DURASI MENDERITA DM MEMENGARUHI KONTROL GLIKEMIK JANGKA PANJANG YANG DIUKUR MELALUI HbA1c PADA PASIEN DIABETES MELITUS TIPE 2
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Abstract
Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia due to abnormalities in insulin secretion or action. In West Java, the prevalence of DM reached 1.9%, with a significant increase in Tasikmalaya City, which recorded 7,436 cases in 2022. This study aimed to explore the relationship between individual characteristics, nutritional status, comorbidities, and duration of DM with HbA1c levels in type 2 diabetes patients at one of the private hospitals in Tasikmalaya City.This study evaluated medical records of 210 patients with type 2 DM. The Spearman's rank correlation test was used to analyse the relationships between variables and a p<0.05 was considered as statistically significant. The research design used is cross sectional with purposive sampling technique.The result showed there was a statistically significant relationship between the duration of illness and HbA1c levels (p = 0.001 and r = 0,072). However, the relationship between nutritional status or comorbidities and HbA1c levels were not statistically significant (p = 0.471 and 0.187, respectively), indicating no relationship between nutritional status and HbA1c levels. The study concluded there was no significant relationship between nutritional status and comorbidities with HbA1c levels. Namun, ada hubungan antara durasi penyakit dengan kadar HbA1c
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References
Soelistijo and Soebagio, “Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021,” Glob. Initiat. Asthma, p. 46, 2021.
S. D. Suryanti, A. T. Raras, C. Y. Dini, and A. H. Ciptaningsih, “Hubungan Indeks Masa Tubuh Dengan Kadar Gula Darah Puasa Pada Pasien Diabetes Melitus Tipe 2,” Poltekita J. Ilmu Kesehat., vol. 13, no. 2, pp. 86–90, 2019.
S. Munira et al., “Survei Kesehatan Indonesia (SKI),” Kementeri. Kesehat. RI, pp. 1–964, 2023.
F. Milita, S. Handayani, and B. Setiaji, “Kejadian Diabetes Mellitus Tipe II pada Lanjut Usia di Indonesia (Analisis Riskesdas 2018),” J. Kedokt. dan Kesehat., vol. 17, no. 1, p. 9, 2021, doi: 10.24853/jkk.17.1.9-20.
A. S. V. Nababan, M. M. Pinem, Y. Mini, and T. H. Purba, “Faktor Yang Memengaruhi Kadar Gula Darah Penderita Diabetes Mellitus (DM) Tipe II Factors Affecting The Blood Sugar Content Of Diabetas Mellitus (DM) Type II,” J. Dunia Gizi, vol. 3, no. 1, pp. 23–31, 2020.
M. D. Susilawati, S. Muljati, and K. Bantas, “Perbandingan Imt Dan Indikator Obesitas Sentral Terhadap Kejadian Diabetes Melitus Tipe 2,” Bul. Penelit. Kesehat., vol. 43, no. 1, pp. 17–22, 2015, doi: 10.22435/bpk.v43i1mar.3964.
K. Komariah and S. Rahayu, “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,” J. Kesehat. Kusuma Husada, no. Dm, pp. 41–50, 2020, doi: 10.34035/jk.v11i1.412.
A. Z. Safitri, R. N. Fajariyah, and E. Astutik, “Risk Factors of Diabetes Mellitus in Urban Communities in Indonesia (IFLS 5),” J. Berk. Epidemiol., vol. 9, no. 2, p. 184, 2021, doi: 10.20473/jbe.v9i22021.184-191.
D. S. Wulandari and R. Adelina, “Hubungan Status Anthropometri Dengan Kadar Glukosa Darah, Kadar Hba1C DWulandari, D. S. and Adelina, R. (2020) ‘Hubungan Status Anthropometri Dengan Kadar Glukosa Darah, Kadar Hba1C Dan Pola Makan Pada Penderita Diabetes Melitus Tipe 2 Di Puskesmas Tarik ,” Media Gizi Pangan, vol. 27, no. 1, pp. 167–178, 2020.
Hariani, Abd. Hady, Nuraeni Jalil, and Surya Arya Putra, “Hubungan Lama Menderita Dan Komplikasi Dm Terhadap Kualitas Hidup Pasien Dm Tipe 2 Di Wilayah Puskesmas Batua Kota Makassar,” J. Ilm. Kesehat. Diagnosis, vol. 15, no. 1, pp. 56–63, 2020, doi: 10.35892/jikd.v15i1.330.
N. L. Iqbal, “Hubungan lama menderita diabetes melitus dengan kualitas hidup pada lansia di puskesmas pajang kota surakarta,” 2018.
N. Purwaningsih, “Analisis faktor-faktor yang mempengaruhi kualitas jalan RSUD Dr. Moewardi,” J. Kesehat., pp. 1–17, 2018.
A. Manalu and R. Abdurrachim, “Hubungan Kepatuhan Diet , Asupan Vitamin C , Aktivitas Fisik dan Edukasi Terhadap Kadar Gula Darah Pasien Diabetes Melitus Tipe 2 Di Masa Pandemi COVID-19 Relationship of Dietary Compliance , Vitamin C Intake , Physical Activity and Education to Blood Sug,” J. Ris. Pangan dan Gizi, vol. 4, no. 1, pp. 32–40, 2022.
Q. P. Irawan, K. D. Utami, S. Reski, and Saraheni, “Hubungan Indeks Massa Tubuh (IMT) dengan Kadar HbA1c pada Penderita Diabetes Mellitus Tipe II di Rumah Sakit Abdoel Wahab Sjahranie,” Formosa J. Sci. Technol., vol. 1, no. 5, pp. 459–468, 2022.
M. B. Gomes et al., “Socioeconomic Factors Associated With Glycemic Measurement and Poor HbA1c Control in People With Type 2 Diabetes: The Global DISCOVER Study,” Front. Endocrinol. (Lausanne)., vol. 13, no. April, pp. 1–9, 2022.
C. Goyal Mehra, A. M. Raymond, and R. Prabhu, “A personalized multi-interventional approach focusing on customized nutrition, progressive fitness, and lifestyle modification resulted in the reduction of HbA1c, fasting blood sugar and weight in type 2 diabetes: a retrospective study,” BMC Endocr. Disord., vol. 22, no. 1, pp. 1–7, 2022, doi: 10.1186/s12902-022-01212-2.
D. Tsilingiris et al., “The glycemic status determines the direction of the relationship between red cell distribution width and HbA1c,” J. Diabetes Complications, vol. 35, no. 10, p. 108012, 2021, doi: 10.1016/j.jdiacomp.2021.108012.
A. Bustamante-Sanchez et al., “Physical Activity and Nutritional Pattern Related to Maturation and Development,” Sustain., vol. 14, no. 24, pp. 1–22, 2022, doi: 10.3390/su142416958.
P. Zhuang et al., “Effect of diet quality and genetic predisposition on hemoglobin a1c and type 2 diabetes risk: Gene-diet interaction analysis of 357,419 individuals,” Diabetes Care, vol. 44, no. 11, pp. 2470–2479, 2021, doi: 10.2337/dc21-1051.
F. Sugandh et al., “Advances in the Management of Diabetes Mellitus: A Focus on Personalized Medicine,” Cureus, vol. 15, no. 8, 2023, doi: 10.7759/cureus.43697.
K. Inoue et al., “Low HbA1c levels and all-cause or cardiovascular mortality among people without diabetes: The US National Health and Nutrition Examination Survey 1999-2015,” Int. J. Epidemiol., vol. 50, no. 4, pp. 1373–1383, 2021, doi: 10.1093/ije/dyaa263.
A. Déniz-García, A. Díaz-Artiles, P. Saavedra, D. Alvarado-Martel, A. M. Wägner, and M. Boronat, “Impact of anxiety, depression and disease-related distress on long-term glycaemic variability among subjects with Type 1 diabetes mellitus,” BMC Endocr. Disord., vol. 22, no. 1, pp. 1–8, 2022, doi: 10.1186/s12902-022-01013-7.
K. Muhamad Ali and R. Muhammad, “Diabetes Self Management Terhadap Hba1c Dan Kadar Gula Darah Pada Kelompok Prediabetes Sebelum Dan Sesudah Intervensi Diabetes Self Management on Hba1c and Blood Sugar Levels in the Prediabetes Group Before and After the Intervention,” Media Penelit. dan Pengemb. Kesehat., vol. 34, no. 1, p. 58, 2024.
A. Almaini and H. Heriyanto, “Pengaruh Kepatuhan Diet, Aktivitas Fisik dan Pengobatan dengan Perubahan Kadar Gula Darah pada Pasien Diabetes Mellitus Suku Rejang,” J. Keperawatan Raflesia, vol. 1, no. 1, pp. 55–66, 2019, doi: 10.33088/jkr.v1i1.393.
M. Rahman et al., “Role of Phenolic Compounds in Human Disease : Current,” Molecules, vol. 27, no. 233, pp. 1–36, 2022.
K. S. Boye, V. T. Thieu, M. J. Lage, H. Miller, and R. Paczkowski, “The Association Between Sustained HbA1c Control and Long-Term Complications Among Individuals with Type 2 Diabetes: A Retrospective Study,” Adv. Ther., vol. 39, no. 5, pp. 2208–2221, 2022, doi: 10.1007/s12325-022-02106-4.