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Indian Journal of Forensic Medicine & Toxicology
Year : 2019, Volume : 13, Issue : 4
First page : ( 1533) Last page : ( 1537)
Print ISSN : 0973-9122. Online ISSN : 0973-9130.
Article DOI : 10.5958/0973-9130.2019.00520.6

Self Care Management Client DM Type 2 in Tambakrejo Community Health Center, Surabaya

Mu'afiro Adin1,*, Suwito Joko1, Waluyo Kiaonarni Ongko1, Christiany Irine1

1Department of Nursing, Health Polytechnic of Surabaya, Indonesia

*Corresponding author: Adin Mu'afiro (adinmuafiro@gmail.com) Address: Prof. Dr. Moestopo Street-8C, Surabaya, Indonesia

Online published on 27 November, 2019.

Abstract

Background

Diabetes mellitus is a chronic disease that lasts for life. Complications can be prevented with optimal glycemic control and self-care of the DM client. The study aimed were to identify the suitability of blood sugar and HBA1C levels with DM therapy target and the implementation of self-care management of Type 2 Diabetes Mellitus Client at Tambakrejo Community Health Center Surabaya.

Method

The type of research was descriptive. The population was all DM type 2 clients who underwent treatment at Tambakrejo Community Health Center, Surabaya. The sample size was 30 people. The research variables were blood sugar and HBA1c, the implementation Self Care Management of Client DM type2. The research instruments used were: Result of fasting blood sugar level; HBA1C levels; Self-Care Management DM Questionnaire. Data analysis was done by descriptive 95% confidence level (α = 0, 05).

Results

The results showed most (80.0%) DM type2 clients were female. Most clients as housewives were 17 people (56, 7%). Average age of DM Type 2 clients was 55.53 years. Duration of illness of client DM type 2 was 5.7 years. The results showed that the lowest fasting blood sugar level was 149.80 mg% (SD = ± 52.936 mg%; 95% CI: 130.03–169.57 mg%). The highest fasting blood glucose level was 366.63 mg% (SD = ± 129.57 mg%; 95% CI: 318.25–415.02 mg%). The mean HBA1C levels were 8.74% (sd = ± 1.81%; 95% CI: 8.06–9.42). Implementation of Self-Care DM Type 2 Client in taking drugs or insulin mostly 66.7% has often been the rule. Most (63.3%) have also frequently performed medical re-control to the doctor. There was 46.7% of DM Type2 clients as recommended in checking blood sugar levels and there were 36.7% of clients who have been recommended in their control and exercise activities.

Conclusion

DM type2 clients at Tambakrejo Community Health Center Surabaya had average fasting blood glucose levels and HBA1C levels were still not reaching Target of Diabetes Mellitus Therapy according to ADA (2010). Client DM Type 2 at Tambakrejo Community Health Center Surabaya has been frequently self-care (medication/insulin use and health check control). DM Type2 clients partially check blood sugar levels and control diits as recommended, and only a small fraction occasionally engages in activity/exercise.

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Keywords

Blood sugar levels, HBA1c, DM self-care, .

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