Control Blood Sugar Levels Research Articles

Optimizing the Diet of Diabetes Mellitus Sufferers Through Food Mapping Using the Fuzzy Sugeno Method

This research focuses on developing optimal strategies for diet management for Diabetes Mellitus (DM) sufferers by utilizing the Fuzzy Sugeno method in food mapping. Diabetes Mellitus is a chronic metabolic disease that requires a careful management approach to diet to control blood sugar levels. In this study, we designed a system that uses Sugeno's fuzzy principles to categorize foods based on glycemic parameters, nutritional content, and individual patient characteristics. This method allows the formation of fuzzy rules that cover the variability and complexity in the preferences and health needs of each patient. The developed model was tested using DM patient data involving detailed information about diet, medical history and blood sugar response. Experimental results show that this approach can provide more personalized diet recommendations that suit individual health conditions. The application of the Fuzzy Sugeno method in food mapping for DM patients is expected to increase patient compliance with the recommended diet, reduce blood sugar levels, and overall, improve quality of life. Additionally, this approach also provides a foundation for the development of adaptive dietary management systems, which can continuously adapt to changing patient health needs over time.

Penerapan Evidence Based Nursing Practice (EBNP) Edukasi Video 5 Pilar terhadap Kadar Glukosa Darah Pasien Diabetes

This research aims to identify the effectiveness of 5 pillars of education in controlling blood sugar levels. The method used in EBNP is a case study design. The application of EBNP begins with an article search by selecting articles that use the RCT method with the keyword "Education Video IN DIABETIC PATIENTS." The results of this EBNP research show that education on applying the five pillars video effectively controls blood sugar levels with a p-value of 0.01. In conclusion, using the five pillars of teaching effectively prevents blood sugar levels in diabetes patients at Tarakan Regional Hospital, Jakarta.
 Keywords: EBNP, 5 Pillar Education, Blood Sugar

A Case of Stiff Person Syndrome Treated Using Intrathecal Baclofen

Introduction: Stiff Person Syndrome is a rare autoimmune neurological disorder with chronic muscle spasms leading to chronic pain and debilitation. Case Report: We describe a case of a 57-year-old man with the history of Diabetes mellitus type 1 diagnosed 15 years back with high-titer positive anti-GAD antibodies and poorly controlled blood sugar levels under highly dosed insulin treatment. Discussion: Intrathecal baclofen showed a marked improvement for the relief of spasticity with the choice of a baclofen pump for similar patients.

Optimizing expression, purification, structural and functional assessments of a novel dimeric incretin (GLP-1cpGLP-1)

Glucagon-like peptide-1 (GLP-1) is an incretin hormone that reduces postprandial glycemic excursions by enhancing insulin secretion. In this study, a new dimeric GLP-1 analogue (GLP-1cpGLP-1) was designed by inserting human insulin C-peptide (CP) in the middle of a dimer of [Gly8] GLP-1 (7–36). Then, the dimeric incretin (GLP-1cpGLP-1) was ligated to human αB-crystallin (αB-Cry) to create a hybrid protein, abbreviated as αB-GLP-1cpGLP-1. The constructed gene was well expressed in the bacterial host system. After specific chemical release from the hybrid protein, the dimeric incretin was purified by size exclusion chromatography (SEC). Finally, the RP-HPLC analysis indicated a purity of >99 % for the dimeric incretin. The secondary structure assessments by various spectroscopic methods, and in silico analysis suggested that the dimeric incretin has α-helical rich structure. The dynamic light scattering (DLS) analysis indicates that our dimeric incretin forms large oligomeric structures. This incretin analogue significantly reduced blood glucose levels in both healthy and diabetic mice while effectively triggering insulin release. The size exclusion HPLC also indicates the interaction of the new incretin analogue with human serum albumin, the main carrier protein in the bloodstream. Consistent with the results obtained from the biological activity assessments, this significant interaction indicates its potential as a viable therapeutic agent with a long-lasting effect. The results of our research represent a significant breakthrough in the successful design of an active incretin dimer capable of effectively controlling blood sugar levels and inducing insulin secretion in the realm of diabetes treatment.

The Correlation Of Medication Adherence In Patients With Type 2 Diabetes And The Incident Of Hypertension In Primary Health Care Setting

The global incidence and prevalence of type 2 diabetes mellitus has continued to increase over the past three decades and is expected to triple by 2030.1 Based on data from the World Health Organization (WHO), in 2021, 1.28 billion adults worldwide have hypertension.4 In relation to type 2 DM therapy, patient non-compliance in undergoing treatment can cause failure to control blood sugar levels and can cause cardiovascular complications.5 Objective: To determine the relationship between adherence to medication consumption in people with type 2 diabetes mellitus and the incidence of hypertension. Methods: This study used an analytical descriptive method with cross sectional design. Sampling used consecutive sampling techniques with the sample size obtained using the Slovin formula, where the population was 447, resulting in a total sample of 218 respondents who made the inclusion and exclusion criteria. Primary data was obtained from the Medication Adherence Rating Scale-10 (MARS-10) questionnaire which was filled in by the respondent and the respondent’s blood pressure was checked by automatic sphygmomanometer Kenz AC-05P. Data was analyzed using SPSS-25 software with the chi- square test. Results: From 218 respondents, 80 respondents were non-adherent in taking medication and suffered from hypertension (90.9%) and 8 respondents were non-adherent in taking medication and did not suffer from hypertension (9.1%). There were 29 respondents who adhered to taking medication and suffered from hypertension (22.3%) and 101 respondents who adhered to taking medication and did not suffer from hypertension (77.7%). These results obtained a p-value of 0.000 <0.05, which means there is a relationship between adherence to drug consumption in patients with type 2 diabetes mellitus and the incidence of hypertension. Conclusion: There is a relationship between adherence to drug consumption in patients with type 2 diabetes mellitus and the occurrence of hypertension at Puskesmas Sentosa Baru and Puskesmas Sering in Medan City.

The effect of moderate and low-intensity aerobic exercise on lowering blood sugar

Problems and Purpose. The global prevalence of diabetes is on the rise, alongside other diseases related to obesity, including hypertension, heart disease and dyslipidemia. Exercise is recognized as a method to control blood sugar levels. This study aimed to investigate the impact of low and moderate-intensity sports exercises on blood sugar levels in patients. Materials and Methods. This research was a laboratory experiment following a completely randomized design. Twenty participants were enlisted for the study and divided into two groups: a control group and a moderate-intensity exercise group. The study spanned two months. Results. The results revealed a significant change in the blood sugar levels of patients who underwent low and moderate-intensity aerobic exercise with a p-value of 0.001. Conclusion. This research concludes that there are notable differences in the impact of low and moderate-intensity aerobic exercises on body mass index and blood sugar levels in diabetes patients.

Hubungan Lama Menderita Dm Dengan Kejadian Hipertensi Pada Pasien Dm Tipe II Di RSUD dr. Sadikin Di Kota Pariaman

Hypertension and its complications are the number one cause of death globally. Diabetes mellitus is one of the contributing factors to hypertension. Diabetes mellitus can occur due to pancreatic disorders that do not produce enough insulin. Diabetes mellitus can occur along with hypertension as a result of pathological psoses from the clinical course of diabetes. This study was conducted on 28 August to 16 September 2023. The purpose of this study was to determine the relationship between the duration of DM and the incidence of hypertension in type II DM patients. The type of research used is correlational analytic with a cross sectional approach. The number of samples in this study were 52 respondents using purposive sampling technique by collecting data, namely Total Samplig and statistical tests using Chi Squere. The results of the research obtained from respondents who suffered from DM> 5 years were 32 (61.5%) respondents and respondents who suffered from DM < 5 years were 20 (38.5%) respondents. The results showed a relationship between the length of time suffering from DM and the incidence of hypertension in type II DM patients with a value (p Value = 0.004), with the majority of sufferers being women. Respondents should always routinely control blood sugar levels and blood pressure in order to maintain their health, and nurses need to measure the length of time suffering from DM with the incidence of hypertension in type II DM patients to prevent more severe complications.

Analisis Faktor Risiko Yang Berhubungan dengan Kejadian Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Oesapa Kota Kupang Tahun 2023

Diabetes Mellitus (DM) is a chronic metabolic disorder, because the pancreas does not produce enough insulin or the body cannot use the insulin produced effectively, resulting in an increase in glucose concentration in the blood. The number of Type 2 DM cases at the Oesapa Health Center in 2023 for the January-May period is 110 cases. The purpose of this study was to analyze the risk factors associated with the incidence of Type 2 Diabetes Mellitus. This study is an analytical observational study using a case control study approach. The research time was carried out for 1 month, namely in June 2023. The samples in this study amounted to 84 samples consisting of two groups, namely case samples of 42 people and control samples of 42 people. The sampling technique uses a simple random sampling technique with a meaning level of α=0.05. The data analysis used in this study was univariate and bivariate analysis using chi square statistical test. Each variable studied was tested using the chi square statistical test to determine the relationship with the variable of Type 2 DM. The results showed a significant relationship between family history (p-value = 0,002; OR=4,462), hypertension (p-value=0,004; OR=4,063) and physical activity (p-value=0,029; OR=2,941) with the incidence of Type 2 DM and there was no significant relationship between smoking (p-value = 0.640) with the incidence of Type 2 DM at the Oesapa Health Center in Kupang City. It is expected that people control blood sugar levels regularly, get used to a healthy lifestyle and increase physical activity through regular exercise such as walking, running, cycling and other physical activities.

HUBUNGAN DUKUNGAN KELUARGA DAN EFIKASI DIRI DENGAN MOTIVASI LANSIA DALAM MENGONTROL GLUKOSA DARAH PADA LANSIA DENGAN DIABETES MELITUS DI PUSKESMAS KINOVARO

Family support is the accepting attitude of the family towards family members such as caring, supporting or providing help if needed, but self-efficacy is an assessment of an individual's ability to organize and perform the intervention needed to achieve certain performance goals. The elderly motivation is a psychological characteristic of the elderly in contribution to the level of their self-commitment. The aim of the research was to analyze the correlation between family support and self-efficacy with the elderly motivation of elderly with diabetes mellitus in controlling their blood sugar level at Kinovaro Health Center. This is quantitative research with an analytic approach and using a cross-sectional design. The total population was 176 elderly with diabetes mellitus at the Kinovaro PHC and the total sample was 64 respondents obtained by the Slovin formula and taken by using purposive sampling technique. The results of research of 64 respondents showed that there was a significant correlation between family support and elderly motivation found a p-value = 0.000 and there was a significant correlation between self-efficacy and elderly motivation found a p-value = 0.001. The conclusion mentioned that there is a correlation between family support and self-efficacy with the motivation of elderly with diabetes mellitus in controlling blood sugar levels at Kinovaro Public Health Center. Suggestions for Kinovaro Public Health Center officers to provide education about the importance of family support and self-efficacy to optimize the achievement of success in controlling blood sugar levels.

Sugar Molecules Inhibit Insulin Aggregation: A Decisive Role Being Played by the Protein Solvation Energetics.

Insulin plays vital roles in controlling blood sugar level in the human body. However, it sometimes aggregates during the storage, and its efficacy (on the treatment of diabetes II disease) reduces significantly. So, understanding the insulin aggregation could help in long-term storage. Here we investigate the amyloid growth of human insulin protein in the presence of sugar molecules and observe that glucose and sucrose delay the insulin aggregation, the effect being systematically sugar dependent. We then investigate protein hydration during the aggregation process using terahertz spectroscopy, as the hydration plays a pioneering role in maintaining biological systems. Our study infers that the water network changes systematically with protein conformations and solvation entropy-enthalpy balance plays a decisive role in the aggregation process.

Snack Bar Formulation High in Antioxidants and Dietary Fiber with Substitution of Corn Flour and Spirulina Flour

Abstrak Indonesia is the sixth country with the highest number of Diabetes Mellitus sufferers in the world. One way to control blood sugar levels is to regulate a DM diet by consuming foods high in fiber and antioxidants. Snack bars are very suitable as a snack for DM sufferers. This research aims to obtain a formulation and determine the effect of adding corn flour on the antioxidant activity and dietary fiber of snack bars with the best substitutes for corn flour and spirulina flour. Research Method: This research is an experimental type of research using a completely randomized design (CRD) with independent variables in the form of a comparison of the composition of corn flour, namely F1 = corn flour 33.3% and spirulina flour 8.3%; F2= 50% corn flour and 8.3% spirulina flour and 8.3% spirulina flour; F3= 66.67% corn flour and 8.3% spirulina flour. The snack bar formulation uses wheat flour, corn flour, spirulina flour, eggs, margarine, Diabetasol powdered milk and Tropicana sugar. The steps in the procedure for making a snack bar are the preparation process, mixing process, forming or molding process, oven process, then letting it sit and serving. The analyzes used are organoleptic, antioxidant analysis, dietary fiber analysis, proximate analysis. The formulation that was acceptable to the panelists was the F3 formulation with the addition of 66.67% corn flour and 8.3% spirulina flour. The use of corn flour and the addition of spirulina flour in snack bars can increase the content of dietary fiber (9%) and antioxidants (36.16%). Comparison with the standard quality of snack bars for diets, F3 snack bars contain protein (7.89%), carbohydrates (50.38%), ash (1.2%), fat (15.20%), and energy (365 .35). The fat, carbohydrate, dietary fiber and mineral content meets the SNI 014216-1996 and USDA 5048 quality standards, while the protein content is still lacking.

Piperine modulates IR/Akt/GLUT4 pathways to mitigate insulin resistance: Evidence from animal and computational studies

The global prevalence of diabetes mellitus is rising, especially in India. Medicinal herbs, whether used alone or in combination with conventional medicines, have shown promise in managing diabetes and improving overall well-being. Piperine (PIP), a major bioactive compound found in pepper, is gaining attention for its beneficial properties. This study aimed to assess whether PIP could alleviate diabetes by targeting insulin pathway-related molecules in the adipose tissue of rats on a high-fat diet (HFD). After 60 days on the HFD, rats received PIP at a dose of 40 mg/kg body weight for one month. The results showed that PIP significantly improved metabolic indicators, antioxidant enzymes, and carbohydrate metabolic enzymes. It also regulated the mRNA and protein expression of insulin signaling, which had been disrupted by the diet and sucrose intake. Molecular docking analysis also revealed strong binding of PIP to key diabetes-related regulatory proteins, including Akt (−6.2 kcal/mol), IR (−7.02 kcal/mol), IRS-1 (−6.86 kcal/mol), GLUT4 (−6.24 kcal/mol), AS160 (−6.28 kcal/mol), and β-arrestin (−6.01 kcal/mol). Hence, PIP may influence the regulation of glucose metabolism through effective interactions with these proteins, thereby controlling blood sugar levels due to its potent antilipidemic and antioxidant properties. In conclusion, our study provides in vivo experimental evidence against the HFD-induced T2DM model for the first time, making PIP a potential natural remedy to enhance the quality of life for diabetic patients and aid in their management.

Telehealth DM Group Android Smartphones in Controlling Blood Sugar Levels in Patients with Type 2 DM

Diabetes mellitus (DM) is a degenerative disease with an increasing number that continues to grow from year to year. Data from the International Diabetes Federation (IDF) shows that the prevalence of diabetes patients will increase to 84%, from 82 million to 151 million. Uncontrolled blood sugar levels can cause serious diseases that affect the heart, blood vessels, eyes, kidneys, and nerves. Aim: Knowing the effectiveness of the Telehealth DM Group application in controlling blood sugar levels in DM type 2 patients. Method: This study uses Research and Development (R&D) and quasi-experimental development methods with a pre-post control group design and uses a random sampling technique. Results: The Telehealth DM Group Smartphone Android application is feasible based on expert validation tests with marks of 93.33%. There is a difference in blood sugar levels before being given pre-intervention (219 mg/dl). After being given post-intervention (160 mg /dl) with a value of 0.002, the Telehealth DM Group application can control blood sugar levels of 58.6 mg/dl with a value of 0.004. Conclusion: Telehealth DM Group Android smartphones are effective as an educational and health service media in controlling blood sugar levels in patients with type 2 diabetes mellitus.

Diabetes Management by Fourth-Generation Glucose Sensors Based on Lemon-Extract-Supported CuO Nanoporous Materials.

Diabetes is a major worldwide health issue, impacting millions of people around the globe and putting pressure on healthcare systems. Accurate detection of glucose is critical for efficient diabetes care, because it allows for prompt action to control blood sugar levels and avoid problems. Reliable glucose-sensing devices provide individuals with real-time information, allowing them to make more educated food, medicine, and lifestyle decisions. The progress of glucose sensing holds the key to increasing the quality of life for diabetics and lowering the burden of this prevalent condition. The present investigation addresses the synthesis of a CuO@lemon-extract nanoporous material using the sol-gel process. Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) were used to analyze the morphological properties of the composite, which revealed a homogeneous integration of CuO nanoparticles (NPs) on the surface of the matrix. The existence of primarily oxidized copper species, especially CuO, was confirmed by X-ray diffraction spectroscopy (XRD) investigation in combination with energy-dispersive X-ray (EDX) spectroscopy. The CuO@lemon-extract-modified glassy carbon electrode (CuO@lemon-extract GCE) performed well in non-enzymatic electrochemical sensing applications such as differential pulse voltammetry (DPV) and amperometric glucose detection. The electrode achieved a notable sensitivity of 3293 µA mM-1 cm-2 after careful adjustment, with a noticeable detection limit of 0.01 µM (signal-to-noise ratio of 3). The operational range of the electrode was 0.01 µM to 0.2 µM, with potential applied of 0.53 V vs. Ag/AgCl. These findings underscore the CuO@lemon-extract GCE's promise as a robust and reliable platform for electrochemical glucose sensing, promising advances in non-enzymatic glucose sensing (NEGS) techniques.

Striatal Hyperintensity in Non-Ketotic Hyperglycemia Induced Hemichorea-Hemiballismus Syndrome: Case Report

Introduction: Hemichorea-Hemiballismus (HC-HB) is usually associated with lesions in the contralateral basal ganglia of the central nervous system and can be caused by infection, neurodegeneration, oncological cases, stroke, and metabolic disorders. HC-HB disorders associated with non-ketotic hyperglycemia are rare and are characterized by involuntary and arrhythmic unilateral movements. This occurrence is more common in cases of women, the elderly and poor control of blood sugar levels. Case Report: A female patient 46 years old, came with complaints of uncontrolled movements in the right half of the body since July 2021. Then it spread to the legs also 1 month later. Prior to this complaint, it was triggered by a stressor. History of non-routine use of drugs. On general physical examination and vital signs within normal limits. Neurological examination found right hemichorea with arrhythmic characteristics, 1-5 Hz, medium-large amplitude, stereotypy, right arm and leg, suppressibility (+), worsens when stressed. A CT-Scan of the head without contrast showed no abnormalities, but an MRI revealed a non-ketotic hyperglycemic image. The patient then received haloperidol 0.75 mg orally every 12 hours and clobazam 5 mg every 12 hours orally and insulin therapy. Discussion: In this case report, it was found that female patients was poor in control her blood glucose and causing complications. This condition also known as diabetic striatopathy (DS). Several mechanisms to explain the pathogenesis of DS include metabolic disorders, ischemic injury resulting in ion deposition, hemorrhagic injury, dopaminergic and estrogenic imbalances, autoimmune inflammatory responses, and neurodegeneration. This is supported by MRI imaging that supports the presence of hyperintense on T1. Keywords: Hyperglycemia, Involuntary Movement, Striatopathy

EFEKTIFITAS HIPNOTERAPI LIMA JARI MELALUI BERSYUKUR DALAM PENGENDALIAN KADAR GULA DARAH DM TIPE 2

Diabetes mellitus is a group of metabolic syndrome diseases with hyperglycemia characteristics that occur due to abnormalities in insulin secretion, insulin resistance, or both. About 50% of Type-2 DM patients experiencing undiagnosed depression is quite concerning because it will hinder DM management and allow negative thoughts to arise so it is important to activate gratitude through five-finger hypnotherapy. The purpose of the study was to determine the effectiveness of five-finger hypnotherapy through gratitude in controlling blood sugar levels of Type-2 Diabetes Mellitus patients. This type of research uses quasi-experimental design with a nonequivalent control group design model. The sample was divided into two, namely the intervention group of 23 people was given five-finger hypnotherapy therapy treatment with gratitude and the control group of 22 people was only given five-finger hypnotherapy therapy treatment taken with purposive sampling techniques. Bivariate analysis using Wilconxon test and Mann-Whitney test. As a result, there was a difference in pre-test and post-test blood sugar levels where the p-value of the Wilcoxon test in the intervention group was 0.022 and the control group was 0.008. In conclusion, the effectiveness of five-finger hypnotherapy through gratitude in controlling blood sugar levels was a decrease in KGD 27.31 mg / dl in the intervention group and an addition of KGD 19.14 mg / dl in the control group.

Practice, prescription habits, experience and perception of Indian homeopathic practitioners in treatment of diabetes mellitus: An online observational study

BackgroundStudies have shown homoeopathy to effectively control blood sugar levels and improve quality of life (QOL), though a standard treatment protocol is required. ObjectiveThis study intended to assess the homoeopathic practice, prescription habits, experience, and perception of Indian Homeopathic Practitioners (HPs) in treating DM. MethodologyA web-based cross-sectional with a snowball sampling method was conducted between 30th July 2021 and 18th August 2021. A questionnaire to record clinical attributes of Indian HPs in the management of DM was formed after the consensus of the subject experts and pilot testing for feasibility. ResultsParticipants were 513 HPs with mean age [Standard Deviation (SD)] of 40.44 years (11.16) and a mean duration of the homoeopathic medical practice of 14.67 years [95% Confidence Interval (CI) = 13.71–15.63]. The majority of HPs made classical homoeopathic prescription (201, 39.2%) though the success in the management of DM was better among HPs who prescribed more than one potentized medicine [vs classical prescription, Odds Ratio (OR) = 2.34, p = 0.032]. As perceived by the HPs, homoeopathic treatment resulted in a major improvement in QOL of the diabetic patients (418, 81.5%) with very few adverse effect (100, 19.5%). The blood sugar level was controlled better when homoeopathy was given alongside conventional medicine (348, 67.8%). ConclusionThe clinical experience of HPs in this study has shown that homoeopathic treatment can benefit DM patients in preventing complications and improving QOL. It further reported that homoeopathy can be an important adjuvant to conventional treatment in managing DM.

Pulmonary Tuberculosis in Post COVID-19 Patients: Occurrence and Clinical Profile

Background: Tuberculosis continues to be a major public health disease to date. The mortality of this disease, which was reducing till 2019, was reversed in 2020 and 2021, as per the global tuberculosis report 2022. The novel coronavirus disease 2019(COVID-19) pandemic has af-fected tuberculosis management in various aspects. The transient immunosuppression associated with the disease and the treatment modality has been speculated to activate latent tuberculosis infec-tion as well as increase the infection risk with Mycobacterium Tuberculosis. Objective: The aim of this study was to analyze the clinical characteristics of post-COVID-19 pul-monary tuberculosis patients. Methods: We conducted a retrospective descriptive analysis of post-COVID-19 patients admitted from January 2021 to May 2022 with persistent or new-onset respiratory symptoms. The occurrence of pulmonary tuberculosis in these patients and their clinico- demographic details are summarized. Results: About 31(19.4%) of 160 post-COVID-19 patients with respiratory symptoms were diag-nosed to have pulmonary tuberculosis. About 21(67.7%) had comorbidities, of which the predomi-nant was diabetes mellitus in 14(45%) patients, and the majority (85%) had poorly controlled blood sugar levels. None of the patients had a history of contact with a pulmonary tuberculosis patient in the previous 2 years, but 4(13%) patients had a previous history of tuberculosis. Moreover,.66% of cases had a history of moderate and severe COVID-19 disease, and 70% had received systemic cor-ticosteroids and other immunosuppressive drugs like tocilizumab during the COVID-19 illness treatment. More than 50% of the patients had negative smears for acid-fast bacilli and were diag-nosed using rapid molecular methods like CBNAAT and LPA. Drug-resistant tuberculosis was seen in 6(19%) patients. 4(13%) patients died during the hospitalized course of treatment, and the re-maining 27(87%) were discharged with antituberculous treatment, but their final outcome is un-known. Conclusion: A high index of suspicion and use of rapid molecular diagnostic methods is indicated in post-COVID-19 patients with respiratory symptoms for early diagnosis of tuberculosis and pre-vention of community transmission. Identification of post-COVID-19 patients with latent tuberculo-sis infection and the feasibility of advocation of tuberculosis preventive therapy in such patients, es-pecially those with other risk factors like diabetes mellitus, need to be considered.

DUKUNGAN KELUARGA DAN PERAN PERAWAT TERHADAP KEPATUHAN KONTROL KADAR GULA DARAH

Diabetes Mellitus type II has become a public health problem and is an important cause of death, illness and disability in the world. Success in treating Diabetes Mellitus type II doesn’t only depend on DM sufferers but also depends on the role of family and health workers such as nurses and doctors. The purpose of this study was to determine family support and the role of nurses with compliance to control blood sugar levels in patients with Diabetes Mellitus type II at Puskesmas Bernung, Pesawaran. This type of research is a quantitative research design using a cross-sectional design. The number of samples in this study were 35 respondents. The sampling technique used was total sampling. The subjects of this study were patients with diabetes mellitus who visited the Puskesmas Bernung, Pesawaran in 2020. The instruments used were a family support questionnaire sheet, a control compliance questionnaire, a nurse role questionnaire. Statistical test used chi square test. The results obtained are that there is a relationship between family support and the role of nurses with compliance with blood sugar control in Diabetes Mellitus type II patients at Puskesmas Bernung, Pesawaran in 2020 with p-value = 0.002 (family support) and p-value = 0.001 (Nurse role) . It is expected to motivate and support families with high blood sugar levels to comply with the rules for controlling blood sugar levels so that it can have a positive impact on family members with diabetes mellitus.

Edukasi Pengolahan Ubi Jalar Ungu dalam Upaya Penurunan Kadar Gula Darah pada Penderita Diabetes Mellitus

Diabetes mellitus is a metabolic disorder in which the pancreas does not produce enough insulin and is characterized by hyperglycemia. Tests to diagnose diabetes include fasting blood sugar (FBS), random blood sugar (RBS) , blood sugar 2 hours after eating (GD2PP) and glycated hemoglobin (HbA1C). Purple sweet potato is a non-pharmacological therapy that has a high fiber content, low glycemic index carbohydrates. Dietary foods containing antioxidants, including anthocyanins, can protect pancreatic β-cells from glucose-induced oxidative stress. Administration of purple sweet potato extract can protect pancreatic β-cells from the harmful effects of free radicals. Study shows that purple sweet potato have different glucose level according to how the sweet potato being processed which is boiled, steamed, grilled and fried purple sweet potato, namely 3.30%, 4.92%, 7.72%, and 7.36%, respectively. So it can be concluded that the lowest glucose content was obtained from the boiled purple sweet potato sample. Anthocyanins that found in purple sweet potatoes (Ipomoea batatas poiret) contain substances that can control blood sugar levels, thus preventing insulin resistance in people with diabetes mellitus. The purpose of this program for the resident of Kavling Senjulung RT 02 RW 09 is to know about non-pharmacological prevention of diabetes and start applying it to control blood sugar for people with diabetes mellitus. The implementation method was carried out by providing education related to purple sweet potato processing and demonstrating how to process it and perform medical examination including blood pressure and random blood sugar (RBS) .