Publication Search

Diabetes Mellitus is a group of chronic metabolic disorders due to abnormal metabolism of carbohydrates, fats, and proteins, characterized by hyperglycemia which is results in long-term microvascular, macrovascular and neuropathic complications. Oral antidiabetic therapy is the main pharmacological therapy to treat type II diabetes mellitus. This therapy can be oral antidiabetic therapy. Thus, to find out the effectiveness of either combination or single of antidiabetics on diabetes mellitus patients, researchers conducted a studies of inpatients at RSUD Madiun.             This study included as non-experimental observational study with a cross-sectional study design at RSUD Caruban. Data were collected from Medical Records in October 2018. The sampling method that used in this study was non probability with purposive sampling technique, so there are 58 patients as a total sample.             The results showed that the effectiveness of controlling blood sugar levels when using an effective single ADO was Metformin, because Metfomin was able to reduce blood sugar levels with an average length of stay of 6.17 and the effectiveness of controlling blood sugar levels when using an effective combination of ADO was Metformin and acarbosa, because Metfomin and acarbosa are able to reduce blood sugar  average length of stay 7 days inpatient.

Introduction: Health Care Associated Infections (HAIs) often occur in hospitals. Infections classified as HAIs are surgical site infections. Compliance with wound care according to SPO, application of SSI budles and SC patient factors, namely: age, blood sugar levels and albumin levels contribute to the incidence of surgical site infections. This study aims to explain the relationship between SPO adherence to wound care, application of bundles surgical site infection, and patient factors with the incidence of SSI in sectio caesarea patients. Methods: This study uses a literature review. Search strategy on ProQuest, Google Scholar, PubMed. The journal reviewed is research on the relationship between SPO compliance with wound care, application of bundles surgical site infection, and patient factors with the incidence of SSI in cesarean section patients published in 2016-2023. Journals that did not meet the inclusion criteria were excluded, so that 5 journals were reviewed. Results: there is a relationship between adherence to SPO wound care, application of bundles surgical site infection, age, blood sugar levels, and albumin levels of SC patients to the incidence of SSI. Discussion: Research recommends that nurses adhere to SPO and implement SSI bundles strictly in a compliant manner, as well as monitoring patient factors, such as: age, blood sugar levels, patient albumin levels are very important in preventing infection in the operating area.    

Routine health checks/screenings are preventive promotive efforts mandated to be carried out by regents/mayors in accordance with Permendagri no 18/2016 with the aim of encouraging people to recognize risk factors for non-communicable diseases (PTM) related to behavior and make immediate control efforts at the individual, family level and society; encouraging the discovery of physiological risk factors that have the potential to cause PTM, namely overweight and obesity, high blood pressure, high blood sugar levels, sensory disturbances and mental disorders. The purpose of this activity is to find out earlier the status of reproductive health in young women at SMK Muhammadiyah 3 Metro. Screening consists of measuring weight, measuring height, measuring BMI, measuring LILA and personal hygiene screening. Screening results showed that 1.9% of students had low TB (less than 148.9cm), 28.3% had a thin BMI status, 5% BMI Overweight and 18.5% had KEK (Chronic Energy Deficiency) with LILA<23 ,5cm. From this activity it can be concluded that the health problems of adolescents at Muhammadiyah 3 Metro Vocational School are quite varied so that further intervention is needed so as not to cause unwanted health impacts in the future.

The condition of the feet of DM patients is one of the indicators that must be studied in monitoring the incidence of ulcers. In DM patients, ulcer problems can occur as a result of vascular and neurological damage. Both causes are initiated through poor metabolic control as assessed by blood glucose levels. The purpose of this study is to analyze several factors that are theoretically and empirically related to the condition of the feet. This cross-sectional study was conducted on the DM group in Palembang city (n = 50), by filling out a characteristic questionnaire, examining foot conditions, and measuring fasting blood sugar levels. The research findings revealed that of all the factors tested with Kendall Tau, blood sugar levels were the only one that was significant (p-value = 0.002) so that it could be significant as a predictor of the condition of the feet. Controlling these levels is important in controlling the incidence of ulcers in patients. The next step that can be taken is to carry out a thorough examination of the patient's neurovascular condition with the Ankle Brachial Index (ABI) and the Michigan Neuropathy Screening Instrument (MNSI).

Early detection of non-communicable diseases (PTM) such as hypertension, diabetes mellitus and joints is needed as a preventive measure. The government through Government Regulation Number 2 of 2018, Minister of Home Affairs Regulation Number 100 of 2018, and Minister of Health Regulation Number 4 of 2019 has determined that efforts to control diabetes mellitus are one of the minimum services that must be carried out by regional governments. Activities carried out are health checks which include checking blood pressure, checking blood sugar, and uric acid. The activity was attended by the community in the Tiga Panah GBKP environment. Examination results showed that there were 38.5% of the population with normal blood pressure. 53.8% of the population with normal blood sugar levels and 38.5% of the population with normal uric acid levels. This health examination is the first step for early detection of non-communicable diseases (PTM) so that later it can be continued for routine checks at local health service facilities.

The main problems that often occur in people with Diabetes Mellitus (DM) are stress and an increase in blood sugar. Uncontrolled stress for a long time can lead to an increase in blood sugar levels, which can lead to various complications. One of the physical activities that can be done with relaxation is Progressive Muscle Relaxation (PMR) is an intervention that can be done in people with diabetes. The purpose of the study was to determine the effect of Progressive Muscle Relaxation (PMR) on increasing stress and blood sugar levels. The research design used a quasi-experimental approach with a pre-post-test control group design approach. The sample consisted of 36 respondents who were divided into 18 intervention groups and 18 control groups. The group was given a therapeutic intervention for 1 week with a duration of 2 times a day, namely in the morning and afternoon for 10-15 minutes. The instruments used are a glucometer, blood sugar level observation sheet, and Diabetes Distress Scale (DDS) questionnaire. Data analysis used the Wilcoxon test and Paired t-test to see pair data. Then for the research group, the data used the Man-Whitney Test. The results showed that there was a significant effect on decreasing blood pressure (p=0.013) and that there was an effect on decreasing blood sugar levels (p=0.034). Conclusion: Progressive Muscle Relaxation (PMR) affects reducing stress and blood sugar levels in Type 2 DM patients.

Nutmeg is known as a spice plant that has economic value and multipurpose because every part of the plant can be used in various industries. Compounds contained in nutmeg leaves include alkaloids, triterpenoids, tannins and 2 flavonoids. The purpose of this study was to determine the antidiabetic effect of ethanolic extract of nutmeg leaf (myristica frangrans) against male wistar white rats (Rattusnorvegicus) induced by alloxan administered intraperitoneally and compare its effectiveness with glibenclamide. This study used five treatment groups, namely the administration of aquadest as a negative control, glibenclamide as a positive control and ethanol extract of nutmeg leaves at a dose of 100 mg/kg BW, 200 mg/kg BW and 300 mg/kg BW as control treatments. Blood glucose measurements were carried out on day 0 (three days after induction), day 3, day 7 and day 10. The results showed that the ethanol extract of nutmeg leaf (myristica frangrans) TEST ACTIVITY can reduce blood glucose levels. At a dose of 300 mg/kg but not exceeding the decrease in blood sugar in the administration of glibenclamide. Giving ethanol extract of nutmeg leaves (myristica frangrans) also has activity to repair damage to pancreatic -cells in white rats (Rattus norvegicus) induced by alloxan.

Background: Diabetes mellitus (DM) is a degenerative disease caused by damage to the pancreas in production or insulin cannot work effectively. Purslane Leaf Extract (Portulaca Oleracea) can help lower blood sugar levels. The purpose of this study was to analyze the effect of purslane leaf extract (Portulaca Oleracea) on blood sugar levels in alloxan-induced rats as a diabetes model.Methods: The rats in this study were 30 rats divided into 5 groups, each group consisting of 6 rats. The negative control group was only given aquadest and standard rat feed, while the other group was induced with 35 mg/200gBW of alloxan. The positive group was treated with standard rat diet, treatment group 1 was given purslane leaf extract at a dose of 60 mg/200grBB, treatment group 2 was given purslane leaf extract at a dose of 90 mg/200grBB and treatment group 3 was given purslane leaf extract at a dose of 110 mg/200grBW rats. Analysis of the results used the Kruskall Wallis test followed by Post Hoc Mann Whitney analysis. Results: The results of the Kruskal Wallis test on blood sugar levels showed that there was an effect after administration of purslane leaf extract among the five treatment groups p= 0.000 (p<0.05). The results of the Mann Whitney test showed that purslane leaf extract had effective antidiabetic at a dose 60 mg/200grBB p= 0.011 (p<0.05).Conclusion: Based on the results of this study, it can be concluded that purslane leaf extract can reduce blood sugar levels.    

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

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.

Diabetes Mellitus is a group of chronic metabolic disorders due to abnormal metabolism of carbohydrates, fats, and proteins, characterized by hyperglycemia which is results in long-term microvascular, macrovascular and neuropathic complications. Oral antidiabetic therapy is the main pharmacological therapy to treat type II diabetes mellitus. This therapy can be oral antidiabetic therapy. Thus, to find out the effectiveness of either combination or single of antidiabetics on diabetes mellitus patients, researchers conducted a studies of inpatients at RSUD Madiun. This study included as non-experimental observational study with a cross-sectional study design at RSUD Madiun. Data were collected from Medical Records in October 2018. The sampling method that used in this study was non probability with purposive sampling technique, so there are 58 patients as a total sample. The results showed that the effectiveness of controlling blood sugar levels when using an effective single ADO was Metformin, because Metfomin was able to reduce blood sugar levels with an average length of stay of 6.17 and the effectiveness of controlling blood sugar levels when using an effective combination of ADO was Metformin and acarbosa, because Metfomin and acarbosa are able to reduce blood sugar  average length of stay 7 days inpatient.

Background: The world's elderly population reached 13.4% in 2013 and is predicted to increase to 25.3% in 2050. The prevalence of high uric acid levels in the elderly in Indonesia reaches 11.9%, high blood sugar levels reach 35.3. %, and high cholesterol levels as much as 10%. This study aims to determine the level of uric acid, blood sugar and cholesterol in the elderly. Methods: This study used a descriptive analytic design with a cross sectional approach. The research sample used was the elderly aged ? 60 years and over by using the simple random sampling technique in Banjar Dinas Kutuh Kelod, Kerambitan, Tabanan. Data collection was carried out from 7 to 8 June 2020 by means of face-to-face interviews using questionnaire guidelines for respondent characteristics data, and direct examination of uric acid, blood sugar and cholesterol levels using Easy Touch GCU. The data obtained were analyzed using the univariate spss application. Results: Based on univariate analysis, it was found that most of the respondents were 13.2% aged 60 and 69 years, 55.3% were female, 65.8% at the primary education level (SD), and 39.5% worked as farmers. In the bivariate analysis, it was found that most of the respondents or 55.3% had abnormal uric acid levels, 39.5% had abnormal blood sugar levels and 44.7% had abnormal cholesterol levels. Conclusion: Most of the respondents have abnormal uric acid levels while blood sugar and cholesterol are mostly still in the normal category. It is hoped that related parties will continue to carry out screening or early detection, especially in the elderly group, in order to reduce the incidence of non-communicable diseases (PTM) in the elderly.      

Diabetes melitus menjadi masalah kesehatan di dunia karena terjadi peningkatan setiap tahun. Oleh karena itu dibutuhkan obat atau agensi terapi yang efektif dan murah untuk menanggulangi diabetes melitus. Ekstrak kulit terong Belanda mempunyai kandungan antosianin dan betakaroten yang memiliki kemampuan menurunkan kadar gula darah, sehingga dapat dijadikan sebagai obat tradisional yang efektif dan murah. Tujuan penelitian ini adalah untuk menganalisis pengaruh pemberian ekstrak kulit terong Belanda terhadap penurunan kadar gula darah tikus wistar jantan yang diinduksi aloksan. Metode penelitian ini menggunakan rancangan penelitian pre and post test randomized controlled group design. Penelitian ini menggunakan tikus wistar jantan sebanyak 25 ekor  yang dibagi menjadi 5 kelompok perlakuan yaitu perlakuan dengan aquadest (kontrol negatif), ekstrak kulit terong Belanda (Solanum betaceum) dosis 0,25 ; 0,75 ; 1,25 g/kg BB dan metformin sebagai obat diabetes dengan dosis 18 mg/tikus (kontrol positif). Semua kelompok diinduksi aloksan sampai dengan kadar gula darahnya mencapai ≥ 200 mg/dL lalu diukur kadar gula darah sebagai data pre test. Perlakuan diberikan selama 14 hari dan pada hari ke – 14 diukur kadar gula darah sebagai post test. Ekstrak kulit terong Belanda dosis 0,25; 0,75 dan 1,25 g/kg BB mampu menurunkan kadar gula darah secara signifikan selama 14 hari akan tetapi belum ada dosis yang memiliki efektifitas yang sebanding dengan metformin dalam penurunan kadar gula darah apabila diberikan selama 14 hari.Kata kunci: Ekstrak kulit terong Belanda, diabetes, tikus, aloksanABSTRACT Diabetes melitus is a health problem in the world because the sufferers increase from year to year. So that it is needed an effective and economical drug or therapeutic agency to cope with the disease. Tamarillo peel extract contains anthocyanin and beta-carotene which are capable to reducing blood sugar levels, so that it can be used as an effective and economical traditional medicine. The aim of the study was to analyze the effect of the administration of Tamarillo peel extract on decreasing blood sugar levels in male wistar rats induced by alloxan. The research method used a pre and post test randomized controlled group design. This study used 25 male wistar rats divided into 5 treatment groups namely aquadest treatment (negative control), metformin as a diabetes drug with a dose of 18 mg / rat (positive control), and Tamarillo skin extract (Solanum betaceum) dose 0, 25; 0.75; 1.25 g / kg BB. All treatment groups were induced by alloxan until their blood glucose levels reached ≥ 200 mg / dL then measured blood sugar levels as the pre test data. The treatment was given for 14 days and on the 14th day blood sugar levels were measured as a post test. Tamarillo peel extract dose of 0.25; 0.75 and 1.25 g / kg BB can significantly reduce blood glucose levels for 14 days but there is no dose that has an effectiveness comparable to metformin in reducing blood glucose levels if given for 14 days.Keywords: Tamarillo peel extract, diabetes, rats, alloxan

The increase in Life Expectancy (UHH) has an impact on the increase in the elderly population and the problems due to aging. One of them is the system for regulating blood sugar levels which is disrupted due to changes in the body composition of the elderly in the form of increased fat composition from the body 14% to 30%. Efforts to prevent the incidence of Diabetes Mellitus is to achieve good nutritional status with anthropometric measurements, namely the division of body weight in kg with height in meters squared expressed in body mass index or BMI. This study aims to analyze the relationship between BMI and blood sugar levels in the elderly at the Sabar Narimo Posyandu, Lempuyangan Hamlet, Gebugan Village, Bergas District, Semarang Regency. The research design used was descriptive observational with a cross sectional approach. The number of samples was 40 elderly who were taken by purposive sampling technique. The instrument used to measure BMI is a digital weight scale, and a microtoise that has been calibrated, while blood sugar levels are measured using a glucometer. Data were analyzed by Pearson Corellation test. The results of this study indicate the frequency distribution of blood sugar levels in the elderly at the Posyandu Sabar Narimo on average 139.92 mg/dl and an average BMI of 25.24 kg/m2. The results showed that BMI was related to the variable of blood sugar levels with a correlation coefficient (r) of 0.614 and a significance value (?) of 0.0234 then there is a relationship. The conclusion in this study is that there is a relationship between blood sugar and BMI in the elderly at the Sabar Narimo Posyandu, Lempuyangan Hamlet, Gebugan Village, Bergas District, Semarang Regency.

New cases of Diabetes Mellitus (DM) in Bali Province from 2011 to 2013 were increased. Based on the report of Integrated Disease Surveillance or Surveilan Terpadu Penyakit (STP) from Puskesmas it is known that DM was ranked 3 out of the 10 highest diseases in health centers throughout the City of Denpasar. The purpose of this screening is to find out the prevalence of DM in Pemecutan Kaja Village, North Denpasar in 2015. Methods: Screening was carried out on 189 subjects aged ?15 in Pemecutan Kaja Village, North Denpasar on January 6 and 7, 2015. Screening was carried out by checking blood sugar levels while using Nesco Multicheck. The collected data is processed and presented descriptively about thecharacteristics of the sample and the proportion of DM based on the results of the examination. Results: The results showed that 6.4% of respondents suffering DM. Most of the subjects were women (58.3%). In this screening, there are 50% in the age group ?51 years, and most are only elementary school graduates (30%). Based on the type of work, most of the subjects are entrepreneurs/traders (50%). Based on the interview, there was none history of DM in the family. Conclusion: The proportion of DM in Pemecutan Kaja Village is 6.4% through examination of blood sugar levels while using Nesco Multi Check. The positive results of DM in this screening should be carried out further examination to confirm the diagnosis so that appropriate treatment can be carried out.