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Association between Patient Characteristics and HbA1c Levels in Type 2 Diabetes Mellitus Nur Nunu Prihantini; Sharon Keinaa Ampang; Tiroy Sari B. Simanjuntak; Patar Hutagalung
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26464

Abstract

Type 2 Diabetes Mellitus (T2DM)  is a growing health challenge, with the International Diabetes Federation (IDF) Diabetes Atlas 2021–2023 reporting rising prevalence worldwide, including in Indonesia. Glycemic control in T2DM is commonly assessed using HbA1c levels, which reflect average blood glucose levels over the preceding 2–3 months and serve as a key indicator of treatment effectiveness. This study investigated the association between demographic characteristics (age, gender, and occupation) and HbA1c levels among patients with T2DM at Port Medical Center Hospital from 2021 to 2023. Using a cross-sectional design, secondary data were collected from the medical records of 75 eligible patients. All records meeting the inclusion criteria were analyzed. Age, gender, and occupation were treated as independent variables, while  HbA1c level was the dependent variable. Associations were tested using  Chi-square or Fisher’s Exact Test, with significance set at p < 0.05. Results showed no significant association between gender and  HbA1c (p = 0.851; OR = 0.96, 95% CI: 0.34-2.70). However, older age was strongly linked to poor glycemic control (p = 0.010; OR = 11.0, 95% CI: 1.27–95.4), and certain occupations were associated with elevated HbA1c levels (p = 0.024; OR = 9.21, 95% CI: 1.71–49.6). These findings suggest that age-related metabolic changes and occupational factors such as physical inactivity and work-related stress may contribute to inadequate glycemic control. In conclusion, age and occupation were significantly associated with HbA1c levels, while gender was not. Targeted interventions focusing on older adults and individuals with sedentary occupations are recommended, including lifestyle modification, patient education, and routine HbA1c monitoring to improve glycemic outcomes.Keywords: Type 2 Diabetes Mellitus, HbA1c, Level Age, Occupation.
Severe Preeclampsia and Anemia in Pregnancy: Risk Factors, Prevention, and Management – Case Report Abitmer Gultom; Nur Nunu Prihantini; Beatrix Melanie Beding
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6407

Abstract

Severe preeclampsia (PE) and anemia are two common medical conditions during pregnancy that have serious impacts on maternal and fetal health. Preeclampsia is a new-onset hypertensive disorder (≥140/90 mmHg) after 20 weeks of gestation, which may be accompanied by proteinuria and organ dysfunction in the mother or uteroplacental dysfunction. If left untreated, preeclampsia can progress to eclampsia, characterized by seizures, neurological disturbances, and anincreased risk of vital organ complications, including kidney failure, pulmonary edema, and liver dysfunction. To report a case of Severe Preeclampsia and Anemia in a 29-year-old female patient. The subject was a 29-year-old G2P1A0 woman in her final trimester of pregnancy who came with the chief complaint of tightness in the abdomen, cramp-like pain, headache, and blurred vision. The patient previously had a history of uncomplicated pregnancy. A 29-year-old G2P1A0 woman presented with complaints of abdominal tightening, cramping, headache, and blurred vision, who was subsequently diagnosed with severe preeclampsia and anemia. Findings included Anemia, Leukocytosis, and Proteinuria are Present. the patient was hospitalized, underwent a caesarean section, and received appropriate medical management.
Relationship Between Diet Patterns and Hypertension Levels in the Elderly Nur Nunu Prihantini; Avidya Ihromi; Nolly O. H. Rantung
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6645

Abstract

Hypertension is a common health problem in the elderly population and is a significant risk factor for cardiovascular diseases. Dietary patterns are known to influence blood pressure control significantly, yet many elderly individuals continue to follow unhealthy eating habits that may exacerbate their condition. Objective: This study aims to determine the relationship between dietary patterns and hypertension levels in elderly individuals. Aims: This study aims to explore the relationship between dietary patterns and hypertension levels in the elderly and to analyze the distribution of hypertension based on age group and severity. Methods: This study used a quantitative approach with a cross-sectional observational analytical design. Data were collected from 45 elderly respondents through interviews using a structured dietary questionnaire and direct blood pressure measurement using a calibrated digital sphygmomanometer. Data analysis was conducted in two stages: univariate analysis to describe the characteristics of respondents and the distribution of hypertension, and bivariate analysis using the Chi-square test to assess the relationship between dietary patterns and hypertension levels. Results: The results showed that most respondents came from the 60-69 age group (88.89%), and the 70-79 age group (11.11%). Most respondents (57.8%) experienced stage I hypertension, while the rest (42.2%) experienced stage II hypertension. Bivariate analysis showed a significant relationship between diet and hypertension levels (p-value = 0.035). Respondents with a good diet tended to experience stage I hypertension (77.8%), while a poor diet was more dominant in stage II hypertension (78.9%). Conclusion: This study shows a significant relationship between diet and hypertension levels in the elderly in Bekasi City. The elderly with a good diet tend to experience stage I hypertension, while a poor diet correlates with stage II hypertension. These results indicate that diet plays an important role in the severity of hypertension in the elderly.