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All Journal Jurnal Ilmu Kedokteran Keluarga
Noor Pratami, Gia
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Computer Science & IT Health Professions Physics Public Health Social Sciences

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A 70-Year-Old Woman with Metabolic Syndrome and Rapid-Onset Diabetic Neuropathy Complications: The Role Risk Factor of Age, Gender, Underlying Desease, Lifestyle, and Medication Adherence Asmy, Hatimul; Noor Pratami, Gia; Rosita, Rita
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 2: December 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

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Abstract

Diabetic neuropathy is a symptom or sign of nerve dysfunction in patients with diabetes mellitus. This condition may occur when blood glucose levels remain uncontrolled for an extended period and could be triggered by several risk factors. In this case, the patient's condition was identified at a primary healthcare center in Malang City. Both medical and non-medical histories were explored to determine the involved risk factors, followed by two home visits to further assess and identify additional risk factors. This case report highlights the role of the family medicine approach, where the interaction of biopsychosocial variables necessitates holistic and comprehensive therapeutic.
Managing Coexisting Pulmonary Tuberculosis and Type 2 Diabetes Mellitus in a 52-Year-Old Woman: A Family Medicine Approach Jamilah, Faizatul; Rusnianah, Farida; Noor Pratami, Gia
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/gwgvmx90

Abstract

Tuberculosis (TB) and Type 2 Diabetes Mellitus (T2DM) are chronic conditions that often coexist and mutually worsen clinicaloutcomes. We report a 52-year-old widowed female, a beverage vendor, with a three-month history of productive cough, weightloss, and night sweats, and a 25-year history of poorly controlled T2DM. Random blood glucose ranged from 200–539 mg/dL, andGeneXpert MTB/RIF confirmed pulmonary TB. Psychosocial assessment revealed strong family support, though SCREEMidentified limitations in social, economic, and educational domains. Environmental risks included overcrowded housing, poorventilation, and daily smoke exposure. Management consisted of first-line anti-tuberculosis therapy (RHZE), oral hypoglycemicagents (metformin, glibenclamide), lifestyle counseling, sleep hygiene, and environmental modification, with her son serving as atreatment supporter. Two home visits reinforced adherence and lifestyle changes, though glycemic control remained suboptimal.This case demonstrates that a comprehensive family medicine approach integrating biomedical treatment, family engagement, andcontextual lifestyle interventions is essential for effective management of TB-DM comorbidity.
Co-Authors Asmy, Hatimul Jamilah, Faizatul Rita Rosita Rusnianah, Farida