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All Journal Jurnal Gizi dan Pangan PROSIDING SEMINAR NASIONAL GIZI INDONESIA Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Indonesian Journal of Medicine Journal of Maternal and Child Health Wellness And Healthy Magazine Indonesian Journal of Global Health research Nusantara Science and Technology Proceedings Media Penelitian dan Pengembangan Kesehatan

Didik Gunawan Tamtomo

Unknown Affiliation

Author-ID : 400823

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Veterinary Other

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PENGEMBANGAN SOYGURT LABU KUNING SEBAGAI TERAPI KOMPLEMENTER DIABETES MELITUS Annisa Avelia; Didik Gunawan Tamtomo; Yulia Sari
GIZI INDONESIA Vol 46, No 1 (2023): Maret 2023
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v46i1.807

Soygurt is lower in fat and has more active compounds than yogurt. Pectin acts as a prebiotic, increasing the number and activity of probiotic bacteria and preventing oxidative stress, one of the triggers for insulin resistance. Substitution of pumpkin in the formulation of soygurt to increase the organoleptic properties and lactic acid bacteria in the product to optimize its benefits as an anti-diabetes mellitus functional food. The research design was an experiment with a completely randomized design with one control formula and three treatment formulas with comparisons of soybeans and pumpkin as follows F0 100:0, F1 80:20, F2 70:30, and F3 60:40. Organolpetic tests with a scale of 1–6 from dislike to like. The best formula was continued for physicochemistry and proximate tests. The results of the organoleptic test showed that the best treatment was a 20 percent substitution of pumpkin (F1) with a preference scale of 4, which means that this formula was sensory acceptable to the panelists. The nutritional quality of F1 was 3.15 percent protein, 1.35 percent fat, 0.26 percent carbohydrates, 1.03 percent fiber, LAB 9.5x107, and pH 4.13. Substitution of pumpkin in yogurt has the potential to control blood glucose levels because it is low in carbohydrates and fat. Further research is needed to analyze the content of anti-nutritional substances such as phytate, tannins, and trypsin inhibitors, which are generally found in soybeans, the raw material for this product. Keywords: diabetes mellitus, pumpkin, soybean, soygurt ABSTRAK Soygurt lebih rendah lemak dan memiliki senyawa aktif daripada yogurt konvensional. Pektin berperan sebagai prebiotik yang dapat meningkatkan jumlah maupun aktivitas dari bakteri probiotik serta mampu mencegah terjadinya stres oksidatif yang merupakan salah satu faktor pencetus resistensi insulin. Subsitusi labu kuning dalam pengembangan soygurt diharapkan mampu meningkatan sifat organoleptik dan jumlah bakteri asam laktat pada produk sehingga dapat mengoptimalkan manfaatnya sebagai pangan fungsional anti diabetes melitus. Desain penelitian adalah eksperimen dengan rancangan acak lengkap dengan satu formula kontrol dan tiga formula perlakuan dengan perbadingan kedelai dan labu kuning sebagai berikut F0 100:0, F1 80:20, F2 70:30 dan F3 60:40. Uji mutu organolpetik dilakukan skala 1–6 dari tidak suka sampai dengan sangat suka. Formula terbaik dilanjutkan untuk uji fisikokimia dan proksimat. Hasil uji organoleptik menunjukkan perlakuan terbaik adalah substitusi labu kuning sebanyak 20 persen (F1) dengan skala kesukaan 4 yang artinya formula ini secara sensori dapat diterima oleh panelis. Mutu gizi dari produk terpilih yaitu protein 3,15 persen, lemak 1,35 persen, karbohidrat 0,26 persen, serat 1,03 persen, kadar BAL 9,5x107 dan pH 4,13. Subtitusi labu kuning pada soygurt berpotensi mengendalikan kadar glukosa darah karena rendah karbohidrat dan lemak serta mengandung BAL. Penelitian lebih lanjut diperlukan untuk menganalisis kandungan zat anti gizi seperti fitat, tanin dan tripsin inhibitor yang umumnya terdapat pada kedelai yang menjadi bahan baku dari produk ini. Kata kunci: diabetes melitus, kedelai, labu kuning, soygurt

The Relationship Between Healthy Food Choices and Calcium Intake in Dysmenorrhea Adolescents Shinta; Tamtomo, Didik Gunawan; Puspitasari, Ratih Febrinasari
Nusantara Science and Technology Proceedings The 1st International Conference Muhammadiyah Yogyakarta – Hospital & Healthcare Management
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2024.4204

Several factors that can affect primary dysmenorrhoea are poor dietary habits and low intake of macro and micronutrients. One of the micronutrients that affect dysmenorrhoea is calcium intake. Calcium plays a role in regulating the work of hormones in growth. Calcium deficiency can encourage overproduction of prostaglandins which can lead to uncontrolled uterine contractions that can trigger pain. Based on data from the USDA Nationwide Food Consumption Survey in 48 countries, the average calcium intake at the age of 15-18 years is less than 70% of the RDA. A preliminary study conducted by the author at a public high school in Padang found that 80.2% had primary dysmenorrhoea. Individual eating habits can have an impact on behavior related to healthy food choices and can affect nutritional intake including calcium intake. This study aims to determine the relationship between healthy food selection and calcium intake in adolescent girls who experience primary dysmenorrhoea. 100 respondents were determined using the Slovin formula with the criteria of female students aged 15-18 years who experienced primary dysmenorrhoea. Data collection on healthy food choices was measured using a questionnaire of healthy food choices which consists of 30 statements with a score for selecting important healthy foods > 120. Calcium intake data uses the SQ-FFQ form with the adequate calcium intake category ? 1200 mg/day. Data analysis using Spearman rank correlation test. The results of statistical tests show that there is a relationship between healthy food choices and calcium intake (r = 0.23, p = 0.021). The results of this research can be used as a basis for providing therapeutic options for dysmenorrhoea. The implications for young women are knowing comprehensively the importance of choosing healthy foods and calcium intake to reduce the pain of primary dysmenorrhoea.

Meta-Analysis of the Effect of Heavy Lifting on Low Back Pain Among Health Workers Khairunnisa; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.3.766

Background: Low back pain is common in healthcare workers including doctors, nurses, midwives and physiotherapists, due to the nature of their work. These healthcare workers are often involved in tasks that involve heavy lifting. Manual patient handling, and awkward postures that are an integral part of care may have an effect on musculoskeletal injuries. This study aims to analyze the effect of heavy lifting on low back pain among healthcare workers. Subjects and Method: This study is a systematic review and meta-analysis study. The search for articles was carried out in accordance with the PICO Model eligibility criteria which include: P = Health workers, I = Heavy lifting, C = No heavy lifting, O = Low back pain. The articles used came from 2 databases, namely: PubMed and Science Direct. The keywords used were "heavy lifting" AND "low back pain" OR "musculoskeletal of low back pain” AND "healthcare professional" OR "healthcare workers". The inclusion criteria in this study included full-text articles with a cross-sectional study design, the relationship measure used was the adjusted Odds Ratio (aOR), articles published in the range 2014-2022, and the outcome was Low back pain. Articles were analyzed using the PRISMA diagram and the Review Manager 5.4.1 application. Results: 9 articles from Ethiopia, Japan, Malaysia, Nigeria, Pakistan, Saudi Arabia and Uganda. Healthcare workers who performed heavy lifting increased lower back pain by 4.36 times compared to those who did not, and the results were statistically significant (aOR=4.36; 95% CI=3.07 to 6.20; p<0.001). Conclusion: A meta-analysis of 9 cross-sectional studies concluded that heavy lifting increases low back pain in healthcare workers.

Evaluating Compliance with Traditional Herbal Treatments in Type 2 Diabetes Mellitus Patients Mufidah, Naili Zahrotun; Murti, Bhisma; Tamtomo, Didik Gunawan
Indonesian Journal of Medicine Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.4.783

Background: The management of diabetes mellitus is often faced with the challenge of adherence to antidiabetic herbs. Poor adherence to diabetes medication increases the risk of complications and death. This study aims to analyze the determinants related to treatment adherence in Type 2 DM patients. Subject and Method: The cross-sectional study was carried out at UPF Yankestrad Dr. Sardjito Tawangmangu Hospital. A total of 201 adult patients with Type 2 DM were selected in this study. The dependent variable is treatment adherence in Type 2 DM patients. The independent variables were education, knowledge, access to health services, family support, income, and side effects of treatment. Data was collected using questionnaires. Data were analyzed by double linearregression. Result: There was a statistically significant positive association between knowledge and medication adherence (b = 0.19; 95% CI = 0.12 to 0.26; p<0.001); access to healthcare (b = 0.37; 95% CI = 0.26 to 0.47 p<0.001); family support (b = 0.29; 95% CI = 0.20 to 0.39; p<0.001); income (b = 0.15; 95% CI = 0.01 to 0.29; p= 0.030); and there was a negative and statistically significant association between adverse events and medication adherence (b = -0.33; 95% CI = -0.49 up to -0.18; p<0.001). The model fit between the independent variables included in the linear multiple regression analysis model together was able to explain the variation in treatment adherence by 67.12% (Adj R-squared= 67.12%). Conclusion: Treatment adherence in Type 2 DM patients is positively related to knowledge, access to services, family support, and income. The independent variables included in the linear multiple regression analysis model together were able to explain the variation of treatment adherence by 67.12% (Adj R-squared = 67.12%).

PENGARUH KONSELING GIZI PADA IBU TERHADAP ASUPAN ZAT GIZI DAN STATUS GIZI BADUTA STUNTING Diba, Nadia Farah; Tamtomo, Didik Gunawan; Sumardiyono, Sumardiyono
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 1 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i1.1891

The problem of stunting occurs because children are malnourished during 1000 days of life, characterized by shorter height compared to children of the same age. Various factors cause stunting, and lack of maternal nutritional knowledge can affect maternal nutritional behavior in improper feeding. Nutrition counseling interventions were carried out for mothers so that changes in maternal nutritional behavior occur for the better. This study aimed to analyze the effect of nutrition counseling on maternal nutrition knowledge and attitudes, nutrient intake, and nutritional status of stunted toddlers. This study used a randomized control trial, which was located in 5 health centers including Puskesmas Kedungkandang, Arjuno, Ciptomulyo, Dinoyo, and Polowijen Malang City, in June-August 2023. Respondents were mothers of stunted children aged 6-24 months. The number of respondents in the treatment and control groups was 44 people each group. Statistical analysis used was the Paired Sample T-test, Wilcoxon Test, Independent Sample T-test, and Mann-Whitney U test. There was a significant difference in the mean between the two groups on nutritional knowledge (p=0.000), respondents' attitudes (p=0.000), nutrient intake of energy (p=0.000), carbohydrate (p=0.021), and protein (p=0.000), and nutrition status of stunted toddlers (p=0.000). Nutrition counseling can improve nutrition knowledge, maternal attitudes, nutrient intake energy, carbohydrates, and protein, and nutrition status of stunted toddlers.

THE EFFECT OF EDUCATION USING DIGITAL COMIC MEDIA ON HEALTHY FOOD CHOICES IN ADOLESCENT GIRLS WITH PRIMARY DYSMENORRHEA Shinta, Shinta; Tamtomo, Didik Gunawan; Febrinasari, Ratih Puspita
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 3 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i3.2097

Remaja merupakan masa peralihan dari anak-anak menuju dewasa ditandai dengan terjadinya menstruasi pada wanita. Sebagian besar remaja merasakan nyeri menstruasi yaitu dismenorea primer. Prevalensi dismenorea di dunia tertinggi terdapat pada remaja putri yaitu sekitar 20-90% dan di Indonesia sebesar 60-75%.Kurangnya pengetahuan gizi dan kecenderungan untuk mengikuti faktor emosional dan sosial menyebabkan remaja memilih makanan yang kurang sehat dan bergizi, sehingga berdampak pada asupan gizi. Penelitian ini bertujuan untuk menganalisis pengaruh komik digital terhadap pemilihan makanan sehat terhadap remaja yang menderita dismenorea primer. Penelitan ini menggunakan metode campuran (R&D dan true eksperimen dengan rancangan pre-post test with control group). Penelitian ini melibatkan tiga validator ahli yaitu ahli materi, ahli bahasa dan ahli media. Pengumpulan data melalui kuesioner penilaian media dan wawancara. Subjek penelitian 100 remaja putri di sekolah sasaran penelitian yang memenuhi kriteria inklusi yaitu siswi SMA Negeri Kelas X dan XI, riwayat menstruasi teratur selama 6 bulan terakhir, usia 15-18 tahun, memiliki smartphone pribadi dan belum pernah mendapatkan edukasi terkait dismenorea. Kriteria eksklusi yaitu tidak hadir saat penelitian dan tidak mengisi kuesioner secara lengkap. Pengambilan sampel menggunakan multistage random sampling terdiri dari 2 tahap yaitu cluster random sampling dan proportional random sampling. Instrumen data pemilihan makanan sehat menggunakan formulir healthy food choices quetionarre. Hasil uji Wilcoxon menunjukkan pada kelompok intervensi didapatkan nilai p-value = <0,001 dan pada kelompok kontrol didapatkan nilai p-value = <0,001. Hasil ini menunjukkan komik digital yang dirancang memiliki pengaruh terhadap skor pemilihan makanan sehat.

Multilevel Analysis of Prognostic Factors for Cognitive Function in Post-Stroke Patients Utami, Sukandriani; Rahardjo, Setyo Sri; Murti, Bhisma; Novika, Revi Gama Hatta; Tamtomo, Didik Gunawan
Indonesian Journal of Medicine Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.4.829

Background: Stroke is the leading cause of disability and the second leading cause of death worldwide. Post-stroke disability can be in the form of motor, sensory, autonomic, or cognitive impairments. Impaired cognitive function is the leading cause of death and pain in post-stroke patients in the world. Decreased cognitive function is present in more than 70% of post-stroke patients and is associated with disability, independence, and pain. This study aims to analyze the prognosis factors of cognitive function in post-stroke patients.Subjects and Method: This study used a cross-sectional design conducted in 7 hospitals on the island of Lombok from July to August 2024. A total of 200 post-stroke patients were selected using stratified random sampling. The dependent variable in this study was cognitive function examined using the Mini Mental State Examinatio (MMSE) questionnaire. Other independent variables such as age, gender, marital status, pension fund, complications, comorbidities and stroke type were collected using a questionnaire. The data were analyzed using a multilevel double-linear regression model.Results: The prognosis factor of cognitive function in post-stroke patients was age (b=-0.19; CI 95%=-0.29 to -0.10; p=<0.001), marital status (b=-3.80; CI 95%=-6.72 to -0.88; p=0.011), pension fund (b=-5.88; CI 95%= -8.35 to -3.42; p=<0.001), complications (b=-5.37; CI 95%= -7.34 to -3.39; p=<0.001). While sex, comorbidities, and stroke type did not show a significant relationship with the cognitive function of post-stroke patients. Conversely, there was an influence of doctors treating post-stroke patients on cognitive function (ICC=8.76%).Conclusion: Age, marital status, pension funds, and complications are prognostic factors in cognitive function of post-stroke patients. Conversely, there is an influence of doctors who treat post-stroke patients on cognitive function.

Meta-Analysis of the Effect of Telemonitoring on Blood Sugar Levels and Quality of Life in Diabetes Patients Sholihah, Anisa Asri; Tamtomo, Didik Gunawan; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Type 2 diabetes mellitus (DM), a chronic disease, requires continuous monitoring and treatment to have a better quality of life. Telemonitoring is a medium that may help in monitoring patients with type 2 DM. This study aimed to analyze the effect of using telemonitoring on blood sugar levels and quality of life of patients with type 2 DM with a meta-analysis study.Subjects and Method: This was a systematic review and meta-analysis conducted with PRISMA flow diagram. The articles were collected through journal databases, including PubMed, Google Scholar, Science Direct, and ProQuest, published in 2000-2021. The keywords used were ("telemedicine" OR "tele-monitoring" OR "tele-monitoring") AND ("diabetes" OR "diabetes mellitus" OR "diabetes mellitus type 2") AND ("glucose level") AND ("quality of life"). The searching of articles used the PICO model. Population: people with type 2 diabetes mellitus, Intervention: telemonitoring, Comparison: not using telemonitoring, Outcome: blood sugar level and quality of life. Inclusion criteria were full-text articles with Randomized Controlled Trial (RCT) study design, published in English, with the effect measure of Mean SD. Eligible articles were analyzed using Revman 5.3.Results: A meta-analysis of 11 primary studies on the use of telemonitoring of blood sugar level showed a decrease in blood sugar (HbA1c) levels in patients with type 2 diabetes by 0.20 times compared to not using telemonitoring (SMD= -0.20; 95% CI= -0.39 to -0.01; p= 0.040). A meta-analysis of 6 primary studies on the use of telemonitoring on quality of life showed an increase in quality of life in type 2 diabetes patients by 0.16 times compared to not using telemonitoring (SMD= -0.16; 95% CI= -0.29 to -0.03; p= 0.020).Conclusion: Telemonitoring can improve blood sugar levels and the quality of life of patients with type 2 diabetes.Keywords: telemonitoring, type 2 diabetes mellitus, quality of life, meta-analysisCorrespondence: Anisa Asri Sholihah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: anisaasri92@gmail.com. Mobile: 085740972908.Indonesian Journal of Medicine (2021), 06(03): 246-257https://doi.org/10.26911/theijmed.2021.06.03.02

Meta-Analysis the Efficacy of Turmeric (Curcuma domestica) in Reducing Pain in Patients of Knee Osteoarthritis Ardiyanto, Danang; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Osteoarthritis (OA) of the knee joint has the highest prevalence among all types of rheumatic diseases. The most common symptom of knee OA is pain around the joint. Patients with OA require long treatment, especially using analgesic and anti-inflammatory drugs. Turmeric is efficacious as a pain reliever and anti-inflammatory. This study aims to estimate the magnitude of the effect of turmeric extract (Curcuma domestica) on pain in patients with knee OA compared to placebo and non-steroidal anti-inflammatory drugs (NSAIDs), based on the results of a number of previous similar studies.Subjects and Method: This study is a systematic review and meta-analysis with the following PICO, population: patients with knee OA. Intervention: turmeric extract. Comparison: placebo and NSAIDs. Outcome: pain reduction. The articles used in this study were obtained from three databases, namely Google Scholar, Pubmed, and Science Direct. Keywords to search for articles: “Knee Osteoarthritis” OR “Knee OA” AND “Curcuma longa” OR “Curcuma domestica” OR “Turmeric extract” AND “Placebo” OR “NSAID” AND “pain” OR “visual analogue scale” OR “ VASE". The articles included are full-text with RCT study designs from 2011 to 2021. The selection of articles is carried out using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 15 RCT studies were selected for systematic review and meta-analysis. Data collected from 10 studies showed that patients with knee OA who received turmeric extract experienced 1.60 units lower joint pain than placebo (SMD= -1.60; 95% CI= -2.23 to -0.97; p<0.001). Data from 5 studies showed that patients with knee OA who received turmeric extract experienced 0.06 units higher joint pain than NSAIDs. The comparison between the turmeric extract group and the NSAID group did not show any significant difference (SMD= 0.06; 95% CI= -0.10 to -0.22; p= 0.490).Conclusion: Administration of turmeric extract was more effective than placebo and not inferior to non-steroidal anti-inflammatory drugs in reducing pain in patients with knee OA.Keywords: osteoarthritis, turmeric, painCorrespondence: Danang Ardiyanto. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: drdanank@gmail.com. Mobile: 08122762579.Indonesian Journal of Medicine (2021), 06(04): 364-376https://doi.org/10.26911/theijmed.2021.06.04.02

Effect of Zingiber officinale Rhizome Powder on Fasting Blood Sugar Levels and HbA1c in Type 2 Diabetes Mellitus Patients: A Meta-Analysis Novianto, Fajar; Tamtomo, Didik Gunawan; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Diabetes mellitus (DM) type 2 is the most common type of diabetes caused by insulin resistance and relative deficiency of insulin secretion. Several studies have shown inconsistent results regarding the effect of Zingiber officinale powder in patients with type 2 DM. As a result of these inconsistencies, researchers are compelled to prove the effect of Zingiber officinale powder on fasting blood sugar (GDP) and HbA1c levels in type 2 DM patients through a meta-analysis study.Subject and Method: This study is a meta-analysis of a number of randomized controlled trials. The articles were obtained from the PubMed, Science Direct, Springerlink and Google Scholar databases published in 2012-2022. The search articles were carried out by considering the feasibility of the criteria determined using the PICO model. Population: type 2 DM patients, Intervention: Zingiber officinale rhizome powder, Comparison: placebo, Outcome: GDP and HbA1c levels. The keywords used are “Zingiber officinale” OR “Zingiber” OR “Z. officinale” OR “Ginger” AND “Fasting blood glucose” AND “HbA1c” OR “A1c” OR “Glicemic” OR “Glucose” OR “Diabetes Mellitus” OR “type 2 diabetes mellitus” AND “Randomized Controlled Trial”. Article selection with PRISMA flow diagram. Analysis of articles using the Revman 5.3 application.Results: A total of 11 articles were reviewed in this study. Analysis of 11 articles showed that administration of Zingiber officinale rhizome powder could significantly reduce GDP levels in type 2 DM patients (Standardized Mean Difference (SMD)= -0.79; 95% CI= -1.32 to -0.26; p= 0.004). Analysis of 10 articles showed that administration of Zingiber officinale rhizome powder could significantly reduce HbA1c levels (SMD = -0.38; 95% CI= -0.55 to -0.22; p<0.001).Conclusion: Zingiber officinale rhizome powder can significantly reduce GDP and HbA1c levels in type 2 DM patients.Keywords: Zingiber officinale, diabetes mellitus tipe 2, GDP, HbA1cCorrespondence: Fajar Novianto. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir.Sutami No.36, Surakarta, Central Java, Indonesia. Email: dr.fajarnovianto@gmail.com.Indonesian Journal of Medicine (2022), 07(01): 39-50https://doi.org/10.26911/theijmed.2022.07.01.05

Co-Authors Adiansa, Rendi Adji Suwandono Afniratri, Atika Ahadiyati, Dyah Mubarokah Aisyah Nooratisya Aktif Cahyaning Tyas Alfian Muhajir Alifiyanti Muharramah Amalia, Rizky Nur Aprilianti Aminuyati Ammutammima, Ummu Fatihah Anasulfalah, Hakim Angga Ferdianto Annisa Avelia Arief Suryono Ariwardani, Betty Nurizky Avelia, Annisa Bhisma Murti Bhre Diansyah Dinda Khalifatulloh Budiyanti Wiboworini Budiyono, Joko Burhannudin Ichsan Cahyo Setiawan Danang Ardiyanto Delfita, Tria Fora Dewi, Novita Herlita Diffah Hanim Diffah Hanim Eka Miftakhul Jannah, Eka Miftakhul Endang Sutisna Sulaeman Eni Nur Rahmawati Faried, Faried Effendi Surono Fatony, Riska Fajar Fitriah Fitriah Haliza, Afifah Nur Hanida, Amin Nur Hanif, Ihsan Indriyati Oktaviano Rahayuningrum Irwan, Viola Fathia Islami, Dian Dini Karlinda Karlinda Khairiyyah, Alimah Ulfah Khairunissa, Khairunissa Khairunnisa Kun'ain, Utin Ilma Agni Kurnianingsih, Widya Larsiani, Lisa Safaah Novia Livia, Wardhatul Lourena, Crysty Maki Zamzam Marlina, Devi Marwanto, Dwi Mayangkara, Radit H. Muchsin Doewes Mufidah, Naili Zahrotun Nabilla, Jihan NADIA FARAH DIBA Nia Handayani Noor Alis Setiyadi Novian Anindito Santosa Novianto, Fajar Novika, Revi Gama Hatta Nurvitasari, Rahsunji Intan Pamilih, Ayu Trisni Permata, Annissa Devi Prameswari, Galuh Ayu Dyah Prasetya, Hanung Pratiwi, Danies Tunjung Pratiwi, Yeocelin Mega Prawito . Puspita, Wita Hana Puspitasari, Ratih Febrinasari Pusporini Rahardjo, Setyo Sri Rahayu, Putu Sri Rahmatika Nur Aini Ratih Puspita Febrinasari Ratna Dewi Kumalasari, Ratna Dewi Ratri, Maika RB. Soemanto Rita Adriani Benya Adriani Rofana Aghniya Rohmah, Isna Nur Rohmani, Alfiana Nur Salamah, Siti Nafi'atus Sapja Anantanyu, Sapja Shinta Shinta Shinta Sholihah, Anisa Asri Siregar, Attila Yulaicha Advendila Siti Munawaroh Soemanto, RB Subiyanto, Achmad Arman Suciati, Ony Sukandriani Utami Sumardiyono Sumardiyono Sutanto, Alfiani Vivi Syahbaniar, Desi Syamsiar, Syamsiar Tri Puji Pangesti Uki Retno Budihastuti Uliyanti Uliyanti, Uliyanti Umar, Alwan Dhafi Vitri Widyaningsih Wahyudi, Anwar Wicaksono, Emirza Nur Widayati, Anis Nur Widiantoro, Reza Widyarahma, Amanda Yohan Yuanta, Yohan yulia lanti retno dewi Yulia Sari Zainal, Dwi Trisnawati

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