Hambatan Pengelolaan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe 2

  • Alisarjuni Padang Universitas Sumatera Utara
  • Mula Tarigan Universitas Sumatera Utara
  • Rina Amelia Universitas Sumatera Utara


This study explores various barriers to managing Blood Sugar Levels (KGD) in type 2 DM patients. The method used is a systematic review by browsing articles in the ScienceDirect, Ebsco, PubMed, CINAHL and PMC databases selected based on the PRISMA diagram. The results showed that some barriers to blood sugar management were related to limited costs, poor medication adherence, common knowledge and management of type 2 diabetes, patient psychosocial factors and patient activity factors. In conclusion, the type of obstacle that is most often found related to the management of diabetes mellitus is the lack of knowledge about DM and its management, both patients and health workers.

Keywords: Type 2 DM, Management Barriers, Knowledge Improvement


Abdulrahman, M., Husain, Z. S. M., Abdouli, K. A., Kazim, M. N., Sayed Mahdi Ahmad, F., & Carrick, F. R. (2020). Association Between Knowledge, Awareness, and Practice of Patients with Type 2 Diabetes Melitus with Socioeconomic Status, Adherence to Medication and Disease Complications. Diabetes Research and Clinical Practice, 163-171. https://doi.org/10.1016/j.diabres.2020.108124

Antonio, J. P., Sarmento, R. A., & de Almeida, J. C. (2019). Diet Quality and Glycemic Control in Patients with Type 2 Diabetes. Journal of the Academy of Nutrition and Dietetics, 119(4), 652–658. https://doi.org/10.1016/j.jand.2018.11.006

Bistara, D. N., Rusdianingseh, Susanti, Wardani, E. M., Septianingrum, Y., Ainiyah, N., Fitriasari, A., Noventi, I., & Hasina, S. N. (2020). Acceptance and Commitment Therapy (ACT) on Increasing the Compliance of Management Diabetes Mellitus Type 2. International Journal of Psychosocial Rehabilitation, 24(9), 942–946. https://doi.org/10.37200/IJPR/V24I9/PR290115

Brenner, L. N., Mercader, J. M., Robertson, C. C., Cole, J., Chen, L., Jacobs, S. B. R., Rich, S. S., & Florez, J. C. (2020). Analysis of Glucocorticoid-Related Genes Reveal CCHCR1 as a New Candidate Gene for Type 2 Diabetes. Journal of the Endocrine Society, 4(11), 1–14. https://doi.org/10.1210/jendso/bvaa121

Davies, M. J., D’Alessio, D. A., Fradkin, J., Kernan, W. N., Mathieu, C., Mingrone, G., Rossing, P., Tsapas, A., Wexler, D. J., & Buse, J. B. (2018). Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care, 41(12), 2669–2701. https://doi.org/10.2337/dci18-0033

Gao, C. C., Espinoza Suarez, N. R., Toloza, F. J. K., Malaga Zuniga, A. S., McCarthy, S. R., Boehmer, K. R., Yao, L., Fu, S., & Brito, J. P. (2021). Patients’ Perspective about the Cost of Diabetes Management: An Analysis of Online Health Communities. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 5(5), 898–906. https://doi.org/10.1016/j.mayocpiqo.2021.07.003

Gianotti, L., Belcastro, S., D’Agnano, S., & Tassone, F. (2021). The Stress Axis in Obesity and Diabetes Mellitus: An Update. Endocrines, 2(3), 334–347. https://doi.org/10.3390/endocrines2030031

Gracia-Sánchez, A., López-Pineda, A., Chicharro-Luna, E., & Gil-Guillén, V. F. (2021). A Delphi Study Protocol to Identify Recommendations on Physical Activity and Exercise in Patients with Diabetes and Risk of Foot Ulcerations. International Journal of Environmental Research and Public Health, 18(20), 1–10. https://doi.org/10.3390/ijerph182010988

Huang, L., Wu, P., Zhang, Y., Lin, Y., Shen, X., Zhao, F., & Yan, S. (2022). Relationship between Onset Age of Type 2 Diabetes Mellitus and Vascular Complications Based on Propensity Score Matching Analysis. Journal of Diabetes Investigation, 13(6), 1062–1072. https://doi.org/10.1111/jdi.13763

Huang, Y. M., Shiyanbola, O. O., & Smith, P. D. (2018). Association of Health Literacy and Medication Self-Efficacy with Medication Adherence and Diabetes Control. Patient Preference and Adherence, 12, 793–802. https://doi.org/10.2147/PPA.S153312

Humphries, C., Jaganathan, S., Panniyammakal, J., Singh, S., Goenka, S., Dorairaj, P., Gill, P., Greenfield, S., Lilford, R., & Manaseki-Holland, S. (2018). Investigating Clinical Handover and Healthcare Communication for Outpatients with Chronic Disease in India: A Mixed-Methods Study. PLoS ONE, 13(12), 1–17. https://doi.org/10.1371/journal.pone.0207511

IDF Diabetes Atlas. (2021). Diabetes Data Portal-Indonesia. https://diabetesatlas.org/data/en/country/94/id.html

J, H., Padila, P., Andri, J., Sartika, A., & Andrianto, M. (2021). Kualitas Hidup Pasien Diabetes Melitus Tipe 2. Jurnal Kesmas Asclepius, 3(2), 80-87. https://doi.org/10.31539/jka.v3i2.3149

Kurniawati, Y., Baridah, H. A., Kusumawati, M. D., & Wabula, I. (2020). Effectiveness of Physical Exercise on the Glycemic Control of Type 2 Diabetes Mellitus Patients: A Systematic Review. Jurnal Ners, 14(3), 199–204. https://doi.org/10.20473/jn.v14i3.17059

Kusnanto, K., Arifin, H., & Widyawati, I. Y. (2020). A Qualitative Study Exploring DM Resilience among Adults with Regulated Type 2 Diabetes Mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(6), 1681–1687. https://doi.org/10.1016/j.dsx.2020.08.035

Olczuk, D., & Priefer, R. (2018). A History of Continuous Glucose Monitors (CGMs) in Self-Monitoring of Diabetes Mellitus. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 12(2), 181–187. https://doi.org/10.1016/j.dsx.2017.09.005

Setyawati, A., Ngo, T., Padila, P., & Andri, J. (2020). Obesity and Heredity for Diabetes Mellitus among Elderly. JOSING: Journal of Nursing and Health, 1(1), 26-31. https://doi.org/10.31539/josing.v1i1.1149

Valencia, Y., & Dols, J. D. (2021). Facilitating Adherence to Evidence-Based Practices for Adults With Type 2 Diabetes Mellitus. Journal for Nurse Practitioners, 17(6), 744–748. https://doi.org/10.1016/j.nurpra.2020.12.027

Wang, Q., Wang, J., Lin, H., Huo, X., Zhu, Q., & Zhang, M. (2018). Relationship Between Fat Mass and Obesity-Associated Gene Expression and Type 2 Diabetes Mellitus Severity. Experimental and Therapeutic Medicine, 15(3), 2917–2921. https://doi.org/10.3892/etm.2018.5752
How to Cite
Padang, A., Tarigan, M., & Amelia, R. (2022). Hambatan Pengelolaan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe 2. Journal of Telenursing (JOTING), 4(2), 495-504. https://doi.org/https://doi.org/10.31539/joting.v4i2.3233
Abstract viewed = 0 times
pdf downloaded = 0 times