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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.

Hypertension and diabetes mellitus, which many elderly suffer from, are a significant problem in Indonesia because they pose a risk of serious complications and even death. At the Olak Kemang Community Health Center, the incidence of hypertension and diabetes mellitus in the elderly has increased. However, the scope of elderly people's active participation in various hypertension and diabetes mellitus management programs is still low. Based on the results of the team's research and initial observations, it is known that the main cause of this problem is a lack of family support and limited knowledge about the efforts that families must make in managing illnesses in the elderly. This situation indicates weak family functioning which has an impact on health. This community service activity aims to strengthen family functions and self-care behavior for elderly people with hypertension and diabetes mellitus in the work area of the Olak Kemang Community Health Center through the implementation of Posdaya (Family Empowerment Post). Posdaya activities include counseling about family functions, developing family skills to manage hypertension and diabetes mellitus in the elderly, as well as assisting families to be able to access various application-based health services for the elderly and families. The activity was attended by 20 elderly people and their families. The results of the activity showed that 80% of participants experienced increased knowledge. In addition, participants provided statements of attitude to improve family function and implement self-care behavior for elderly people with hypertension and diabetes mellitus.

The Garuga floribunda (Garuga floribunda Decne) plant is one of the species known for its various medicinal properties. This research aims to investigate the inhibitory activity of α- glucosidase and α-amylase enzymes and to determine the optimum concentration of the methanol extract of Garuga floribunda leaves as an antidiabetic agent. The leaves extraction is obtained through an extraction process using methanol as the solvent and tested for itsinhibitory activity against the α-glucosidase enzyme using the p-nitrophenyl-α-D- glucopyranoside (p-NPG) substrate and the α-amylase enzyme using the DNS (3,5- dinitrosalicylic acid) substrate. The method is UV-Vis spectrophotometry. The Phytochemical tests of this plant reveal the presence of flavonoids, alkaloids, saponins, tannins, steroids, and terpenoids. The inhibition test results show that the methanol extract of Garuga floribundaleaves exhibited significant inhibitory activity against both enzymes. The highest inhibition percentage against the α-glucosidase enzyme is 91.09%, indicating very high antidiabetic activity. Meanwhile, the inhibition against the α-amylase enzyme is 7.56%, showing no significant antidiabetic activity. The optimum concentration for inhibiting both enzymes is 1000 ppm.

Diabetes mellitus (DM) is a chronic disease with increasing incidence worldwide. This disease not only affects adults, but also children. Diabetes mellitus is characterized by increased blood sugar levels due to impaired insulin production, impaired insulin function, or both. A patient with An. DM came with complaints of shortness of breath and a history of decreased consciousness. The patient also experienced weakness 1 week earlier. From the anamnesis and physical examination, the patient was diagnosed with type 1 DM. Type 1 DM can cause various complications. Children with type 1 DM not only face short-term complications such as hypoglycemia and diabetic ketoacidosis (DKA) which both have significant risks of morbidity and mortality. Children with DKA have life-threatening complications when first diagnosed and are associated with poor metabolic control.

Abstract, Fasting in Islam is not only an act of worship that brings one closer to Allah, but also offers physical and mental health benefits. In addition to increasing piety, fasting helps discipline oneself and supports the body's detoxification process. The biological processes that occur during fasting, such as rest for the digestive system and the use of energy reserves, demonstrate Allah's wisdom. Fasting also prevents diseases caused by overeating, such as hypertension, diabetes, and heart problems. Medical research reveals that moderate eating patterns and regular fasting improve overall health. Fasting, such as during Ramadan, also boosts metabolism, organ health, and psychological well-being by regulating emotions and behavior. Various types of fasting, both obligatory and voluntary, have different health impacts, and studies support the benefits of fasting in reducing inflammation, regulating blood glucose levels, and enhancing overall quality of life.    

Low fiber consumption among university students increases the risk of chronic diseases such as coronary heart disease, and diabetes. Many students prioritize convenient eating habits and are influenced by peer groups, often overlooking the importance of fiber intake in their daily diet. This educational program aims to enhance students' knowledge about the benefits of fiber consumption through interactive audio and visual media. The program applies the Health Belief Model (HBM) theory to design educational content in the form of videos and posters distributed via the social media platform Instagram. Involving 26 student respondents from various faculties at Halu Oleo University, the results showed a significant improvement in students' understanding of the health benefits of fiber, types of fiber-rich foods, and the role of fiber in preventing chronic diseases. Education through engaging media successfully increased students' motivation to improve their dietary habits by incorporating more fiber into their diets.

This study examines the relationship between education level and understanding of insulin therapy among type 2 diabetes mellitus patients undergoing insulin therapy at RSUD dr. M. Soewandhi Surabaya. Using a descriptive observational method with a cross-sectional design, data were collected from interviews and medical record observations from 100 patients aged 15-64. The findings reveal that most patients had low educational backgrounds, with 27% never attending school and 39% only completing high school. Regarding insulin therapy comprehension, 10% demonstrated good understanding, 55% moderate, and 35% poor. The highest comprehension was insulin usage rules, while the lowest was injection techniques. The study underscores the need for tailored health education to improve patient understanding, particularly for low-education groups. Limitations of the study include the single-site setting and potential response biases from interviews. Future research should expand to include diverse populations and examine non-educational factors influencing therapy comprehension, such as cultural and economic conditions.

Excessive sugar consumption has become a serious public health problem. Increasing patterns of food and drink consumption in line with changes in modern lifestyles have contributed to an increase in the prevalence of non-communicable diseases such as obesity, type 2 diabetes and cardiovascular disorders. This study analyzes and analyzes the use of Artificial Intelligence (AI), especially Deep Learning techniques and Neural Network algorithms, in the classification of sugar content in sweetened drinks. The Systematic Literature Review (SLR) method was used to filter relevant studies published between 2020-2024. The study results show that AI is able to provide more efficient and accurate solutions than manual methods. However, although the literature results show great potential, the application of AI in sugar content classification still requires further empirical research. This study emphasizes the importance of developing AI models tailored to the characteristics of sweetened drinks to support consumer decision making regarding healthier drink choices.

Health is a condition where the body system and organs in the body can carry out their respective functions. However, in some cases that occur in Indonesian society, health problems have begun to appear, such as diabetes, malaria, and so on. According to the analysis, the incidence of diabetes continues to increase every year. Furthermore, the plant extract that is used as a source of antioxidants is bamboo shoots. The incidence of malaria resistance has reached >25% so that several drugs such as chloroquine are no longer used as the main drug in cases of malaria. The purpose of writing is to analyze the results of a review of the pharmacological potential of plant extracts that are effective as antidiabetic, antioxidant, and antimalarial supplements. The writing method used in writing this journal is to use a qualitative type. The results of the study are that bamboo leaf extract provides effectiveness as an antioxidant. Furthermore, antidiabetic can be found in the extract of the butterfly pea flower. Then the extract of the moon flower leaf has effectiveness as an antimalarial. The conclusion drawn is that the use of natural plant extracts can be used as antidiabetic, antioxidant, and antimalariall.

Diabetes melitus is a chronic condition desease that requires continued use of medication. High adherence to treatment will produce good clinical results and play a role in improving the quality of life of diabetes melitus sufferers. The following research aims to assess the relationship between adherence to medication use and clinical outcomes for patients with type 2 diabetes mellitus at RSUD DR. Moewardi Surakarta which was conducted in the period April – June 2024. This research used a cross sectional method with a total of 98 patients as respondents who met the inclusion and exclusion criteria. Adherence data was assessed using the Modified Morisky Adherence Scale 8 (MMAS 8) questionnaire, and clinical outcomes were assessed from fasting or fasting blood glucose values ​​and %HbA1C from medical record data. Analysis of the relationship between adherence and clinical outcomes using chi-square. The results of the level of treatment compliance can be divided into 3 categories, namely: high treatment compliance has a percentage of 24.5%, moderate treatment compliance has a percentage of 46.9%, and low treatment compliance has a percentage of 28.6%. Clinical outcomes were achieved by 38.8% and not achieved by 62.2%. There is a relationship between adherence medication and therapeutic outcomes in type 2 diabetes melitus patients with a Pearson chi square value of 0.011. Based on these data, pharmacist professionals need to place greater emphasis on adherence with medication use in type 2 diabetes mellitus patients to obtain good clinical outcomes.

Background: Diabetic ulcers are complications that occur in clients with Diabetes Mellitus (DM) due to poor glycemic control. The slow healing process of wounds can increase the risk of wound complications, which will affect the duration of healing. Objective: To determine the relationship between knowledge and family support with the level of stress in DM patients with diabetic ulcers at Bhakti Asih General Hospital in Tangerang City. Method: This is a quantitative study with a Cross-Sectional approach. The sample consists of 62 DM patients using purposive sampling technique. The instruments used in this study are questionnaires on knowledge, family support, and the Depression Anxiety Stress Scale 42 (DASS 42). Data were analyzed using Spearman's rho test and presented in the form of frequency distribution tables. Results: The findings show that the majority of the knowledge variable indicates good family support (94.9%), and the stress level variable falls into the moderate stress category (66.7%). The correlation coefficient in this study shows a significant positive correlation between knowledge and family support with the level of stress in DM patients with diabetic ulcers (r = 0.490; p = 0.001), concluding that as family support increases, the level of stress in DM patients with diabetic ulcers improves. Conclusion: There is a relationship between knowledge and family support with the level of stress in DM patients with diabetic ulcers in the Nusa Indah room at Bhakti Asih General Hospital in Tangerang City.  

TB is an infectious disease caused by infection with the bacteria Mycobacterium Tuberculosis which can attack the lungs. However, it is not automatically transmitted because transmission depends on several factors such as: body resistance, air circulation conditions, ventilation and contact with people with TB. Based on hospital data in 2024 in the last 3 months, there were 317 cases of pulmonary TB, with 176 cases of patients diagnosed with TB. Treatment can be effective if patients comply with the rules for using drugs prescribed by doctors and from the results of the analysis there is a significant relationship between compliance with taking medication and the rate of recovery of tuberculosis patients. This figure is the third largest case of the disease after type 2 Diabetes Mellitus and Hypertension that occurred at Bhakti Asih Hospital. The purpose of the study was to determine the relationship between stigma and the level of patient compliance in TB treatment at Bhakti Asih Hospital, Ciledug. The research method used was Random Sampling with a sample size of 44 respondents and a measurement method using a questionnaire. The results of the analysis using the chi-square test showed that there was a significant relationship between stigma and compliance with taking pulmonary tuberculosis medication in lung patients at Bhakti Asih Hospital.    

Diabetes Mellitus Type 2 is a metabolic disorder characterized by increased blood sugar levels (hyperglycemia). Diabetes can affect the quality of life with several aspects, namely diabetes care, symptoms of diabetes, and chronic complications that cause high morbidity and mortality.. Objectives: This is to find outDeterminant Factors of Quality of Life of Type 2 Diabetes Mellitus Patients at Bhakti Asih Hospital Tangerang in 2024. The research method is quantitative research with a Cross Sectional approach. Methods: sample was 55 patients using a purposive sampling technique. The knowledge level instrument usedDKQ-24 questionnaire (Diabetes Knowledge Questionnaire), Diet pattern questionnaire using FFQ, Activity pattern questionnaire using GPAQ (global physical activity questionnaire), Medication adherence questionnaire using Medication Adherence Report Scale (MARS),measurement of quality of life using the Diabetes Quality Of Life (DQOL) questionnaire. Data were analyzed using the Statistical Test used was the bivariate test, namely Chi-Square and the multivariate test, namely the Backward logistic regression method.  Results: shows that the Physical Activity variable has the largest coefficient B value and OR value, which means that among the four variables, the Physical Activity variable is the most dominant factor related to the Quality of Life of Type 2 Diabetes Mellitus Patients. Based on the results of the model analysis, the Negelkelke R Square value is 49.9%, meaning that the variables of Knowledge Level, Diet, Physical Activity, and Blood Sugar Level Examination on the Quality of Life of Type 2 Diabetes Mellitus Patients are 49.9% and the rest can be explained by other variables outside this study.Conclusion,In this study, the level of knowledge, diet, physical activity, and blood sugar level examinations were related to the quality of life of type 2 diabetes mellitus patients.    

Diabetes mellitus is a chronic metabolic disease characterized by increased blood glucose levels (hyperglycemia) caused by insulin secretion deficiency and / or insulin resistance which over time can cause serious damage to various body systems, especially to nerves and blood vessels, Pumpkin (Cucurbita moschata) is one of the fruits that contains antioxidant compounds Pumpkin (Cucurbita moschata) can also overcome poisoning, clean digestion, and play a role in overcoming hyperglycemia. The purpose of this study was to determine the Nursing Care of Families with the Implementation of the Yellow Pumpkin Diet for Patients with Diabetes Mellitus in the Sukoharjo Health Center Work Area. Data collection methods Data is obtained by interview and observation. The results are written with field notes, then copied in the form of transcripts (structured notes). The activity plan was carried out on Tuesday, June 25, 2024 regarding education on the implementation of the Pumpkin Diet for Diabetes Mellitus Patients in the Sukoharjo Health Center Work Area. The results of the evaluation of the diagnosis of blood sugar instability and given pumpkin diet therapy. The first day before giving pumpkin 250mg/dl after giving pumpkin 247mg/dl on the first day. During the 3 days of giving a diet of yellow pumpkin to 238mg / dl.

Acute Respiratory Distress Syndrome (ARDS) is a life-threatening condition characterized by severe inflammation and damage to the alveoli, leading to impaired oxygen exchange in the lungs. Older adults are particularly vulnerable to ARDS due to age-related physiological changes and the presence of comorbidities. This literature review aims to explore the risk factors, pathophysiology, and management strategies of ARDS in the elderly population. The review identifies key factors such as immunosenescence, decreased lung elasticity, and the presence of chronic conditions like hypertension, diabetes, and cardiovascular disease as contributing to the increased susceptibility to ARDS in older adults. Infections, especially pneumonia and sepsis, are found to be significant triggers for the onset of ARDS. Additionally, environmental factors, such as long-term exposure to air pollution and smoking, further elevate the risk. Prevention through vaccination and the management of comorbidities are highlighted as essential strategies for reducing the incidence of ARDS. The review also emphasizes the importance of lung-protective ventilation strategies in the treatment of ARDS in older adults. Overall, this paper underscores the need for comprehensive healthcare approaches, including early detection, vaccination, and integrated care for managing comorbid conditions to mitigate the impact of ARDS in the elderly. Further research is recommended to develop more effective and tailored treatment approaches for this vulnerable population. 

The study was to describe the nutritional status of participants in the Integrated Development Post for Non-Communicable Diseases. The method used was descriptive quantitative with 35 respondents. Respondents were measured anthropometrically including weight, height, waist circumference and body mass index (BMI) then descriptive analysis was carried out using SPSS. The results showed that respondents who had BMI in the obesity category were 15 (42.90%), normal 14 (40%) and obese 6 (17.10%) and based on the measurement of waist circumference, respondents who experienced central obesity were 30 (85.70%) and not central obesity were 5 (14.30%). Conclusion: Maintaining nutritional status is very beneficial because someone who is overweight is at risk of experiencing several diseases such as hypertension, diabetes mellitus and heart disease.

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.

Diabetic wounds have quite serious impacts on sufferers, so a comprehensive wound assessment must be carried out. However, currently there are still many nurses who carry out wound assessments only relying on the nurse's experience in assessing wound characteristics. The use of a digital application (Dicafoler) is a solution to be used as a tool to comprehensively assess diabetes wounds so that it can minimize the impact of the risk of infection and amputation. The aim of this research is to describe the use of the dicafoler application as a tool to assess diabetes wounds among nurses at RSUD Dr. Dradjat Prawiranegara Serang. The research design used in this research is Quantitative Description. Sampling technique with a total sampling of 24 respondents. The results of this research were that the age of the executive nurses was young adults (25-35 years), the dominant sex was that the executive nurses were female, the educational level of the executive nurses was at most D3 nursing, the length of service of the executive nurses was >5 years. Bivariate results show that the use of Dicafoler is effective in assessing wounds more accurately.  The conclusion of this research is that the Dicafoler application can be easily used to assist in the process of assessing diabetic wounds, but it requires further development through further research to add incomplete features so that a comprehensive assessment can be carried out.

Type 2 Diabetes Mellitus (DM) is characterized by hyperglycemia, which can lead to microangiopathic and macroangiopathic complications. One of the chronic complications is diabetic foot ulcer (DFU), which carries a high risk of infection and amputation. Preventing amputation can be achieved by accelerating wound healing. Dalethyne, a herbal product extracted through ozonization, contains essential oils, fatty acids, iodine, and peroxides. In wound care, Dalethyne acts as an antimicrobial agent that eliminates bacteria and promotes the formation of new tissue. This study aimed to examine the effect of modern Dalethyne dressings on wound healing among patients with diabetic foot ulcers. A quasi-experimental study with a non-equivalent control group pretest–posttest design was conducted at a wound care clinic in Semarang. Thirty participants with grade 2–3 diabetic foot ulcers were divided into an intervention group (Dalethyne dressing) and a control group (standard care). Wound healing was assessed using the DMIST scale before and after one week of treatment. Both groups showed improvement in DMIST scores post-treatment. However, the intervention group demonstrated significantly greater improvement (mean DMIST reduction of 48.50) compared to the control group (mean reduction of 16.50) (p = 0.001). Photographic evidence indicated more advanced granulation and epithelialization in the Dalethyne group. Modern wound care using Dalethyne effectively enhances wound healing in diabetic foot ulcers.

This study was motivated by the high prevalence of high blood pressure (hypertension) and uncontrolled blood sugar levels among the elderly, particularly in Kalitengah Village, Blitar Regency. The elderly are a vulnerable group to health problems due to a decline in physiological function, which can lead to serious complications such as stroke, heart failure, and diabetes mellitus. This study aims to determine the relationship between elderly exercise activities and blood pressure and blood sugar levels. The method used is quantitative with a correlational design. The study subjects consisted of 30 elderly individuals who actively participated in regular exercise activities at the Kalitengah Village Health Post. Measurements were taken of systolic and diastolic blood pressure and blood sugar levels before and after the exercise intervention. Based on the findings supported by previous literature reviews, it is known that physical activities such as elderly exercise significantly reduce blood pressure and help control blood sugar levels. The findings of this study indicate that regular exercise can improve blood pressure and blood glucose parameters. The results of this study are expected to serve as a basis for promotive and preventive efforts to improve the quality of life of the elderly through community-based interventions that are easy, affordable, and effective, namely elderly exercise.