Type 2 diabetes mellitus (T2DM) is a common chronic metabolic disease among Indonesian Hajj pilgrims, particularly in older adults. The strenuous physical activities and environmental stress during the pilgrimage may exacerbate glycemic instability and increase metabolic complications. This study aimed to analyze random blood glucose (RBG) levels and their association with age, gender, and number of comorbidities among hospitalized Indonesian Hajj pilgrims with T2DM in Saudi Arabia in 2023. A descriptive-analytic cross-sectional design was applied using secondary data from the Integrated Hajj Health Information System (Siskohatkes). A total of 292 hospitalized Indonesian Hajj pilgrims diagnosed with T2DM (ICD-10 E11) and available RBG results were included. Chi-square analysis with a significance level of p≤0.05 was used. Most participants were aged ≥60 years (75.3%), male (54.8%), and had fewer than two comorbidities (57.2%). Uncontrolled RBG levels (≥200 mg/dL) were found in 58.9% of participants. While gender and comorbidities were not significantly associated with glycemic control, age showed a near-significant relationship (p=0.050). These findings highlight the need for targeted pre-departure screening and enhanced diabetes management for elderly Hajj pilgrims to prevent complications during the pilgrimage.
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