<![CDATA[Degenerative diseases can affect quality of life. DM is a disease that can be controlled with a healthy lifestyle, and can have macrovascular and microvascular complications. This study to implement family doctor services based on Evidence Based Medicine that is patient-centred, family-approach, and community oriented. The study conducted was a case report. Primary data were obtained through history taking, physical examination and home visits. Assessment was done based on holistic diagnosis from the beginning, process, and end of the study quantitatively and qualitatively. Patient Mrs. R, 78 years old, has internal risks in the form of curative treatment patterns, lack of physical activity, lack of knowledge about the disease suffered, inappropriate dietary patterns and external risks in the form of lack of knowledge and family supervision regarding the disease, risk factors, and complications of the patient's disease. Management of patients is holistic and comprehensive, patient-centered, family approach, and community-based in literature based on EBM. From the results of the evaluation of the interventions that have been carried out, it can be seen that Mrs. R's compliance in following therapeutic recommendations, both pharmacological and non-pharmacological therapies, is good.]]>
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