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

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

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

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

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

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

The use of information, media and communication technology has changed both the behavior of society and human civilization globally. The development of hospitals in Karawang is increasingly mushrooming, as well as the increasing number of degenerative diseases such as hypertension and diabetes, the increasing prevalence of chronic kidney disease. So it requires the handling of renal replacement therapy (Renal Replacement Therapy) because it is increasingly needed for cases of acute and chronic renal failure. The purpose of this research is to build an integrated and controlled information system that can simplify the patient administration process and reduce the effectiveness of the patient's time for dialysis. The methodology that the authors use in this study includes methods of identification and system design. System identification includes identification of the organization, running systems, and problem identification. The problems faced at this time in the Hemodialysis Installation. Patient data is not the same between patients who are served by hemodialysis (dialysis) and those in the application report, the transaction value for using tools and materials is sometimes empty or there is no transaction value in the application, it will cause losses to the customer. hospital. It is hoped that this system can eliminate the problems that have been happening so far.

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

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

Ketidakpatuhan (non-compliance) dan ketidaksepahaman (non-corcondance)  pasien dalam menjalankan terapi merupakan salah satu penyebab kegagalan terapi. Hal ini sering disebabkan karena kurangnya pengetahuan dan pemahaman pasien tentang obat dan segala sesuatu yang berhubungan dengan penggunaan obat untuk terapinya. penelitian ini bertujuan untuk mengetahui efektifitas Health Education tentang cara penyuntikan insulin pada pasien Diabetes Mellitus diwilayah Kerja Puskesmas Masohi Kabupaten Maluku Tengah. Desain penelitian yang digunakan adalah one group pre test-post test design. Populasi berjumlah  118 orang. Sampel dalam penelitian ini berjumlah 20 orang dengan teknik Purposive Sampling. Dari hasil uji normalitas diperoleh nilai rata-rata pretest sebesar 5,25 dan posttest sebesar 7,80, ini menunjukkan terjadi kenaikan sebesar 2,55. Dengan demikian, nilai rata-rata pada posttest lebih baik dibandingkan dengan nilai rata-rata pada pretest. Dari hasil Uji Paired Sample t-Test menunjukkan bahwa nilai sig. 2 tailed (p-value) sebesar 0,000 < 0,05, maka H0 ditolak dan Ha diterima. Ini berarti bahwa ada efekktifitas Health education tentang Cara  Penyuntikan Insulin pada pasien Diabetes Mellitus. adanya efektifitas Health Education tentang cara penyuntikan insulin pada pasien Diabetes Mellitus diWilayah Kerja Puskesmas Masohi Kabupaten Maluku Tengah.