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Diabetes Mellitus is a condition that continues to worsen and requires adjustments to one's way of life, especially regarding diet. This adjustment can cause anxiety for the individual who experiences it, so self-management is needed in the diabetes treatment process. Objective: To determine the relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet at the Jampangtengah Community Health Center, Sukabumi. Method: Cross-sectional research with 79 samples using purposive sampling. Data analysis was carried out using the chi-square test. Results: The statistical test shows a p value = 0.000 (<0.05), which means there is a significant relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet in the working area of ??the Central Jampang Health Center, Sukabumi Regency. Conclusion: There is a relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet.

Bell’s Palsy is an acute peripheral facial nerve paralysis that causes unilateral facial weakness. The exact cause remains unclear but is suspected to involve anatomical factors, infections, viral reactivation (especially Herpes Simplex Virus), ischemia, inflammation, and cold exposure. The incidence is 20-30 per 100,000 people annually, with no gender or age preference, though it is more common in middle-aged and elderly individuals. Risk factors include diabetes, pregnancy, preeclampsia, obesity, and hypertension. Symptoms develop suddenly, peaking within 48 hours, and include facial asymmetry, difficulty closing the eyes, eating, speaking, and sensory-motor disturbances. Most cases recover spontaneously within weeks to months, but corticosteroids and antiviral therapy can accelerate recovery. Proper diagnosis is crucial as Bell’s Palsy is often mistaken for stroke or other neurological disorders.

Diabetes Mellitus (DM) is one of the diseases whose prevalence continues to increase in the world, so it can be said that DM has become a problem that needs attention. Indonesia is in 9th position with a total of 563 million sufferers. Central Java Province recorded 647,093 DM sufferers and in Pemalang Regency, DM is ranked first with a total of 18,579 sufferers at the Belik Health Center in Belik District, Pemalang Regency in 2022. The purpose of this study was to analyze the DM disease prevention and control policy program at the Belik Health Center. The Belik Health Center has 2 DM disease management programs, 2 programs, namely the Posbindu (Integrated Development Post) program and the Prolanis (Chronic Disease Management Program). Method: this study is a study with a qualitative method and a case study approach. Results: This study was conducted by means of in-depth interviews and direct observation to the research site, interviews with key informants and triangulation to obtain information related to services and implementation of DM prevention and control programs in the Belik Health Center area.

Supplement is a product that contains additional nutrients to complement food, generally containing one or more nutrients, like vitamins, minerals, amino acids, fiber, and fatty acids, are usually prepared in the form of tablets, capsules, or liquids like syrup. Supplements can help improve nutrition, The purpose of this review is to analyze the effectiveness and safety of using health supplements in preventing and overcoming nutritional deficiencies and improving the quality of life of individuals in this analysis is based on a literature review from the online platform used, namely google scholar and semantic. The results of the journal review in this article show that supplements, such as mangosteen effervescent tablets, vitamin C, and stevia, have significant benefits for health, including improving immunity, managing diabetes, and supporting disease recovery. Education and socialization succeeded in improving people's understanding of the wise use of supplements, with age, knowledge, and socioeconomic conditions influencing consumption behavior.

Nephrons are the smallest functional units in the kidneys that are responsible for filtering blood, regulating fluid balance, and excreting waste through urine. When nephrons are damaged or diseased, kidney function can be significantly impaired. Nephron damage is usually caused by various factors, such as hypertension, diabetes, kidney infections, or certain drug toxicity. In the early stages, nephron damage can cause a decrease in glomerular filtration rate (GFR). As a result, metabolic waste products such as urea and creatinine accumulate in the blood, known as azotemia. Over time, progressive damage to the nephrons can trigger chronic kidney disease (CKD). In more severe cases, when most of the nephrons are no longer functioning, the kidneys lose their ability to maintain the body's homeostasis. This results in electrolyte imbalance, metabolic acidosis, and excess fluid buildup, known as end-stage renal disease (ESRD). At this stage, patients require renal replacement therapy such as dialysis or kidney transplantation to survive. Prevention of nephron damage is very important, including through the management of comorbidities such as diabetes and hypertension, adequate fluid intake, and avoiding exposure to toxic substances that damage the kidneys. Thus, the risk of kidney failure can be minimized.

Milkwood bark (Alstonia scholaris (L.) R. Br.) is one of the medicinal plants of the genus Alstonia. This plant is traditionally used by the community as a medicine for diarrhea, diabetes, malaria, hemorrhoids, and antihypertensives. This plant contains secondary metabolites that have the potential as antibacterial such as alkaloids, flavonoids, saponins and tannins. The purpose of this study was to determine the inhibition of antibacterial activity and the most effective concentration in inhibiting Staphylococcus aureus and Escherichia coli. The sample used in this study was milkwood bark, the sample was extracted by maceration method using 96% ethanol as solvent. The antibacterial testing method used in this study was disc diffusion. The study used a completely randomized design with 9 treatments, namely 1000 ppm, 750 ppm, 500 ppm, 250 ppm, 100 ppm, 50 ppm, 10 ppm, Ciprofloxacin (positive control), sterile distilled water (negative control). The results of the antibacterial activity test at a concentration of 500 ppm showed that milkwood bark extract could inhibit the growth of S. aureus by 8.22 mm and at a concentration of 250 ppm showed that milkwood bark extract could inhibit the growth of E. coli by 8.75 mm. From the test results, it can be concluded that milkwood bark (A. scholaris (L.) R. Br.) has antibacterial activity that has moderate potential in inhibiting S. aureus and E. coli.

Diabetes mellitus (DM) is a chronic disease in the form of a metabolic disorder characterized by an increase in blood sugar levels above normal limits. The purpose of this study was to determine the relationship between Self Care and Quality of Life in Type 2 Diabetes Mellitus Patients at the Internal Medicine Polyclinic of Bhakti Asih General Hospital, Tangerang City in 2024. Self care is an independent action that includes diet, exercise, and foot care to control blood sugar. Quality of life is a good or bad condition of diabetes mellitus patients in viewing their disease. The design of this study used a quantitative method with a cross-sectional approach. The population in this study were Diabetes Mellitus patients at the Internal Medicine Polyclinic of Bhakti Asih General Hospital in September 2024, totaling 169 respondents. The sampling technique for this study used purposive sampling. Data analysis used univariate and bivariate analysis using Pearson product moment. The results showed that the majority of self care was good as many as 128 (75.7%) and good quality of life as many as 125 (74.0%). The results of the bivariate analysis showed that there was a relationship between self care and quality of life <0.001. This study concluded that optimal self-care has a positive impact on the quality of life of patients. The results of this study concluded that there is a Relationship between Self-Care and Quality of Life in Type 2 Diabetes Mellitus Patients.

Diabetes mellitus (DM) can cause serious complications, including impaired peripheral tissue perfusion that risks diabetic ulcers and amputation. The Self-Directed Learning (SDL) approach is an effective self-education strategy in improving the understanding and skills of DM patients in preventing these complications. This community service program aims to improve the understanding and skills of lower extremity care in DM patients through education and hands-on training. Activities include counseling, foot self-examination, and proper foot care practices. Evaluation results showed significant improvement in participants' understanding of diabetic ulcer prevention, awareness in maintaining blood sugar levels, and selection of appropriate footwear. In addition, skills in foot self-examination, proper nail trimming, and moisturizer application also improved. The SDL approach proved effective in increasing participants' engagement in the learning process, so they were more motivated to apply the knowledge gained in their daily lives. This program indicates that SDL-based education can be an effective strategy in improving the foot health of people with DM and preventing serious complications.

Non-Communicable Disease (NCD) Screening is an early effort to identify NCD risk factors in individuals or groups through the Integrated Development Post (Posbindu) NCD. NCDs consist of Hypertension, Diabetes Mellitus, Cervical and Breast Cancer, and Chronic Obstructive Pulmonary Disease. NCDs are increasing and are the main cause of death of the population. In 2030, it is targeted that at least the number of premature deaths due to NCDs can be prevented through the SDGs program by 25%. The Faculty of Health Sciences (Fikes) of Musi Charitas Catholic University (UKMC) is part of the Sukarami Health Center Working Area which has 396 students in the 2024/2025 academic year. Fikes finds out whether or not there are NCD risk data factors in students. Lecturers and Officers of the Sukarami Health Center are actively conducting NCD screening using the Posbindu activity method, namely 5 Tables (Registration, Interview, Measurement, Examination and Counseling/Education). The target of all UKMC Fikes students who are studying on campus is 287 (72.47%). The activities carried out were measuring Body Weight (BB), Height (BB), determining Body Mass Index (BMI). Implementation of procedures in accordance with the guidelines set by the Indonesian National Nurses Association (PPNI). Results: The target achievement was 245 (85.37%) of the original target of 287. Analysis results 1) Students who have a BMI > 25 are 72 (29.39%) students; have a waist circumference > 80 (women) and > 90 (men) are 62 (25%) students. Blood pressure > 130/90 mmHg is owned by 6 (2.45%) students, while random blood sugar > 180 mg/dl is owned by 1 (0.41%) student. Suggestions or Follow-up Action Plans: All students are screened periodically and PTM control is carried out.

The wound healing duration in Diabetes Mellitus (DM) patients is influenced by factors such as age, nutritional status, blood sugar levels, diet adherence, physical activity, and medication compliance. In diabetic foot ulcer cases, healing is often impaired, increasing the risk of amputation if not properly managed. This study investigates factors affecting wound healing duration in DM patients at Hanifah Pratama Clinic, Tangerang City. A quantitative cross-sectional design was used, with a sample of 40 DM patients with diabetic foot ulcers selected through total sampling. Instruments included weight scales and height meters for nutritional status, Easy Touch® GCU for blood glucose levels, the Morisky Medication Adherence Scale (MMAS) for medication compliance, and the Bates-Jensen Wound Assessment Tool (BWAT) for wound assessment. Data analysis utilized the Chi-Square bivariate test and backward logistic regression multivariate test. Results showed that nutritional status significantly influenced wound healing duration (p < 0.05), with an OR of 28.884 (95% CI 2.760-302.240), indicating that patients with good nutritional status are 28.884 times more likely to heal faster. In conclusion, nutritional status is the dominant factor affecting wound healing duration in DM patients at Hanifah Pratama Clinic. This study highlights the importance of improving treatment quality and wound care while encouraging better nutritional interventions in diabetic foot ulcer management.

Elderly individuals are vulnerable to various chronic diseases, such as diabetes, hypertension, and cardiovascular disorders. Irregular or disrupted sleep patterns have been identified as key factors influencing the risk of chronic diseases in older adults. This study aims to examine the relationship between sleep patterns and the risk of chronic diseases in the elderly. A literature review method was employed by gathering data from relevant studies. The analysis indicates that sleep disturbances, such as insomnia and sleep apnea, increase the risk of chronic diseases due to disrupted bodily recovery processes and metabolism during sleep. Therefore, improving sleep patterns is a crucial intervention in preventing chronic diseases among the elderly.

Chronic diseases are degenerative conditions that significantly impact an individual's quality of life. Various degenerative diseases, such as diabetes mellitus, hypertension, and heart stroke, require immediate attention. Indonesia faces a dual burden in healthcare, grappling with both rampant infectious diseases and the rising prevalence of chronic degenerative illnesses. Therefore, health promotion efforts are crucial in preventing degenerative diseases among adolescents. This initiative targets teenagers due to their unhealthy lifestyle choices, which are evident in their smoking habits, poor dietary practices, insufficient consumption of fruits and vegetables, and a lack of physical activity. The primary objective of this initiative is to enhance awareness regarding the prevention of degenerative diseases among youth and to address the emergence of such conditions in this age group. The results of the community service activities indicate a notable increase in average knowledge from 6.61 to 13.80 and an improvement in attitudes from 9.61 to 14.47. The community service activities were successfully executed, as evidenced by the smooth conduct of the events and the active participation of the adolescents. To improve health quality, it is essential to foster awareness and enhance education among teenagers about the prevention of degenerative diseases.

Diabetes Mellitus (DM) is a global health problem that continues to increase, especially in Indonesia. This disease is characterized by high blood glucose levels due to impaired insulin metabolism. This article aims to evaluate the effect of pharmaceutical education, particularly through booklets, pocket books, and counseling, on the self-management of type 2 DM patients. The results of the study show that pharmaceutical education is significant in improving patients' knowledge, compliance, and quality of life. Education through booklets and pharmacy counseling helps patients understand the importance of managing diet and physical activity. Although education has been shown to improve control of blood glucose levels, many patients still face challenges in consistently implementing self-management. Therefore, a more integrated and sustainable educational approach is needed to support DM patients in managing their condition effectively.  

Chronic disease problems in the community are often found, namely Diabetes Mellitus (DM) and blood pressure. The low level of participant compliance in Prolanis activities is caused by many factors, one of the factors that can influence it is the interaction or communication factor between health workers and Prolanis participants. The purpose of this study is to analyze the correlation of health worker communication to participant compliance in participating in Prolanis activities at the Mojolangu Public Health Center, Malang City. The design of this study was quantitative correlational with a Cross sectional approach and observational analytical methods. The population was all Prolanis participants at the Mojolangu Health Center, Malang City, as many as 82 people with a sampling technique using total sampling. The instruments used were a questionnaire on communication between health workers and participants and a checklist of participant attendance in participating in Prolanis activities. The statistical test used in this study was the Spearman rank test calculation. The results of the study showed that some respondents said that communication between health workers at the Mojolangu Community Health Center was in the good category, as many as 41 respondents (50.0%). Most respondents were compliant in participating in Prolanis activities at the Mojolangu Health Center, Malang City, as many as 45 respondents (54.9%) and there was a strong relationship between health worker communication and participant compliance in participating in Prolanis activities at the Mojolangu Community Health Center, Malang City (P = 0.000; r = 0.556). Based on the results of the study, it was concluded that there is a strong relationship between communication between health workers and participant compliance in participating in Prolanis activities at the Mojolangu CommunityHealth Center, Malang City.

He primary issue in hyperglycemia is insulin resistance, a condition where the body becomes less responsive to insulin, preventing glucose from being effectively absorbed by cells. One method to address insulin resistance in patients is through physical activities such as exercise. This study aims to analyze the impact of diabetes mellitus exercises on blood glucose levels in patients with hyperglycemia. This study employed a One Group Pretest-Posttest design with a Cross-Sectional approach. The population consisted of all hyperglycemia patients in Dusun Putuk, Banaran Village, Kandangan Subdistrict, Kediri Regency, totaling 50 respondents. The study sample included 44 hyperglycemia patients selected using the Simple Random Sampling method. The independent variable was diabetes mellitus exercises, while the dependent variable was blood glucose levels, measured using a glucose test device. Data processing involved editing, coding, and tabulation. Data analysis was conducted using the Wilcoxon Test. The results showed that, before the exercises, blood glucose levels (BGL) were low in 9 respondents (20%), moderate in 15 respondents (35%), and high in 20 respondents (45%). After the exercises, BGL were low in 29 respondents (66%), moderate in 10 respondents (23%), and high in 5 respondents (11%). The Wilcoxon Test results indicated a p-value < 0.05, specifically p=0.009, thereby accepting H1. Nurses are encouraged to include diabetes mellitus exercises as part of hyperglycemia management programs, especially to enhance the effectiveness of blood glucose control. Further research with larger sample sizes and extended intervention durations is recommended to strengthen these findings.

Background: One of the factors that can affect treatment adherence in patients with type 2 diabetes mellitus is glycemic results, if glycemic control is poor then the implementation of treatment compliance can be a motivation for glycemic control. Purpose: This study aims to determine the relationship between treatment adherence and its impact on glycemic control in patients with type 2 diabetes mellitus in the Klatak Health Center working area in 2024. Methods: This study used a cross sectional design with purposive sampling and a sample size of 35 respondents. Data collection using the MTAQDM questionnaire (modified treatment adherence questionnaire in DM patients) and observation sheets and then analyzed using the spearmen rank test. Results: All patients (100%) were in the adherence category following treatment adherence activities and almost all patients (97%) were in the diabetic category. Based on the results of the analysis obtained a P-value of 0.628 (p>0.05) which means that there is no relationship between treatment adherence and the impact of glycemic control, with a correlation of 0.085 which shows a correlation with very weak strength. Conclusion: Respondents who adhere to treatment adherence do not affect their glycemic control and adhere to treatment but HbA1c is not controlled, because many factors can affect it.

The screening and education program on the prevention of degenerative diseases was conducted in the coastal community of Panjang Island, Batam. This initiative aimed to address the high prevalence of degenerative diseases such as diabetes, hypertension, and dyslipidemia through health screenings and community education. The study involved 55 participants, primarily pre-elderly individuals, and included examinations of blood pressure, cholesterol, blood sugar, and uric acid. The results revealed that 65.5% of participants had hypertension (34.5% with Stage 1 and 31% with Stage 2), while 69.1% had high cholesterol levels. Blood sugar screening indicated that 14.5% of participants had elevated glucose levels. Uric acid levels were high in 47.3% of participants, predominantly among women. Additionally, 78% of respondents with comorbidities presented abnormalities in at least one biochemical parameter. Educational sessions resulted in a 26.4% increase in knowledge about disease prevention and healthy lifestyles. The program highlighted the importance of regular health screenings, lifestyle modifications, and community empowerment for sustainable health improvements. Collaboration with local health centers and the establishment of health cadres are recommended for ongoing support and monitoring of degenerative disease prevention efforts.

The adrenal cortex synthesis the steroid hormone dehydroepiandrosterone (DHEA), has a significant effect on diabetes mellitus. Our study targeted to estimate the relationship between serum levels of DHEA sulphate (DHEAS) and the risk of CAD complication for T2DM in men. Ninety Iraqi male subjects were divided into three groups. Each group has thirty people: thirty people type 2 with diabetes mellitus, thirty person type 2 diabetes mellitus patients with CAD complications, and the control group has thirty healthy people. A significant decrease (p<0.01) of DHEAS, was observed in T2DM with CAD (120.8 µg/dl) compared to both T2DM (141.26 µg/dl) and the control group (239.86 µg/dl). Meanwhile, an increased coronary risk index in T2DM with CAD (10.68) compared to both T2DM (7.56) and control group (4.41) was observed. These findings were confirmed by the negative correlation of DHEAs with coronary risk index. We suggested that a decreased level of DHEAS value may be a beneficial sign for future CAD in patients with T2DM.

Diabetes is a chronic disease in the form of a metabolic disorder characterized by blood sugar levels that exceed normal limits and one of them is Diabetes Mellitus Type II. Effective education to improve self-management in Type II Diabetes Mellitus sufferers. Non-compliance with Diabetes Mellitus treatment is currently still a quite important problem in the management of Diabetes Mellitus patients. To find out and analyze the effect of education on the level of compliance with medication and diet in Type II Diabetes Mellitus Patients at the Bintan Regency Regional Hospital. The research used Pre-experimental, with a One Group Pretest Posttest research design by analyzing the effect of providing education on the level of compliance with taking medication and diet in Type II Diabetes Mellitus Patients at the Bintan Regency Hospital. The results of the analysis of the Wilcoxon signed ranks test, the level of compliance with taking medication and dietary behavior after being given education was better than before being given education with a significance value of P < 0.0001, less than 0.05, meaning that there was a significant influence before and after being given education on the level of compliance. taking medicine and diet. For future researchers, the problem of patient education should be deepened so that patients understand more about the disease they are suffering from.

Diabetes is one of the diseases that poses a significant global health challenge, with a considerable impact on quality of life and mortality rates. This study examines the use of the Support Vector Machine (SVM) algorithm for diabetes classification through a literature review. SVM was chosen due to its ability to handle imbalanced and complex data. The aim of this study is to assess the effectiveness of SVM compared to other machine learning methods in detecting diabetes. The results of the literature review indicate that SVM achieves higher accuracy than other methods such as Naïve Bayes and Decision Tree, with some studies showing accuracy above 90%. This study is expected to provide deeper insights into the development of machine learning-based diagnostic systems for diabetes.