Hubungan Kepatuhan Diet dengan Kejadian Hiperglikemia pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Biru Kab.Bone

Najman Najman; Musdalipa Musdalipa

doi:10.62027/praba.v4i2.874

Authors

Najman Najman Institut Batari Toja Bone
Musdalipa Musdalipa Institut Batari Toja Bone

DOI:

https://doi.org/10.62027/praba.v4i2.874

Keywords:

Blood Glucose Levels, Dietary Adherence, Hyperglycemia, Meal Patterns, Type 2 Diabetes Mellitus

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease characterized by elevated blood glucose levels (hyperglycemia) resulting from impaired insulin secretion, insulin action, or both. Non-adherence to dietary recommendations is one of the factors that may trigger hyperglycemia in patients with DM, as poor dietary adherence can increase blood glucose levels (random blood glucose [RBG] > 200 mg/dL). According to the World Health Organization (WHO), approximately 422 million people worldwide have diabetes mellitus, particularly in low- and middle-income countries, including Indonesia, with approximately 1.6 million deaths occurring each year (World Health Organization, 2018). This study aimed to determine the relationship between dietary adherence and the incidence of hyperglycemia. The study was conducted in July 2026 using a quasi-experimental design with a one-group pretest-posttest design. The results of the study conducted in one of the working areas of Biru Public Health Center showed that some community members adhered to the recommended diet, while others did not, which may affect blood glucose levels. The level of dietary adherence among patients with DM was reported to be 65%; however, only 19% of patients actually followed the recommended diet. The findings are consistent with previous research indicating that maintaining normal blood glucose levels is important to prevent the effects of elevated blood glucose, including glucose loss through urine.

References

Akbar, M. A. (2023). Dukungan keluarga dengan kualitas hidup pasien diabetes mellitus tipe II. Cendekia Medika, 8(1). https://doi.org/10.52235/cendekiamedika.v8i1.227

American Diabetes Association Professional Practice Committee. (2024). 2. Diagnosis and classification of diabetes: Standards of care in diabetes—2024. Diabetes Care, 47(Supplement_1), S20–S42. https://doi.org/10.2337/dc24-S002

Arisandi, W., Djamaluddin, A., & Permatasari, A. (2020). Hubungan perilaku diet dengan kadar gula darah pada lansia penderita diabetes melitus tipe 2 di wilayah kerja Puskesmas Rawat Inap Sukoharjo Kabupaten Pringsewu tahun 2020. Stethoscope, 1, 1–8. https://doi.org/10.54877/stethoscope.v1i1.776

Davies, M. J., Aroda, V. R., Collins, B. S., Gabbay, R. A., Green, J., Maruthur, N. M., Rosas, S. E., Del Prato, S., Mathieu, C., Mingrone, G., Rossing, P., Tsapas, A., Buse, J. B., & American Diabetes Association. (2022). Management of hyperglycemia in type 2 diabetes, 2022: A consensus report by the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care, 45(11), 2753–2786. https://doi.org/10.2337/dci22-0034

Febriany, F. (2023). Kualitas hidup peserta Prolanis diabetes melitus tipe II: A systematic review. Jurnal Jaminan Kesehatan Nasional, 3(2), 56–64. https://doi.org/10.53756/jjkn.v3i2.169

Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K. B., & Martín, C. (2020). Pathophysiology of type 2 diabetes mellitus. International Journal of Molecular Sciences, 21(17), 6275. https://doi.org/10.3390/ijms21176275

Hindriyastuti, S., Mayrelia, M., Sari, P., Aryanti, D., & Hamidah, E. N. (2023). Pengaruh support keluarga pada kualitas hidup klien yang mengalami diabetes mellitus tipe II (DM II): Literature review. Jurnal Profesi Keperawatan, 10(2), 173–179. https://doi.org/10.61902/triage.v10i1.648

International Diabetes Federation. (2021). IDF diabetes atlas (10th ed.). International Diabetes Federation.

Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia 2022. Kementerian Kesehatan Republik Indonesia.

Niven. (2021). Hubungan kepatuhan diet terhadap pengendalian kadar gula darah pada pasien diabetes melitus tipe 2. [Informasi jurnal dan volume/nomor tidak tersedia].

Notoatmodjo. (2022). Kepatuhan diet diabetes melitus (DM) dengan kadar glukosa darah pada pasien DM di RS Islam Sultan Agung. [Informasi jurnal dan volume/nomor tidak tersedia].

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess Fischl, A., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report by the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care, 43(7), 1636–1649. https://doi.org/10.2337/dci20-0023

Rahayuningsih, M. S., Juniarsana, I. W., & Wiardani, N. K. (2020). Hubungan aktivitas fisik dan kepatuhan diet dengan kadar glukosa darah pasien DM tipe 2. Jurnal Ilmu Gizi, 12(3), 155–165. https://doi.org/10.33992/jig.v12i3.2122

Rahmatiah, S., Yakub, A. S., Levels, B. S., People, I., & Diabetes, W. (2022). Literature review: Hubungan kepatuhan diet dengan kadar gula darah pada pasien diabetes melitus. [Nama jurnal tidak tersedia], 17, 40–45.

Rizki, W., Santosa, B., & Akasyah, W. (2024). Hubungan kepatuhan diet dan gaya hidup terhadap kadar gula darah pada pasien diabetes mellitus type 2. Wiyata, 11(2), 158–164. https://doi.org/10.56710/wiyata.v11i2.851