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Elderly people have a high risk of suffering from degenerative diseases, one of which is metabolic disorders. This is more widely recognized by the elderly when they are already in severe condition and with complications so that it has an impact on various aspects including increasing morbidity and mortality rates, as well as decreasing quality of life of the elderly and decreasing ability of the elderly to carry out daily activities. Metabolic disorders are caused by increased blood glucose levels in the body known as Diabetes Mellitus (DM) which is one of the health problems of the ten diseases that cause death and disability globally. The implementation of community service activities for Preventive Efforts for the Elderly in Diabetes Mellitus through several stages, namely the survey and field observation stages and counseling for Preventive Efforts for the Elderly in Diabetes Mellitus counseling is carried out for approximately 90 minutes, as well as evaluations in the form of pre-tests and post-tests. The provision of education was carried out on Wednesday, November 14, 2024 at the Antara Health Center, the number of participants was 32 people. Based on the results of the knowledge of the elderly before and after the counseling for Preventive Efforts for the Elderly in Diabetes Mellitus, it was found that 15 elderly people had sufficient knowledge and 17 elderly people had insufficient knowledge. After conducting counseling on Preventive Efforts for the Elderly in Diabetes Mellitus, the results obtained were a sufficient increase of 30 and less than 2 elderly. This means that community service on Preventive Efforts for the Elderly in Diabetes Mellitus is very effective in the elderly in order to prevent an increase in glucose levels. Counseling on preventive efforts for the elderly in diabetes regarding these degenerative diseases is very necessary so that the elderly maintain their health better. The elderly are expected to be able to understand about efforts to prevent and treat degenerative diseases in the elderly with diabetes. Hopefully this community service can be a reference for researchers and further community service, as well as the community.

Diabetes mellitus is one of the main causes of morbidity and death in developing countries. Diabetes mellitus in adolescents is increasing from year to year, causing serious complications such as heart disease, kidney disease and other metabolic disorders. It is very important to prevent diabetes mellitus through education, because providing the public with understanding about healthy lifestyles can reduce the risk of developing diabetes. This community service aims to increase knowledge and understanding about Diabetes Mellitus as well as education about routine health checks at Panti Aisyiyah Jakarta. This intervention was carried out by measuring changes in knowledge through a pre-test and post-test used to evaluate changes in respondents' knowledge. The evaluation results showed a significant increase in participants' knowledge about diabetes mellitus and the importance of routine health checks. Pre-test and post-test are used to evaluate respondents' knowledge, by calculating the mean and variation values ​​for each condition. The N-Gain Score is used to evaluate the increase in adolescent knowledge regarding diabetes mellitus education and routine health check education. The success of this intervention is proven by the N-Gain Score of 0.70 which is in the medium category and an effectiveness value of 69.83, meaning that the method used is quite effective. These results show that the health education provided can increase teenagers' awareness and understanding of diabetes mellitus, so it is hoped that it can help in preventing and controlling this disease among teenagers.

Diabetes mellitus is a chronic heterogeneous metabolic disorder with complex pathogenesis. It is characterized by elevated blood glucose levels or hyperglycemia, which results from abnormalities in either insulin secretion or insulin action or both. Prevention of diabetic foot ulcers  is to empower families to take care for family members with diabetes. The results of the pre-test obtained showed that family knowledge was in the good category of 55.6%. After education was carried out on the role of families in caring for diabetic patients, especially preventing diabetic foot ulcers, the results showed that there was an increase in family knowledge of 70.4%. Families empowered to carry out their roles by helping families with diabetes to meet their diet, motivating them to do physical activity and supporting them to carry out routine health checks. The conclusion of this community service activity is that family empowerment is very useful for preventing diabetic foot ulcers.

Fatty liver is a medical condition in which fat builds up in liver cells, which can develop into steatohepatitis, fibrosis, cirrhosis and liver cancer if not treated properly. Fatty liver in the elderly causes an increased risk of serious complications due to the high prevalence of metabolic risk factors such as hypertension, diabetes, hyperlipidemia and obesity which are more common in the elderly. The importance of education and understanding risk factors so that the elderly community can adopt a healthy lifestyle is the main focus of this community service activity. Through the Plan-Do-Check-Act (PDCA) method, initial assessment, education, implementation of healthy eating and exercise patterns, and evaluation of the effectiveness of the intervention are carried out. The results showed that the majority of elderly people had cholesterol levels and liver function within normal limits, although 9.7% had hypercholesterolemia and 43% had SGOT levels that were not optimal. Continuous education and support are key in preventing and managing fatty liver and dyslipidemia in the elderly, thereby improving their quality of life.

Abstract: Obesity is a global epidemic and a significant public health problem. In the elderly population, obesity is defined as a BMI ≥ 25 kg/m². In the United States, the prevalence of obesity among the elderly is 37.1% in men and 33.6% in women over the age of 60. Obesity increases the risk of chronic diseases such as type 2 diabetes, hypertension and cardiovascular disease, and can cause psychological problems such as sleep disorders and lack of self-confidence. Accurate obesity risk assessment involves measuring Body Mass Index (BMI) and waist circumference. This activity uses the Plan-Do-Check-Act (PDCA) methodology to screen for obesity in the elderly at Hana Nursing Home, South Tangerang. The screening includes anthropometric measurements of BMI and waist circumference, followed by evaluation and nutritional counseling for at-risk individuals. 9 people (14.75%) had overweight nutritional status, 3 people (4.92%) had obese nutritional status, and 35 people (57.38%) were at risk of central obesity. Routine anthropometric measurements are critical for monitoring obesity and implementing preventive measures to improve overall health outcomes, improve quality of life, and reduce obesity-related morbidity and mortality rates. Keywords: Obesity, Central Obesity, Elderly, Body Mass Index, Waist Circumference

Temporary blood sugar is the level of glucose in the blood that measured without considering the time of the last meal, and often used to detect diabetes mellitus or impaired glucose tolerance. This community service activity aims to describe the distribution of blood sugar levels in 68 men and women of productive age at  Kalam Kudus II High School, Jakarta. This community service activity is carried out using the Plan-Do-Check-Action method. The results showed that the majority of respondents had normal fasting blood sugar levels (97.1%), with an average of 113.26 mg/dL and a median of 104 mg/dL. Lifestyle factors, nutrition, genetics, and chronic medical conditions can affect blood sugar levels at any time. Regular monitoring of blood sugar levels is essential for early detection and management of diabetes mellitus, which can prevent serious complications such as cardiovascular disease and nephropathy. Prevention strategies include a healthy diet, physical activity, patient education, and appropriate medical interventions. Comprehensive public health programs are needed to increase awareness and management of diabetes, as well as improve the quality of life of individuals affected by this disease.  

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.

Degenerative diseases are chronic diseases that affect a person's quality of life. There are various degenerative diseases that should be treated as early as possible, such as diabetes mellitus, high blood pressure, heart stroke and other degenerative diseases. Indonesia bears a double burden of disease in the health sector, namely infectious diseases are still rampant and coupled with chronic degenerative diseases. Efforts to promote health are very important in efforts to prevent degenerative diseases in adolescence. This health promotion is carried out in adolescents because of the unhealthy lifestyle of adolescents, this can be seen from the smoking habits of adolescents and the habit of eating unhealthy foods or snacks carelessly, lack of consumption of vegetables and fruits, and minimal physical activity such as sports in efforts to prevent degenerative diseases in adolescents. The purpose of this activity is to increase knowledge about the prevention of degenerative diseases among adolescents and as an effort to overcome the problem of the emergence of degenerative diseases in adolescence. The results of community service activities show an increase in average knowledge from 6.61 to 13.80 and an increase in attitudes from 9.61 to 14.47. Community service activities can be carried out well, this is seen from the smooth running of the event and the participation of teenagers. Improving the quality of health needs to be done by raising awareness and increasing education for teenagers about preventing degenerative diseases.

The risk of falling is an incident reported by the sufferer or family who saw the incident, which resulted in a person suddenly falling down, sitting on the floor or a lower place with or without loss of consciousness or injury. Based on an initial survey at the Posyandu Lansia Akbar (Elderly Center) in the working area of ​​the Puskesmas Jembatan Kecil (Community Health Center), it was found that some health problems which are still often experienced by the elderly are degenerative diseases such as hypertension, diabetes mellitus, and perceptual and sensory disorders that leads in decreasing balance, muscle strength and flexibility. These problems put elderly at high risk of falls. To reduce the risk of falls in the elderly, it is necessary to provide preventive, curative and collaborative health services in the form of health education and assistance with balance exercises. So the Community Service Team provides health education on preventing the risk of falls in the elderly.