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Aditya Wardhana
Universitas Telkom
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Effect of Zinc Supplementation on Fasting Blood Glucose Control in Burn Injury Patients with Type 2 Diabetes Mellitus: a Case Report Tedjaatmadja, Chintya; Rasyid, Nurhayati M; Wulandari, Yohannessa; Octovia, Lily Indriani; Sinaga, Wina; Wardhana, Aditya
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 7 No. - (2023): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v7i-.194

Abstract

Burn injury is the second leading cause of injury in Indonesia. Patients with burn injury may develop zinc deficiency due to loss of exudate and decreased carrier proteins, leading to impaired glucose regulation and inadequate wound healing. Jayawardena et al. showed that zinc supplementation can help regulate blood glucose in patients with diabetes mellitus. This case aims to see the effect of zinc supplementation on fasting blood glucose control in burn injury patients with type 2 diabetes mellitus. A 47-year-old Male with diabetes mellitus and a history of COVID-19 presented with 34% second to third-degree burn injury. The patient was given short-acting insulin 6 IU thrice a day and long-acting insulin 10 IU once a day. Nutrition was increased gradually until it reached 30 kcal/kgBW with protein 1,2 g/kgBW on the 28th day of hospitalization, referring to a diabetes-specific formula, 6x300 kcal. The patient also received zinc sulfate supplementation, 40 mg per day. The patient’s daily zinc intake was 47 mg/dL, and it was analyzed using Nutrisurvey. Fasting blood glucose in the first 28 days was not well-regulated (92-348 mg/dL). After 28 days of zinc supplementation, the patient's fasting blood glucose was stable. (140-180 mg/dL). Uncontrolled blood glucose leads to bacteremia, decreased skin graft takes, and increased mortality. Zinc deficiency can cause greater insulin resistance that can lead to hyperglycemia. Fasting blood glucose was stable after 28 days of zinc supplementation, similar to the previous study. Supplementation can help to regulate fasting blood glucose in burn patients with diabetes mellitus.
Co-Authors Adzani, Shofi Raihan Agnelia, Revina Anisa Agusman Aris, Affandy Al Hazmi, Nadhil Alief Maulana Aldi Akbar Amalina Fitria, Nur Anisa Agnelia, Revina Arief Ramadhan Arief, Ilham Arif Kuswanto Aris, Affandy Agusman Augiani, A. S Augiani, Amani S. Awaliyah, Nadila Rabiatul Azhari, Nadya Dewi Bando, Nurjannah Budi Harto Budi Rustandi Kartawinata Cakranegara, Pandu Adi Christabella, Rininta Citra, Khansa Fairuz Cleopas Martin Rumende Dadang Sudrajat Daya, Mulianah desi kristanti, desi Dien, Siphora Dwikawardhana, Galih Santika Dyah Maharani E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Efendi Efendi Em Yunir, Em Erni Juwita Nelwan, Erni Juwita Faizah, Ana Farhana, Nadya Feroniasanti, Lauda Hafifah, Ariqah Nur Haidar, Zeffan Daffa Fitra Halim, Jessica Hartini Hartini Hartini Hartini Hartini, Hartini - Hendy Tannady Hermawan, Saskia Apriliana Hernawan, Moch Arif Insani, Al Fajrin Irmia Kusumadewi Irzan Soepriyadi Joko Ariawan Kaltha, Karina Kameswari, Varra Awaliah Pinus Karimah, Benati Kautsar, Raisya Ayu Khalida, Nurma Kispa, Tera Kumalawati, July Kurniasari, Dhita Leonard Nainggolan Liem, Isabella Kurnia Lis Lesmini Listiya, Marcella Tirta Mahendra Fakhri Mahir Pradana Mapata, Dg. Marcellus Simadibrata Marcevianto, Kevin Varian Maya Kasmita Melati Putri , Nandita Melvani, Belvana Putri Miranda, Eliza Mohamad Rachadian Ramadan Mujadid, Fajar Muzhaffar, Muhammad Azhar Farrell N, Kristanty Marina Natalia N, NORMIYATI Nabilah , Agne Natasha, Bella Nisrina Kamila Normiyati Normiyati Novialdi . Noviandi Syarif , Akhmad Nuryana, Arief Octovia, Lily Indriani Oklia, Sheila Pelitahati, Puguh Piprim B. Yanuarso, Piprim B. Pratama, Aulya Rahman Putri Pratiwi, Intan Pudjiti, Dyah Juliana Pusponegoro, Erdina Hardiono D Putri, Nandita Melati Rachmawaty Rachmawaty Rachmawaty, Rachmawaty Raharjanti, Natalia Widiasih Rahmah Kusuma, Tyas Rahmawati, Nosita Rahmawati, Rahmawati Ramadhania, Dian Araminta Rasyid, Nurhayati M Revi Sesario Revina Anisa Agnelia Ricky Aditya Rismala Dewi Rizal S, Muh. Rustam, Musfardi Salma Nurhaliza Sandhi, Afriyanti Sandora, Normalina Santosa, Arby Mauliddan Sapinah, Sapinah Sari, Ade Risna Sari, Ayu Diandra Satyani, Metta Sesario, Revi Setiawan, Evania Setyowati, Tri Mulyani Soegeng Wahyoedi Sugiarto, Adhrie Sulaiman, Syarifuddin Suryaningsih, Lilik suryawan, ryan firdiansyah Suyuti, Rizal Syah Putra, Syah Syahputra Syahputra Syahputra, Syahputra Syarif, Akhmad Noviandi Syarifuddin Syarifuddin Tanjunga, Sanjaya F. Tanjunga, Sanjaya Faisal Tedjaatmadja, Chintya Tenriulan, Andi Tienni Mariana Simanjorang Tjhin Wiguna Trisnianti, Rika Valeria, Michelle Veronica, Raja Merlinda Wina Sinaga Winanda, Rizki Aniza Winarno, Gammaditya A. Winarno, Gammaditya Adhibarata Wulandari, Yohannessa Yahya, Muh. Zainuddin Iba Zakaria, Meutia Zidna, An’umillah Arini