Factors Affecting Controlled Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus at the Internal Medicine Polyclinic at the Regional General Hospital of West Nusa Tenggara Province
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I Wayan Mustika Maha Putra , Catarina Budyono , Ardiana Ekawanti , Joko AnggoroDOI:
10.29303/jbt.v23i1.4509Published:
2023-01-09Issue:
Vol. 23 No. 1 (2023): January - MarchKeywords:
age; blood sugar levels; duration of diabetes mellitus; gender; type 2 diabetes mellitus; type of therapyArticles
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Abstract
Indonesia is ranked seventh out of countries that contributed to the highest number of DM in the world in 2019 and estimate that in 2045 it could reach 16.6 million cases. West Nusa Tenggara Province is one of the provinces with a fairly high DM rate reaching 21,308 with various complications due to uncontrolled blood sugar levels. High blood sugar levels in DM patients are caused by several uncontrolled factors in DM patients. This study aims to determine the factors associated with uncontrolled blood sugar levels in type 2 DM patients at the NTB Provincial Hospital. This research is a observational with a cross sectional study. The sample selection using the consecutive sampling obtained from the medical records of type 2 DM patients who were treated at the Internal Medicine Polyclinic of the NTB Provincial Hospital. The study sample size were 100 people with univariate and bivariate data analysis using the Chi-square test. The subjects in this study were dominated by patient age > 45 years (75.6%), female (51.2%), using non-insulin therapy (52.4%), and duration of type 2 diabetes < 10 years. (67.07%) with uncontrolled blood sugar status (52.4%). Bivariate analysis using the Chi-square showed that there were a statistically significant relationship between controlled blood sugar levels and patient age (p=0.021), controlled blood sugar levels with gender (p=0.008), controlled blood sugar levels and the type of therapy (p=0.008). = 0.004), and controlled blood sugar levels with duration of diabetes (0.023).
References
Ali, B. (2019). Hubungan Lamanya Menderita Diabetes Mellitus yang Tidak Terkontrol dengan Komplikasi yang Ditimbulkan Pada Penderita Diabetes Mellitus Tipe 2 di Rumah Sakit Umum Pusat (RSUP) Dr. Wahidin Sudirohusodo Pada Tahun 2018. Universitas Hasanuddin Makassar.
Alit, A. & Dwipayana P. (2020). Hubungan Kadar HbA1c terhadap Terapi Obat Anti Diabetes Oral dan Kombinasi Obat Anti Diabetes Oral – Insulin Pada Penderita DM Tipe 2 di Poliklinik Diabetes RSUP Sanglah Denpasar Tahun 2016. Jurnal Medika Udayana, 9 (9): 94 – 99. DOI: https://doi.org/10.24843/10.24843.MU.2020.V09.i9.P16
Boku, Aprilia. 2019. Faktor – Faktor yang Berhubungan Terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe II di RS PKU Muhammadiyah Yogyakarta. Yogyakarta: Universitas Aisyiyah.
David, F.D., Yassir, M. & Kadrianti, E. (2018). Hubungan antara status gizi, kepatuhan diet dm dengan kadar glukosa darah pada penderita diabetes melitus di RSUD Kota Makasar. Jurnal Ilmiah Kesehatan Diagnosis, 12(4): 448– 453. Retrieved from http://ejournal.stikesnh.ac.id/index.php/jikd/article/view/796.
Dugan, Joy., & Shubrook, . (2017). International classification of diseases-10 coding for diabetes. Clinical Diabetes, 35(4), 232-238. DOI: https://doi.org/10.2337/cd16-0052.
Fanani, A. (2020). Hubungan Faktor Risiko dengan Kejadian Diabetes Mellitus. Jurnal Keperawatan, 12 (3): 371-378. DOI: https://doi.org/10.32583/keperawatan.v12i3.763.
Gumantara M.P.B. & Oktarlina, R.Z. (2017). Perbandingan Monoterapi dan Kombinasi Terapi Sulfonilurea-Metformin terhadap Pasien DM Tipe 2. Lampung: Fakultas Kedokteran Universitas Lampung.
Hamaty M. (2011). Insulin treatment for type 2 diabetes: when to start, which to use. Cleveland Clinic journal of medicine, 78(5): 332–342. DOI: https://doi.org/10.3949/ccjm.78a.10051.
Hariani, Abd.Hadi J., Nuraeni J., Surya A.P. (2020). Hubungan Lama Menderita dan Komplikasi DM terhadap Kualitas Hidup Pasien DM Tipe 2 di Wilayah Puskesmas Batua Kota Makassar. Jurnal Ilmiah Kesehatan Diagnosis, 15(1), 56-63. Retrieved from http://jurnal.stikesnh.ac.id/index.php/jikd/article/view/142.
Ikaditya, L., Handayani, N. & Rahman, A.A. (2019). Studi Komparasi Kualitas Hidup Pasien Diabetes Melitus dengan Insulin dan Antidiabetik Oral. Jawa Barat: Poltekkes Kemenkes Tasikmalaya.
Ikhwan., Astuti, E., & Misriani. (2018). Hubungan Kadar Gula Darah Dengan Tingkat Stres Pada Penderita Diabetes Melitus Tipe 2. Jurnal Ilmiah Kesehatan Pencerah. 7(1): 2089-9394.
International Diabetes Federation. (2019). IDF Diabetes Atlas 9th Edition. [Online]. Available at: www.diabetesatlas.org: 45-59. (Accesed on June 7, 2021).
Islam M. R., Karim, M. R., Habib, S. H. & Yesmin, K. (2013). Diabetes distress among type 2 diabetic patients. International journal of medicine and Biomedical Research. 2(2): 113-124. DOI: https://doi.org/10.14194/ijmbr.224.
Komariah, K & Rahayu, S. (2020). Hubungan Usia, Jenis Kelamin, dan Indeks Massa Tubuh Dengan Kadar Gula Darah Puasa Pada Pasien Diabetes Melitus Tipe 2 di Klinik Pratama Rawat Jalan Proklamasi, Depok, Jawa Barat. Jurnal Kesehatan Kusuma Husada. 41-50: DOI: https://doi.org/10.34035/jk.v11i1.412.
Kurniawati, N.I. (2013). Analisis Karakteristik Pasien Rawat Inap Diabetes Melitus Berdasarkan Kadar Gula Darahnya Di RSU PKU Muhammadiyah Bantul. Yogyakarta: Sekolah Tinggi Ilmu Kesehatan Aisyiyah Yogyakarta.
Longo, D. L., Kasper, D. L., Jameson, J. L., Fauci, A. S., Hauser, S. L., & Joseph, L. (2012). Harrison’s principle on internal medicine (18th ed.). New York: McGraw-Hill.
Masruroh, Eny. (2018). Hubungan Umur dan Status Gizi Dengan Kadar Gula Darah Penderita Diabetes Melitus Tipe 2. Jurnal Ilmu Kesehatan. 6 (2). DOI: https://doi.org/10.32831/jik.v6i2.172.
Perkumpulan Endokrinologi Indonesia. (2019). Pengelolaan dan pencegahan diabetes melitus tipe 2 di indonesia 2019. Pengurus Besar Perkumpulan Endokrinologi Indonesia (PB Perkeni). Airlangga University Press, Indonesia. https://pbperkeni.or.id/wp-content/uploads/2021/06/Pedoman-Pengelolaan-DM-Tipe-2-Dewasa-di-Indonesia-eBook-PDF.pdf. (Accessed on June 9, 2021).
Prajapati, V. B., Blake, R., Acharya, L. D., & Seshadri, S. (2017). Assessment of quality of life in type II diabetic patients using the modified diabetes quality of life (MDQOL)-17 questionnaire. Brazilian Journal of Pharmaceutical Sciences, 53(4), 1–9. DOI: https://doi.org/10.1590/S2175-97902017000417144
Reid, M.K.T., & Walker, S.P. (2009). Quality of life in Caribbean youth with diabetes. West Indian Med Journal, 58 (3): 250-256. Retrieved from https://pubmed.ncbi.nlm.nih.gov/20043533/
Riddle M. C. (2008). Combined therapy with insulin plus oral agents: is there any advantage? An argument in favor. Diabetes care. 31(2): S125–S130. DOI: https://doi.org/10.2337/dc08-s231.
Rismayanthi, C. 2010. Terapi Insulin Sebagai Alternatif Pengobatan Bagi Penderita Diabetes. Medikora Journal. 6 (2): 29-36. DOI: https://doi.org/10.21831/medikora.v0i2.4680.
Rudi, A., Kwureh, H.N. 2017. Faktor Risiko yang Mempengaruhi Kadar Gula Darah Puasa Pada Pengguna Layanan Laboratorium. Kalimantan Barat: Sekolah Tinggi Ilmu Kesehatan Kapuas Raya.
Rumah Sakit Umum Daerah Provinsi NTB. (2021). Rekapitulasi Kunjungan Pasien RSUD Provinsi NTB. RSUD Provinsi NTB. rsud.ntbprovinsi.go.id/rekapitulasi-kunjungan-pasien-rsud-provinsi-ntb/. (Accessed on June 10, 2021)
Susilawati, Rahmawati, R. (2021). Hubungan Usia, Jenis Kelamin, dan Hipertensi dengan Kejadian Diabetes Melitus Tipe 2 di Puskesmas Tugu Kecamatan Cimanggis Kota Depok. ARKESMAS. 6(1): 15-22. DOI: https://doi.org/10.22236/arkesmas.v6i1.5829.
Tandra H. (2013). Life healty with diabetes-diabetes mengapa & bagaimana?. Yogyakarta: Rapha Publishing.
Trisnawati, S.K. & Setyorogo, S. (2013). Faktor risiko kejadian diabetes melitus tipe II di puskesmas kecamatan Cengkareng Jakarta Barat Tahun 2012. Jurnal Ilmiah Kesehatan5. 5(1): 6–11. Retrieved from https://fmipa.umri.ac.id/wp-content/uploads/2016/06/YUNI-INDRI-FAKTOR-RESIKO-DM.pdf.
University of Michigan Health System. (2012). Guidelines for Clinical Care Ambulatory : Management of Type 2 Diabetes Mellitus. Clinical Alignment & Performance Excellence University of Michigan. : hal 1-29.
World Health Organization. (2018). Monitoring Health for the SDGs. https://apps.who.int/iris/bitstream/handle/10665/272596/9789241565585 eng.pdf?ua=. (Accessed on June 15, 2021).
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