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All Journal Jurnal Ilmu dan Teknologi Kelautan Tropis Majalah Kedokteran Bandung Althea Medical Journal The Journal of Pure and Applied Chemistry Research Jurnal Sistem Kesehatan Universa Medicina AGRIKAN Jurnal Ilmiah Agribisnis dan Perikanan Jurnal Keperawatan Padjadjaran Chimica et Natura Acta Communication in Biomathematical Sciences Pharmacology and Clinical Pharmacy Research Jurnal Ilmu Kelautan Kepulauan Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care) Oto Rhino Laryngologica Indonesiana Jurnal Abdi Insani Jurnal Pengabdian kepada Masyarakat Nusantara Jurnal Pengabdian Perikanan Indonesia Altifani Journal: International Journal of Community Engagement Journal of Global Sustainable Agriculture Jurnal Neuroanestesi Indonesia Agrikan: Jurnal Agribisnis Perikanan Journal of Fish Nutrition Depik Jurnal Ilmu-Ilmu Perairan, Pesisir dan Perikanan Depik Jurnal Ilmu-Ilmu Perairan, Pesisir, dan Perikanan
Rovina Ruslami, Rovina
Universitas Padjadjaran
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Journal : Universa Medicina

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Diabetes mellitus patients in Indonesia: management in a tertiary hospital compared to primary health care Hikmat Permana; Raspati Cundarani Koesoemadinata; Nanny Natalia Mulyani Soetedjo; Nury Fitria Dewi; Novi Jayanti; Sofia Imaculata; Rovina Ruslami; Bachti Alisjahbana; Susan Margaret McAllister
Universa Medicina Vol. 41 No. 2 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.157-168

Abstract

Background The increasing prevalence of diabetes mellitus (DM) requires that patients have greater access to care, which is yet lacking in many low- and middle-income countries and the quality of which varies between health care facilities. We compare the characteristics, complications, and risk profile of diabetes in patients receiving care in primary and tertiary level health facilities in Bandung, Indonesia. MethodsAdult DM patients were recruited from 25 community health centres (CHCs) and the outpatient clinic at one referral hospital. Key data collected and compared to national guidelines were DM history, treatment, complications, blood pressure, height, weight, and laboratory examinations on glycated haemoglobin (HbA1c), lipid profile, and creatinine. Data analysis was by chi-square test. ResultsOf the 809 DM patients (median age 59 years, 63% female, 98% type 2 DM), 318 (39%) were from CHCs and 491 (61%) from the hospital. Overall median HbA1c was 8.3%, with no difference between CHC and hospital patients. Only 32% of patients with HbA1c ≥10% were on insulin (CHCs 5.9%, hospital 42.9%), and only 18% of those on insulin had glycaemic control. Hypertension was common (CHCs 62%, hospital 51%, p<0.001), and only 44% of CHC and 34% of hospital patients received antihypertensive therapy. Among those with macrovascular complications, only 32% (CHCs) and 26% (hospital) were receiving aspirin. The numbers reaching the treatment targets were low for those on antihypertensives and lipid-lowering medications (80/251 and 11/105, respectively). ConclusionGlycaemic control and management of complications of DM patients at both health care levels need considerable improvement.
Co-Authors - Sudigdoadi, - Abdullah, Nursanti Abjan, Kadar Achadiyani Achmad, Muhammad Djanib Adi Imam Cahyadi Agnes Agustin, Agnes Agung Dinasti Permana Ahmad Rizal Ahmad Yamin Ahmad, Khamsiah Ani Melani Maskoen Anita Deborah Anwar Anneke Rosma Aras Syazili Ardini Raksanagara ardini raksanagara, ardini Atmaja, Harold Eka Attamimi, Fathimah Azzahra Atu Purnama Dewi Atu Purnama Dewi Bachti Alisjahbana Bafagih, Aisyah Bethy S. Hernowo Billy Talakua Bony Wiem Lestari Budi Setiabudiawan Chiho Yamazaki Cindy Elfira Boom Cindy Elfira Boom Deni K Sunjaya Deni K. Sunjaya Dewi Herawati Dewi M. Herawati Dewi Puspasari Dewi Puspasari Dewi, Atu Purnama Edhyana Sahiratmadja Edy Soewono Eka Kusuma Dewi, Eka Kusuma Emmy Hermiyanti Pranggono Endang Sutedja Farid Husin Farid Husin Febriani, Ulfah Dwi Findra, Muhammad Nur Hamidin Rasulu Harold Eka Atmaja Harold Eka Atmaja Herawati H Herawati, Dewi M. Hikmat Permana Hiroshi Koyama Igor Hutabarat Ikbal Marus, Ikbal Ishak, Safira Juharni Juharni, Juharni Julaecha Julaecha Juni Wijayanti Puspita Kameo, Satomi Kenanga Marwan Koesoemadinata, Raspati C. Koyama, Hiroshi Laitupa, Ibnu Laitupa, Ibnu W Lastri Winarni Lating, Noval Ali Leha, Alicia W Lika Apriani Luntungan, Gloria Vivian M. Irfan M. Irfan, M. Irfan Malan, Sudirto Margono, M. Tirta Marwan, Kenanga Maya Valentina Putrie Maya Valentina Putrie, Maya Valentina Ma’rus, Ikbal Meirina, Triana Nurul Meita Dhamayanti Muchdar, Fatma Muhammad Irfan Muhdar, Fatma Naim, Armain Najamuddin Najamuddin, Najamuddin Nanan Sekarwarna Nanny Natalia Mulyani Soetedjo Novi Jayanti Nurul Safitri Nury Fitria Dewi Pitra, Faisal Ponpon Idrajinata Raesa Yolanda, Raesa Rahmawati, Rika Nurlaily Ratna Anggraeni Renny Rosalita, Renny Rika Nurlaily Rahmawati Rosma, Anneke Rudi Wisaksana S Wibowo, Eko Samadan, Gamal M Sapto Wahyu Indratno Satomi Kameo See Siew Ju Sinta Sari Ratunanda Sofia Imaculata Sophia Sophia Sumaryati Sudigdoadi Sumaryati Sudigdoadi, Sumaryati Supyan Supyan Suryani Gunadharma Suryani Suryani Susan Margaret McAllister Syahnul Sardi Titaheluw Talib, Ahmaad Tamrin, Muhammad Rafly Zulfikar Tan, Fathnun Tatang Bisri Teti Madiadipoera Thaufiq Boesoirie Thaufiq Boesoirie Tina Judistianti Tita Husnitawati Madjid Titaheluw, Syahnul Titaheluw, Syahnul S. Tri Hanggono Achmad Triana Nurul Meirina Triana Nurul Meirina Ulfah Dwi Febriani Umar Tangke, Umar Vera Renta Siahaan Vycke Yunivita Vycke Yunivita Kusumah Dewi W. Laitupa, Ibnu Wahyu Alfishahrin. T, Wahyu WAODE MUNAENI wulansari, angela Yamazaki, Chiho Yuliana Yuliana Yusuf, Masri