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All Journal JURNAL ILMU DAN TEKNOLOGI KESEHATAN TERPADU SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN
Novia Putri, Rima
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Health Professions Nursing Public Health

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Kadar Glukosa Darah, Diet dan Terapi Antihiperglikemia Pada Pasien Diabetes Melitus dengan Ulkus Diabetikum yang di Rawat Rumah Sakit: Blood Glucose Level, Diet and Antihyperglycemic Therapy in Patient with Diabetes and Diabetic Ulcers in Hospital Novia Putri, Rima; Deliana, Muthia; Pusparianda, Dewi
JURNAL ILMU DAN TEKNOLOGI KESEHATAN TERPADU Vol. 4 No. 2 (2024): Jurnal Ilmu dan Teknologi Kesehatan Terpadu
Publisher : Poltekes Kemenkes Tanjungpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53579/jitkt.v4i2.226

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic disease often accompanied by serious complications, such as diabetic ulcers. Poorly controlled blood glucose levels can worsen patient outcomes. This study aims to describe blood glucose levels, diet, and antihyperglycemic therapy in T2DM patients with diabetic ulcers in Tanjungpinang City. This descriptive observational study was conducted on 56 diabetic ulcer patients hospitalized in two hospitals in Tanjungpinang City. Data were collected from medical records and HbA1c laboratory tests. Variables analyzed included blood glucose levels, diet, and antihyperglycemic therapy. Univariate analysis was performed using percentages. The majority of patients (94.6%) had uncontrolled blood glucose levels (HbA1c >7%), with 60.7% having HbA1c ≥10%. Most patients (83.9%) were on a diabetic diet, although a few patients were not on a diabetic diet. Insulin was the most common antihyperglycemic therapy (58.9%). Patient characteristics showed a predominance of females (69.6%), normal nutritional status (62.5%), and diabetic ulcer severity at grade 4 (55.4%). Most diabetic ulcer patients in Tanjungpinang City have poorly controlled blood glucose levels despite receiving insulin therapy and a diabetic diet. This highlights the need for a more comprehensive approach to blood glucose management. Comprehensive interventions are required to improve blood glucose control, expedite diabetic ulcer healing, and enhance patient quality of life.
Optimalisasi Skrining Neuropati Perifer pada Pasien Diabetes Melitus melalui Pelatihan Kader, Keluarga, dan Pasien di Wilayah Kerja Puskesmas Mekar Baru Novia Putri, Rima; Deliana, Muthia; Pusparianda, Dewi
SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN Vol. 3 No. 1 (2025): SEGANTANG LADA : JURNAL PENGABDIAN KESEHATAN
Publisher : Poltekes Kemenkes Tanjungpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53579/segantang.v3i1.222

Abstract

Diabetes mellitus (DM) is one of the most prevalent non-communicable diseases in Tanjungpinang City, particularly in the working area of Mekar Baru Public Health Center. The coverage of healthcare services for DM patients in this area remains low, at only 70.42%. This condition increases the risk of chronic complications such as peripheral neuropathy, which may lead to diabetic foot ulcers. In 2022, 62 cases of diabetic foot ulcers were recorded at Tanjungpinang General Hospital. This community service program aimed to enhance the knowledge and skills of health cadres, families, and DM patients in conducting peripheral neuropathy screening through education and training. The program involved the head of the health center and NCD (non-communicable disease) program coordinators as mentors, and included cadres, families, and patients as active participants. The results showed a 100% increase in participants’ knowledge and screening skills, although the increase in patient visits to health facilities reached only 10%. Future plans include integrating neuropathy screening into regular elderly Posyandu or NCD Posbindu activities every 3–6 months. This initiative is expected to strengthen the role of health cadres in the transformation of primary healthcare services and improve the quality of life of DM patients.
Co-Authors Deliana, Muthia Dewi Pusparianda, Dewi