act as antioxidants in the body. Red beans are classified as food ingredients that can support the increase in nutritional value because they are classified as a relatively affordable source of vegetable protein. The purpose of this counseling is to provide knowledge and processed skills from local commodities, in this case red beans, to students majoring in Agribusiness of Agricultural Products at SMK Negeri 1 Bawen. This activity was attended by 68 students majoring in Agribusiness and Agricultural Products and 1 assistant teacher from SMK Negeri 1 Bawen, Semarang Regency. The method of this red bean processing extension activity is to increase the knowledge and skills of making processed local food products with several methods: a. The lecture method provides the theory and practice of making kidney bean cookies. b. Practice method of making red bean cut ice. c. The question and answer method, used to provide feedback to participants about the material that has been presented during the activity. d. Evaluation is given by providing pre test and post test. After the implementation, it showed that the target, namely students of SMK Negeri 1 Bawen, increased their knowledge and understood the importance of post-harvest handling and processing of red beans with the practice of making red bean cut ice. This is based on questions and answers, interviews and questionnaires shared before and after the activity. From the results of the questionnaire conducted before and after the activity, it showed that: After the implementation, there was a 50.17% increase in knowledge about kidney bean processing, Knowledge about making kidney beans into cut ice increased by 65.32% and Knowledge of other processed kidney beans such as kidney bean cookies showed that there was an increase of 67.15% after counseling. The conclusions that can be drawn from this counseling activity are (1) Processed red bean extension activities can increase the knowledge and understanding of the participants (2) The responses given by the counseling participants show a fairly satisfactory interest and there is a desire to apply the newly acquired knowledge to be socialized in the surrounding environment.

Heart failure is a major cause of morbidity and mortality worldwide. Based on data from the World Health Organization (WHO), one of the most non-communicable diseases in the world is cardiovascular disease, whose spectrum is heart failure. To diagnose heart failure, a clinical history, physical examination and investigations are required. This study aims to determine the characteristics of heart failure patients at the heart polyclinic of RSUD Dr. M. Haulussy Ambon City March 2022. This research is a descriptive study. The number of samples in the study was determined using a categorical descriptive formula and the samples were taken using a simple consecutiv sampling technique. The data obtained were analyzed using the Statistical Package for the Social Science (SPSS). The results showed that from 74 samples of heart failure patients, 37 people aged >60 years (50%), 42 men (56.8%), 55 people had a history of coronary heart disease (74.3%). , as many as 21 people had a history of hypertension grade 1 (35.1%), as many as 7 people had a history of diabetes mellitus (9.5%), as many as 27 people took diuretic drugs (36.5%), as many as 34 people had a history of smoking (45.9%), as many as 31 people had a history of hospitalization (41.9%), as many as 26 people had a history of arrhythmias (35.1%), as many as 8 people had a history of valve abnormalities (10.8%).

Stroke adalah penyebab kematian nomor dua dan penyebab kecacatan di seluruh dunia. Salah satu cara yang dapat digunakan untuk mencegah stroke pada penderita hipertensi adalah dengan menemukan dan mengendalikan faktor risiko yang dapat dimodifikasi. Tujuan penelitian ini adalah untuk mengidentifikasi gambaran faktor risiko dan tingkat risiko stroke berdasarkan stroke risk score card pada penderita hipertensi di klinik romana tanjung anom tahun 2024. Penelitian ini menggunakan rancangan bersifat deskriptif . Metode pendekatan yang digunakan adalah cross sectional. Teknik pengambilan  sampel yang digunakan accidental sampling dengan jumlah responden penderita hipertensi sebanyak 98 orang. Instrument yang digunakan dalam penelitian ini adalah Stroke Risk Score Card. Hasil penelitian lebih dari setengah penderita hipertensi memiliki tingkat risiko stroke rendah 57 orang (58,2%). Faktor risiko stroke yang dimiliki penderita hipertensi berurutan dari faktor risiko terbanyak yaitu tekanan darah tinggi 66 orang (67,3%), pemalas / tidak pernah olahraga 56 orang (57,1%), hiperkolestrolemia 30 orang (30,6%), Overweight 30 orang (30,6%), atrial fibrilasi tidak teratur 11 orang (11,2%), perokok 9 orang (9,2%), riwayat diabetes mellitus 6 orang (6,1%), dan riwayat stroke dalam keluarga 5 orang (5,1%). Sebagian besar penderita hipertensi memiliki risiko rendah terkena stroke. Pencegahan primer merupakan upaya penting untuk mencegah stroke, sehingga dianjurkan untuk dilakukan secara rutin.

Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion or function. The prevalence of diabetes continues to increase in Indonesia, particularly among adults and the elderly, requiring comprehensive and sustainable management. Diabetes management is not limited to pharmacological therapy but also includes non-pharmacological approaches such as dietary management, physical activity, and health education. One form of physical activity recommended for diabetes sufferers is diabetes exercise. This study aims to determine the effect of diabetes exercise on reducing blood glucose levels in diabetes mellitus patients enrolled in the Chronic Disease Management Program (Prolanis) at the Gunungpati Community Health Center (Puskesmas). The study used a quantitative approach with a one-group pretest-posttest pre-experimental design. A total of 30 respondents were randomly selected from the Prolanis patient population, and blood glucose levels were measured before and after the diabetes exercise intervention. The intervention was carried out routinely and structured over a certain period. The analysis using the Wilcoxon Signed Ranks test showed a statistically significant decrease in blood glucose levels after diabetes exercise, with a p-value of 0.000 (p < 0.05). The average blood glucose level decreased from 260.27 mg/dL to 211.33 mg/dL. This study concluded that diabetes exercise is effective as a non-pharmacological intervention in helping control blood glucose levels. Therefore, routine implementation of diabetes exercise in primary healthcare facilities needs to be promoted as a simple, effective, and affordable promotive and preventive strategy.  

Background: Regular physical activity has a significant impact on improving the quality of health in all age groups. One of the main factors causing the increasing prevalence of Non-Communicable Diseases (NCDs) such as diabetes, heart disease, and obesity is lack of physical activity. Data from various studies show that increasing physical activity and fitness levels can reduce the relative risk of death by 20% to 35%. This condition shows that physical activity is not only important for maintaining fitness, but also has a vital role in preventing premature death caused by chronic diseases. Objective: This study aims to systematically examine the benefits of physical activity on health and fitness through a systematic review of 13 relevant scientific articles. Results: The findings show that regular physical activity can improve and maintain muscle and bone health, reduce the risk of chronic diseases such as diabetes, heart disease, and obesity, and reduce symptoms of mental disorders such as depression and schizophrenia. In addition, physical activity also plays a role in improving psychological well-being. Conclusion: Consistent physical activity contributes to the primary and secondary prevention of various chronic diseases, reduces the risk of premature death, maintains a balanced body composition, and supports optimal organ function. This results in a healthier, fitter body, and individuals being more productive in their daily activities.  

Type 2 Diabetes Mellitus (T2DM) is a chronic condition that requires optimal adherence to pharmacological treatment to prevent disease progression and complications. This study aims to analyze the level of adherence to anti-diabetic medication among T2DM patients and to explore the association between the experience of medication side effects and adherence levels. A descriptive-analytic cross-sectional design was employed, involving 97 T2DM patients in Bandung Regency and Bandung City, Indonesia. Data were collected through structured questionnaires and analyzed using descriptive statistics and the Chi-Square test. The results revealed that 53.6% of respondents exhibited low medication adherence. The majority reported having diabetes-related complications (88.7%) and experiencing medication side effects (57.7%). A significant positive association was found between medication side effects and adherence level (p = 0.039), indicating that patients who experienced side effects tended to be more adherent. Demographic factors such as place of residence, gender, and age showed no significant association with adherence. The findings suggest that side effects may hinder adherence; however, awareness of the body’s response to medication, including side effects, may also serve as a motivator for adherence.

Diabetes Mellitus is a metabolic disorder marked by hyperglycemia resulting from the body's failure to synthesize insulin. Nutritional therapy is effective in controlling glucose levels by providing low glycemic index and high in antioxidant foods, including sweet potatoes and red beans. The primary objective of this study was to elucidate the influence of wheat flour replacement with composite flour consisting of sweet potato and red bean flour on anthocyanin content and the sensory preferences of muffins. A single-factor completely randomized approach was used in this experimental investigation. The treatment involved substituting wheat flour with a composite flour consisting of sweet potato and red bean flours, in the following ratios: 30:20:50 (F1), 30:35:35 (F2), 30:50:20 (F3), and 100:0:0 (F0, control). Anthocyanin content was analyzed using the differential pH method, while sensory preferences were evaluated by 30 semi-trained panelists using a hedonic scale test. The results showed that substituting wheat flour with composite flour high in sweet potato content increased anthocyanin levels. However, the substitution of wheat flour generally reduced the overall sensory preference for muffins. Despite this, formulations with a higher proportion of sweet potato flour improved the preference scores. In conclusion, the substitution of wheat flour with composite flour rich in sweet potato increased anthocyanin content and improved sensory preferences for color, aroma, and taste in muffins

Obesity, central obesity, and hypercholesterolemia are prevalent yet often unrecognized health conditions that significantly elevate the risk for various non-communicable diseases (NCDs) such as diabetes mellitus, hypertension, and cardiovascular disorders. These conditions, when left undiagnosed and untreated, contribute to the growing public health burden worldwide. This community service program was designed to raise awareness and provide early detection of these conditions through basic health screening measures, including body mass index (BMI), waist circumference, and blood cholesterol levels. The program was implemented in Tomang Subdistrict, West Jakarta, where 90 participants were involved. The findings from the screening revealed concerning results: 67% of the participants were classified as obese, and 58% had central obesity, both of which are major risk factors for NCDs. A deeper analysis of lifestyle factors highlighted that high-fat diets, sedentary behaviors, and night shift work were significant contributors to the high rates of obesity and metabolic abnormalities observed. The educational outreach component of the program, which included the provision of information about healthy diets, exercise, and the importance of regular health screenings, proved to be effective in raising awareness about these health issues. Moreover, the simple health screening process was well-received by the community and contributed to a greater understanding of individual health risks. This initiative is expected to serve as a sustainable model for promoting health and preventing metabolic diseases in the community. The findings underscore the importance of early detection and education as critical strategies in the fight against obesity and related NCDs, suggesting that such programs can play a key role in reducing the future burden of chronic diseases in underserved populations

One of the key indicators of nation’s health development is life expectancy, which reflects the overall quality of public health. As life expectancy increases, the prevalence of non-communicable diseases (NCDs) also tends to rise, with Type 2 Diabetes Mellitus (DM) being one of the most common. In Indonesia, the number of individuals with Type 2 DM has reached approximately 10.7 million, and this figure is projected to increase significantly to 21.3 million cases by 2030, posing a serious public health challenge. This study aimed to describe the process of clinical nutrition care based on the Nutrition Care Process (NCP) for a patient diagnosed with Radiculopathy accompanied by Non-Insulin-Dependent Diabetes Mellitus (without complications), Essential (Primary) Hypertension, Spondylosis, and Spinal Stenosis, through the application of a regulated diabetic diet (DM RG) during hospitalization. The case study was conducted in November 2024 at RSI Ayani Surabaya and involved systematic monitoring of food intake and clinical outcomes during treatment. Findings indicated that within three days of observation, the patient’s dietary intake reached the target goals, demonstrating effective implementation of the prescribed meal plan. From physical and clinical monitoring, a notable decrease in blood pressure was observed on the second and third days, suggesting improvements in cardiovascular response to dietary management. Additionally, the patient’s temperature, pulse, respiratory rate, and oxygen saturation remained within the normal range throughout the treatment period, further supporting the effectiveness of the intervention. These results emphasize the importance of structured nutrition care in managing patients with multiple comorbidities, particularly those with diabetes and hypertension, as dietary regulation plays a central role in stabilizing health conditions. Overall, the study demonstrates that the application of the NCP framework combined with consistent monitoring can lead to positive patient outcomes and highlights its potential as a model for improving clinical nutrition management in hospital settings.

Increased blood sugar levels due to the body's impaired insulin production are a sign of a chronic metabolic disease known as diabetes mellitus. As seen in Batam, cases of diabetes mellitus in Indonesia are relatively high. This study aims to determine how long type II diabetes mellitus wounds last in Batam City. This study used a cross-sectional approach to conduct quantitative descriptions. This study involved 60 people. The Chi-Square test was used to conduct data analysis. The results showed that there was a significant correlation between age and the healing time of diabetes mellitus wounds, with a sig P value of 0.001 <0.05; gender had a significant correlation, with a sig P value of 0.007 <0.05; sugar control had a significant correlation, with a sig P value of 0.001 <0.5; and anemia had a significant correlation, with a sig P value of 0.001 <0.5. The results indicate that there is a relationship between these variables and the healing time of type II diabetes mellitus wounds. It is hoped that this study can be used as literature for further research.

ST-Elevation Myocardial Infarction (STEMI) is one of the manifestations of acute coronary syndrome (ACS) and is a leading cause of disability and death worldwide. The mortality rate for STEMI is reported to reach 6%–14% of all ACS deaths. Reperfusion therapy is the primary treatment, with fibrinolytics an important option, especially in healthcare facilities that do not have the capacity to perform primary Percutaneous Coronary Intervention (PCI) in less than 12 hours. The success of fibrinolytics is influenced by various risk factors, such as hypertension, dyslipidemia, diabetes mellitus, a history of heart disease, and the duration of the attack. This study aims to determine the relationship between these factors and the success rate of fibrinolytics in STEMI patients. This study used a retrospective descriptive design with a cross-sectional method. The sampling technique used total sampling of patients diagnosed with STEMI and receiving fibrinolytic therapy according to inclusion and exclusion criteria at Dr. Fauziah Hospital. Statistical analysis was performed using the Chi-Square correlation test to assess the relationship between clinical variables and fibrinolytic success. The results showed no significant association between hyperglycemia (p = 0.823), hypertension (p = 0.240), or a history of heart disease (p = 0.704) and fibrinolytic success. Similarly, the onset of stroke variable did not show a significant association with reperfusion outcomes. In conclusion, classic risk factors such as hyperglycemia, hypertension, and a history of heart disease were not associated with fibrinolytic success in STEMI patients at Dr. Fauziah Hospital. These results suggest that fibrinolytic success is likely influenced by other factors, such as timing of drug administration, protocol adherence, and individual variation in response to therapy. Further research with a larger sample size and a prospective design is recommended to strengthen these findings.

Type II diabetes mellitus (Type II DM) is a chronic disease that requires long-term self-care skills to prevent serious complications. However, many patients have difficulty managing blood sugar levels independently due to a lack of structured and ongoing education. The Student Creativity Program (PKM) aims to improve the self-care skills of Type II DM patients through an educational approach based on the Self-Care Deficit theory from Dorothea Orem. The activity was carried out in Bonto Ramba, the working area of the Tamalanrea Makassar Health Center, involving 35 participants (33 women and 2 men). Interventions were carried out through interactive counseling, demonstrations of diabetic foot wound care, practice simulations, and the distribution of easy-to-understand educational media. Evaluation was carried out using a pre-post test to measure knowledge improvement and an observation sheet to assess the ability of self-care practice. Results showed a significant improvement in participants' self-care knowledge and skills after the intervention. In addition, family involvement in assisting patients has also increased, strengthening the sustainability of self-care behavior. Participants gave positive feedback on the method of delivering material that was contextual and relevant to daily life. The supportive-educational approach used has been proven effective in empowering patients and building awareness of the importance of self-control of health conditions. This program not only contributes to improving the quality of life of Type II DM patients, but also strengthens the role of the family as the main support in the treatment process. In conclusion, structured education based on Orem theory can be used as an intervention model that can be replicated in other areas with high prevalence of DM, as a promotive and preventive strategy in community-based management of chronic diseases.

Non-communicable diseases (NCDs), such as hypertension, diabetes mellitus, and obesity, pose significant health risks for the elderly in Indonesia, including those in Aneuk Paya Village, Lhoknga District, Aceh Besar. These conditions, if left unmanaged, can lead to severe complications, impacting the quality of life of older adults. This community service project aims to improve elderly individuals' understanding of NCDs, as well as their prevention and management, through educational initiatives carried out at the Integrated Health Post (Posbindu). The activities involved interactive counseling sessions, health assessments including blood pressure monitoring, and measurements of body weight, height, waist circumference, blood sugar, and cholesterol levels. The community service event, conducted on July 22, 2025, revealed a significant improvement in the elderly participants’ knowledge about NCDs. Notably, 83% of the participants gained a better understanding of the prevention of NCDs, while 70% reported improved knowledge regarding blood sugar and blood pressure management. Moreover, there was a noticeable increase in the number of elderly individuals attending regular Posbindu visits, which suggests a growing commitment to managing their health. Health education through Posbindu has proven to be an effective tool in raising awareness and changing health behaviors among the elderly, helping to prevent NCD complications. The project demonstrates the pivotal role of Posbindu not only in promoting NCD prevention but also in providing continuous support to the elderly in managing their health, ultimately enhancing their quality of life. This initiative highlights the importance of local health programs in addressing the growing prevalence of NCDs in elderly populations and emphasizes the need for further community-based health interventions.

Pulmonary tuberculosis remains a pressing public health problem, particularly in the work area of the Duduk Health Center (UPT Puskesmas). Effective management of this disease requires a thorough understanding of the characteristics of the causes of pulmonary TB in patients. This study aims to classify pulmonary TB cases based on the main causes such as diabetes mellitus, irritant factors, pleural effusion, and family environmental conditions. The research method used is a clustering technique with the K-Means algorithm. The data used are data on pulmonary TB patients in 2020–2025 with variables of age, gender, and causative factors collected from medical records. The analysis process was carried out using MATLAB R2014b software. The clustering model was carried out in 3, 4, and 5 clusters to compare the level of segmentation efficiency. Based on the calculation results, the model with 5 clusters showed the lowest cluster variance value of 0.4889 compared to the 3-cluster model (0.7333) and 4-cluster models (0.6151), which indicates that the division into 5 clusters produces the most compact and representative data group. Each cluster shows a different combination of characteristics of pulmonary TB patients, for example: (1) elderly male patients with comorbid diabetes; (2) adolescent females with the negative influence of environmental factors; (3) adult males exposed to irritants; (4) patients with pleural effusion; and (5) groups with multiple factors. The results of this study can provide strategic input for the Finished Community Health Center UPT in formulating more targeted and targeted intervention policies in order to prevent, control, and handle pulmonary tuberculosis cases in a sustainable and effective manner.  

Type 2 diabetes mellitus is a long-term or chronic disease that needs to be managed properly. One of the biggest challenges for people with type 2 diabetes mellitus is their ability to control their weight. This cross-sectional study aims to determine the ability to control their weight in people with type 2 diabetes mellitus and the factors that influence it. Respondents in this study were 96 respondents using a purposive sampling technique. The independent variables were factors related to the ability to control their weight, while the dependent variable was the ability to control their weight. Data collection used a questionnaire, and statistical testing was carried out using Spearman's rho with a significance level of 0.05. The results of the study showed that most respondents (71.9%) used oral diabetes medication, almost all respondents (37.5%) used insulin diabetes medication, most respondents (59.4%) had suffered from diabetes for 1-2 years, most respondents (52%) were committed to maintaining their weight in the sufficient category, and most respondents (62.5%) had the ability to control their weight in the fairly good category. The Spearman rho statistical test results showed a relationship between the duration of diabetes (p-value: 0.027) and commitment (p-value: 0.039) with the ability to control weight, while there was no relationship with other factors. The relatively good ability to control weight in patients newly diagnosed with type 2 diabetes mellitus may be due to the patient's awareness and motivation that creates a commitment to control their health condition to prevent worsening conditions. It is hoped that patients with type 2 diabetes mellitus can maintain the ability to control their weight so that glucose levels remain under control.

Preeclampsia is a severe pregnancy complication characterized by hypertension and signs of organ damage, with a multifactorial etiology involving maternal, genetic, and environmental interactions. This study aims to analyze determinants contributing to the occurrence of preeclampsia through a comprehensive literature review. The research method involved an in-depth analysis of 15 scientific journals, consisting of 8 national publications from Google Scholar and 7 international publications from PubMed, selected based on relevance, credibility, and publication date. Data from these sources were synthesized to identify common risk factors, biological mechanisms, and preventive measures. The findings indicate that the primary risk factors for preeclampsia include a history of chronic hypertension, obesity, gestational diabetes, nulliparity (first pregnancy), and a family history of preeclampsia. Nutritional deficiencies, particularly low calcium and vitamin D intake, are also significantly associated with increased risk. Furthermore, immunological factors such as abnormal maternal immune tolerance, as well as placental dysfunction leading to poor perfusion, play a crucial role in the pathogenesis of preeclampsia. The interplay between these factors suggests that preeclampsia is not caused by a single mechanism, but rather by a complex network of physiological, metabolic, and genetic influences. This complexity underscores the importance of early risk factor identification and intervention strategies during antenatal care. Preventive efforts may include nutritional supplementation, weight management, blood pressure monitoring, and targeted medical interventions for high-risk individuals. In conclusion, preeclampsia remains a significant contributor to maternal and perinatal morbidity and mortality worldwide. Understanding its determinants enables healthcare providers to implement timely preventive measures and reduce its negative impacts on both mother and fetus. Further research is warranted to elucidate the precise mechanisms underlying these determinants, potentially paving the way for more effective prevention and treatment strategies.

Background : Self-management of hyperglycemia refers to a series of efforts carried out independently by individuals suffering from diabetes or hyperglycemia to manage and control their health condition. These efforts include regulating diet, physical activity, medication adherence, blood glucose monitoring, and preventive measures to avoid complications. Such complications may include vascular issues like heart disease and stroke, as well as neuropathic problems such as nerve damage. Proper implementation of self-management practices can help stabilize blood glucose levels and significantly improve the overall quality of life for patients. General Objective : This study aims to examine the effect of self-management on the risk of complications in patients with hyperglycemia in the working area of the Kandangan Health Center, Kediri Regency.Research Method : This research utilized a quasi-experimental design with a one-group pretest-posttest approach accompanied by a control group. The sampling technique applied was probability sampling using simple random sampling, involving a total of 45 respondents. The research instruments included the Diabetes Self-Management Questionnaire (DSMQ) and observation sheets to assess the risk of complications. The study population consisted of all hyperglycemic patients residing in Putuk Hamlet, Banaran Village, Kandangan District, Kediri Regency. Data processing was carried out through editing, coding, and tabulation, followed by data analysis using the Wilcoxon statistical test. Results : The Wilcoxon test results showed a significance value of p = 0.000 (p < 0.05), indicating a significant effect of self-management on reducing the risk of complications in hyperglycemic patients. Therefore, the alternative hypothesis (H1) was accepted. Recommendation : The implementation of self-management in hyperglycemic patients is essential to prevent long-term complications. Thus, healthcare professionals, especially nurses, are encouraged to provide continuous education regarding diabetes self-management. This will enable patients to manage their health conditions independently and reduce the risk of further complications.

Successful development encompasses various aspects of community life and cannot be separated from progress in the health sector. Health is one of the key indicators in determining the quality of life of a population. Therefore, attention to health—especially for vulnerable groups such as the elderly—is of great importance. Regular health check-ups serve as a preventive measure to help the community detect illnesses early and encourage individuals to take an active role in maintaining their own health. Several types of examinations are commonly provided free of charge during community service activities, including blood pressure checks, random blood glucose tests, uric acid level tests, and cholesterol level screenings. These health checks are especially beneficial for the elderly, as they help monitor overall health conditions and enable early management of diseases to prevent further complications. In this activity, a total of 40 elderly individuals voluntarily participated in the health screening. The methods used included health education sessions and direct examinations of blood pressure, uric acid levels, and random blood glucose levels. The counseling was delivered using simple and clear language, and it included a question-and-answer session to help participants better understand the information provided. The results of the examinations showed that some of the elderly participants had high blood pressure and elevated blood glucose levels, which led to recommendations for follow-up visits to nearby healthcare facilities. Through this health screening initiative, the overall health quality of the elderly participants improved, and their awareness of the importance of early detection increased. This activity is expected to motivate the broader community to pay more attention to their health and to undergo regular health check-ups. By taking a proactive role in managing their well-being, individuals can reduce the risk of serious complications in the future and contribute to the creation of a healthier society overall.