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All Journal Jurnal Kedokteran Syiah Kuala Berkala Ilmu Kesehatan Kulit dan Kelamin AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Indonesian Journal of Endocrinology Metabolism and Diabetes (InaJEMD)
Hendra Zufry
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Hubungan Pengetahuan dengan Kepatuhan Pasien Diabetes Melitus dalam Menjalani Terapi di RSUD dr. Zainoel Abidin Banda Aceh Husnah Husnah; Hendra Zufry; Maisura Maisura
Jurnal Kedokteran Syiah Kuala Vol 14, No 2 (2014): Volume 14 Nomor 2 Agustus 2014
Publisher : Universitas Syiah Kuala

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Abstract

Hubungan Pengetahuan dengan Kepatuhan Pasien Diabetes Melitus dalam Menjalani Terapi di RSUD dr. Zainoel Abidin Banda Aceh
LAMA RAWATAN DAN DIRECT COST PASIEN KAKI DIABETIK TERAMPUTASIDI RS DR. ZAINOEL ABIDIN BANDA ACEH : PRE-ELIMINARY STUDY Hendra Zufry
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol. 4: No. 1 (Mei, 2018)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/averrous.v4i1.807

Abstract

Kaki Diabetik adalah salah satu komplikasi Diabetes Mellitus (DM) yang sangat umum terjadi dan dapat menyebabkan infeksi, amputasi bahkan kematian. Amputasi sendiri menghabiskan banyak kerugian sehingga menjadi beban dalam pelayanan kesehatan. TujuanPenelitian ini bertujuan melihat gambaran lama rawatan dan direct cost pasien kaki diabetik teramputasi di RS Dr.Zainoel Abidin Banda Aceh.Metode Penelitian :Penelitian ini merupakan suatu pre-eliminary study yang bersifat deskriptif. Data pasien diambil dari rekam medis pasien. Setiap pasien akan dinilai tipe luka , masa rawatan dan biaya yang dihabiskan selama rawatan.Hasil  : Dari 37 pasien yang menjalani amputasi , didapatkan rerata  rawatan selama 15 hari dengan rerata  biaya yang dihabiskan sebesar 45,5 juta rupiah. Dari keseluruhan, 5 orang (14%) memiliki tipe luka  neuropati, 20 orang (54 %)  tipe vaskulopati dan 12 orang (32%) tipe infeksi. Dari 5 orang pasien dengan luka neuropati, lama  rawatan adalah 11 ± 7,19 hari dan rerata biaya yang dihabiskan sebesar 42,3 juta rupiah . Pada 20 pasien dluka vaskulopati, lama rawatan adalah 14  ± 6,95hari serta rerata biaya yang dikeluarkan adalah 41,1 juta rupiah. Sedangkan 12 pasien luka infeksi, didapatkan rerata lama rawatan adalah 17 ± 8,13 hari dengan rerata  biaya sebesar 54 juta rupiah  Kesimpulan  : Hasil penelitian ini memperlihatkan  bahwa rerata  masa  rawatan dan rerata biaya rawatan pasien ulkus diabetikum yang menjalani amputasi di RS dr.Zainoel Abidin pada tahun 2017  cukup tinggi. Akan tetapi untuk masing – masing tipe luka, lama masa rawatan dan biaya yang dikeluarkan tidak terlalu jauh berbeda.
The Correlation between Blood Glucose and Lipid Profile with Skin tag Wahyu Lestari; Sulamsih Sri Budini; Cut Yunita; Hendra Zufry; Sitti Hajar
Berkala Ilmu Kesehatan Kulit dan Kelamin Vol. 35 No. 2 (2023): AUGUST
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/bikk.V35.2.2023.136-141

Abstract

Background: Skin tags or acrochordons are benign fibroepithelioma skin tumors with soft consistency, usually pedunculated, primarily originating from the dermis. High levels of blood sugar and a high lipid profile are risk factors for inflammation and hormonal imbalance, which can contribute to the development of skin tags. Purpose: The objective of this study is to identify the association between blood sugar and lipid profile with skin tags. Methods: This study is a cross-sectional study conducted from April to August 2019 at the Dermatovenereology and Endocrine Policlinic, Dr. Zainoel Abidin General Hospital, Banda Aceh. The sampling method of this study was consecutive sampling with 60 samples that met the inclusion and exclusion criteria. A blood glucose, lipid profile, and skin tag examination was conducted on all subjects. Result: The majority of the subjects are women (61.5%), have an average age of 41-50 years old (43.3%), are obese (41.7%), and have one to five lessions of 1-5 (53.3%). There was a significant correlation between blood glucose, 2 hours post-prandial, total cholesterol, triglyceride, high-density lipoprotein (HDL), and low-density lipoprotein (LDL) levels with skin tags with Spearman's correlation values of 0.645, 0.645, 0.794, 0.704, 0.606, and 0.606 consecutively. Conclusion: A high level of blood sugar and lipid profile, whether it is total cholesterol, triglycerides, HDL, or LDL level, can contribute to the development of skin tags.
Mixed Hyperglycemic Crisis in a Young Obese DiabeticTriggered by Hypertriglyceridemia-Induced Pancreatitis:A Case Report and Review of Pathophysiolo Teuku Mirzal Safari; Agustia Sukri Ekadamayanti; Krishna W. Sucipto; Hendra Zufry
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 2 (2025): InaJEMD Vol. 2, No. 2
Publisher : PP PERKENI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66266/inajemd.v2i2.60

Abstract

Mixed diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS), accompanied by hypertriglyceridemia-induced pancreatitis, represent a rare but life-threatening complication of type 2 diabetes mellitus (T2DM). This case report aimed to illustrate a young adult in whom these three critical conditions converged, highlighting the complexity of such presentations—a 28-year-old male presented with altered consciousness and Kussmaul respiration. The patient was diagnosed with T2DM two weeks earlier but had not yet initiated treatment. Physical examination revealed obesity (BMI: 31 kg/m²) and acanthosis nigricans on the neck and in the axillary regions. Laboratory results showed hyperglycemia (798 mg/dL), metabolic acidosis (pH: 7.08; anion gap: 24), ketonuria, hyperosmolarity (336 mOsm/kg), severe hypertriglyceridemia (965 mg/dL), and elevated lipase (892 U/L). A diagnosis of mixed DKA-HHS secondary to hypertriglyceridemic pancreatitis was established. Treatment included aggressive intravenous (IV) fluid resuscitation of 0.9% sodium chloride (6 L in the first 12 hours) and insulin infusion (0.1 units/kg/hour). During hospitalization, the patient developed acute kidney injury, necessitating continuous renal replacement therapy (CRRT). The patient gradually recovered and was discharged after 20 days. In obese T2DM patients, insulin resistance drives severe hyperglycemia typical of HHS. However, metabolic stress caused by acute pancreatitis induces relative insulin deficiency, triggering lipolysis, ketogenesis, and hypertriglyceridemia, leading to overlapping DKA. Severe hypertriglyceridemia exacerbates systemic inflammation, insulin resistance, and ketosis, creating a vicious cycle that worsens mixed DKA-HHS. This case report highlights the importance of recognizing that T2DM can occasionally present with atypical, life-threatening metabolic complications, necessitatingprompt diagnosis and multidisciplinary management.
Co-Authors agustia sukri ekadamayanti Cut Yunita Husnah Husnah Krishna W. Sucipto Maisura Maisura Sitti Hajar Sulamsih Sri Budini Teuku Mirzal Safari Wahyu Lestari