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Indian Journal of Forensic Medicine & Toxicology
Year : 2019, Volume : 13, Issue : 4
First page : ( 1726) Last page : ( 1730)
Print ISSN : 0973-9122. Online ISSN : 0973-9130.
Article DOI : 10.5958/0973-9130.2019.00558.9

The Accuracy of the Treatment and the Incidence of Diabetic Coma

Waluyo Kiaonarni Ongko1,*, Muafiro Adin1, Christiany Irine1, Fitria H Nuris1

1Health Polytechnic of Surabaya

*Corresponding author: Kiaonarni Ongko Waluyo, E-mail: kiaonarni@gmail.com, Address: Pucangjajar Tengah Street-56, Surabaya, Indonesia

Online published on 27 November, 2019.

Abstract

Acute complicationsof diabetes mellitus is diabetic coma which occurs in 2%-15% of patients with Type-2 diabetes mellitus (DM). The main cause of the crisis is hyperglycemia in patients with Type-2 DM due to an infection (20–55%). In Type-2 DM, crisis hyperglycemia often occurs because it stops injecting insulin or inadequate treatment therapy. This condition occurs in 20–40% of cases of diabetic ketoacidosis. The purpose of this study is to analyze the accuracy of the treatment factors that affect the incidence of diabetic coma at Bina Sehat Hospital, Jember. The research design was cross sectional. The subjects were 17 people, selected by accidental sampling. Data were collected using medical record (results of medical laboratory and diagnosis examination) and questionnaire, then analyzed using Fisher exact test. The highest incidence of diabetic coma in diabetic ketoacidosis was 65%. The incidence of diabetic coma is influenced by the accuracy of treatment as many as 53%. It is expected that patients who have long DM, should be more regular in controlling their treatment to reduce the incidence of diabetic coma.

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Keywords

Accuracy, treatment, diabetic coma.

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