Pengendalian Gula Darah pada DM Tipe 2 dengan Pemeriksaan HbA1c di Rumah Sakit
Abstract
This study aims to determine the control of blood sugar levels in type 2 DM patients at Raden Mattaher Hospital Jambi. The design of this study was descriptive analysis using 100 samples of type 2 DM patients who underwent inpatient and outpatient treatment while blood sugar and HbA1c were checked. The results showed 82 patients with uncontrolled HbA1c levels with an average HbA1c level of 10.11% and 78 patients with abnormal blood sugar levels with an average blood sugar level of 326 mg/dL. Most patients with type 2 diabetes are female (61%), early adulthood 18-40 years (61%), obesity BMI (50%), moderate activity (52%) and poor diet (59%). Based on the characteristics of the respondents, it was found that HbA1c levels were not controlled in the groups: middle adults (85.2%), women (80.3%), BMI with obesity (86.0%), light activity (81.8%) and poor diet. (86.4%). In conclusion, most of the samples were included in the criteria for poor DM control based on current blood sugar levels and HbA1c.
Keywords: Type 2 DM, Temporary Blood Sugar, HAa1c, Blood Sugar Control
References
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Beck, R. W., Bergenstal, R. M., Cheng, P., Kollman, C., Carlson, A. L., Johnson, M. L., & Rodbard, D. (2019). The Relationships Between Time in Range, Hyperglycemia Metrics, and HbA1c. Journal of Diabetes Science and Technology, 13(4), 614–626. https://doi.org/10.1177/1932296818822496
Chandran, S. R., Tay, W. L., Lye, W. K., Lim, L. L., Ratnasingam, J., Tan, A. T. B., & SL Gardner, D. (2018). Beyond HbA1c: Comparing Glycemic Variability and Glycemic Indices in Predicting Hypoglycemia in Type 1 and Type 2 Diabetes. Diabetes Technology & Therapeutics, 20(5), 353–362. https://doi.org/10.1089/dia.2017.0388
Driyah, S., Oemiati, R., & Riyadina, W. (2020). Indikator HbA1c pada Responden DM pada Studi Kohor Faktor Risiko Penyakit Tidak Menular di Kota Bogor, Indonesia 2017: Korelasi Kadar Glukosa Darah dan Kolesterol Total. Jurnal Biotek Medisiana Indonesia, 9(2), 81–89. https://doi.org/10.22435/jbmi.v9i2.4411
Ekasari, E., & Dhanny, D. R. (2022). Faktor yang Mempengaruhi Kadar Glukosa Darah Penderita Diabetes Melitus Tipe II Usia 46-65 Tahun di Kabupaten Wakatobi. Journal of Nutrition College, 11(2), 154–162. https://doi.org/10.14710/jnc.v11i2.32881
Gan, T., Liu, X., & Xu, G. (2018). Glycated Albumin versus HbA1c in the Evaluation of Glycemic Control in Patients with Diabetes and CKD. Kidney International Reports, 3(3), 542–554. https://doi.org/10.1016/j.ekir.2017.11.009
Kementerian Kesehatan RI. (2018). Hasil Utama RISKESDAS 2018. https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018/
Masruroh, E. (2018). Hubungan Umur dan Status Gizi dengan Kadar Gula Darah Penderita Diabetes Melitus Tipe II. Jurnal Ilmu Kesehatan, 6(2), 153-163. https://doi.org/10.32831/jik.v6i2.172
Paruntu, O. L., Sahelangi, O., & Palit, S. E. (2018). Pengaruh Konseling Gizi terhadap Perilaku Gizi, Kadar Gula Darah, dan Kadar HbA1c Pada Diabetisi Rawat Jalan RSUP Prof Dr R.D Kandou Manado. Jurnal Gizido, 10(1), 1–6. https://doi.org/10.47718/gizi.v10i1.799
Permatasari, N. D., Rachmawati, B., Riansari, A., & Limijadi, E. K. S. (2020). Hubungan HbA1c dengan CRP pada Penderita Diabetes Melitus Tipe-2 dengan Obesitas dan Tanpa Obesitas. Journal of Nutrition College, 9(4), 267–272. https://doi.org/10.14710/jnc.v9i4.29011
Ramadhan, N., Marissa, N., Fitria, E., & Wilya, V. (2018). Pengendalian Diabetes Melitus Tipe 2 pada Pasien di Puskesmas Jayabaru Kota Banda Aceh. Media Penelitian dan Pengembangan Kesehatan, 28(4), 239–246. https://doi.org/10.22435/mpk.v28i4.63
Salsabila, K. N., Berawi, K. N., & Oktaria, D. (2022). Hubungan Tingkat Stres terhadap Kadar Glukosa Darah Puasa pada Laki-Laki Penderita Obesitas Sentral di Lingkungan Universitas Lampung. Medical Profession Journal of Lampung, 12(2), 212–216. https://doi.org/10.53089/medula.v12i2.435
Silalahi, L. (2019). Hubungan Pengetahuan dan Tindakan Pencegahan Diabetes Mellitus Tipe 2. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, 7(2), 223–232. https://doi.org/10.20473/jpk.V7.I2.2019.223-232
Susanti, S., & Bistara, D. N. (2018). Hubungan Pola Makan dengan Gula Darah pada Penderita Diabetes Mellitus. Jurnal Kesehatan Vokasional (JKESVO), 3(1), 29–34. https://doi.org/10.22146/jkesvo.34080
The International Diabetes Federation (IDF). (2022). Diabetes is Spiralling Out of Control. https://diabetesatlas.org/
Tursinawati, Y. (2021). Edukasi tentang Diabetes Mellitus, Pemeriksaan Gula Darah dan Ankle Brakhial Index sebagai Faktor Prediktor Kaki Diabetes di Karanggawang, Kota Semarang. Surya Abdimas, 5(3), 240–250. https://doi.org/10.37729/abdimas.v5i3.1237
Wijaya, N. I. S. (2021). Hubungan Pengetahuan dengan Motivasi dalam Mencegah Terjadinya Komplikasi Diabetes Melitus di Wilayah Kerja Puskesmas Samata. Nursing Care and Health Technology Journal (NCHAT), 1(1), 11-15. https://doi.org/10.56742/nchat.v1i1.3
Zhang, X., Xiao, Y., & Fan, Y. (2018). Investigating the Reliability of HbA1c Monitoring for Blood Glucose Control during Late Pregnancy in Patients with Gestational Diabetes Mellitus (GDM) with and Without Β-Thalassemia Minor. Diabetes Therapy, 9(6), 2305–2313. https://doi.org/10.1007/s13300-018-0516-z
