Early detection of diabetes emergencies and complications is an important step in preventing morbidity and mortality due to diabetes mellitus. Primary care physicians play a crucial role in identifying early signs of these conditions and providing prompt and appropriate interventions. This study aims to evaluate the effectiveness of primary care physicians in detecting diabetes emergencies and identify challenges faced in the process. This study used a quantitative and qualitative approach by collecting patient medical record data, interviewing health workers, and analyzing the referral system implemented in primary healthcare facilities. Tools used included glucometer, ketone meter, sphygmomanometer, electrocardiogram (ECG), and statistical software for data analysis. The results showed that doctors who received continuous training and had access to adequate diagnostic tools were more effective in detecting diabetic complications such as diabetic ketoacidosis and severe hypoglycemia. This study recommends improving the competence of medical personnel through continuous training, providing more complete diagnostic tools, and improving the referral system by utilizing health technology. With a sound strategy
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