Normal Blood Sugar Research Articles

Increasing Awareness of Diabetes Mellitus in The Elderly in Lamongan Regency Through Community Service

Purpose – The Indonesian government had a chronic disease management program, PROLANIS, targeted for diabetes and hypertension since 2010 to prevent chronic disease patients from severe complications through monitoring and control measures. The purpose of this community service was to improve the health status of diabetic patients who participate in PROLANIS in Sukodadi and Sukolilo Villages, Lamongan Regency, through analysis of blood glucose levels. Design/methodology/approach – To overcome the problems previously mentioned, community service has been proposed. This service includes educating participants about metabolic syndrome and health checks. The main aim of this educational program is to increase public awareness about diabetes mellitus. The blood examination aims to determine the prevalence of diabetes mellitus in these villages. This educational program involves direct mentoring and outreach methods, such as the creation of booklets, educational videos, and PPTs. Findings and Discussions – In Sukodadi and Sukolilo Villages, community service was organized as a response to the high prevalence of diabetes mellitus. The program included blood tests and educational sessions for participants enrolled in the PROLANIS initiative. Analysis of the data revealed that the average blood sugar level of the participants was 143.1 mg/dl, slightly above the normal blood sugar level tolerance limit of 140 mg/dl. Nevertheless, the results indicate that the blood sugar levels of the participants can be effectively managed and kept below the diabetes tolerance threshold of <200 mg/dl. Originality/value – Our community services in Sukodadi and Sukolilo Village, Lamongan Regency, showed that most elderly women with diabetes mellitus are retired. As people age, their risk of high blood glucose levels increases. Despite the average glucose level of PROLANIS participants being higher than normal, it can still be controlled. Our findings can guide the government to organize diabetes management programs and help service providers carry out prevention measures.

Pemeriksaan Tekanan Darah, Gula Darah Sewaktu, dan Kolesterol Pada Warga Pra-Lansia Hingga Lansia di Sekitar RT 01 RW 21 Kelurahan Tangkerang Tengah, Kecamatan Marpoyan Damai, Pekanbaru

The prevalence of cardiovascular disease in Indonesia continues to increase and is one of the leading causes of death. Some of the risk factors for cardiovascular disease are hypertension, dyslipidemia and diabetes mellitus. These risk factors are not only experienced by urban communities but also occur in people living in rural areas. The purpose of this activity is to determine the incidence of hypertension, diabetes mellitus and cholesterol.Data collection on cardiovascular disease risk factors was carried out by measuring blood pressure, blood sugar levels and total cholesterol levels. This activity was attended by 40 total respondents with an age range of 40-60 years, 14 men and 26 women. Data analysis showed that 72% of respondents had blood pressure above normal. Respondents with normal blood sugar were only 13%, and the rest needed further examination. Cholesterol levels in the high category were 80% and slightly high were found in 20% of respondents. The data shows that the prevalence of risk factors for cardiovascular disease is quite large in the pre-elderly and elderly community in RT 01 RW 21 Tangkerang Tengah, Marpoyan Damai District, Pekanbaru.

Meta-Analysis the Effects of Hypertension, High Density Lipoprotein, and Diabetes Mellitus on the Risk of Stroke

Background: Stroke is defined as an interruption of the blood supply to the brain which is usually caused by a blockage by a blood clot. This causes disruption of the supply of oxygen and nutrients to the brain resulting in damage to brain tissue. This study aims to analyze and estimate the effect of hypertension, high-density lipoprotein, and diabetes mellitus on the risk of stroke. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: adults. Intervention: hypertension, high-density lipoprotein, and diabetes mellitus. Comparison: normal blood pressure, normal HDL, and normal blood sugar. Outcome: strokes. The databases used were PubMed, Google Scholar, Science Direct, and Proquest with keywords (hypertension OR "diabetes mellitus" OR "high-density lipoprotein") AND stroke AND ("cross-sectional" OR "case-control") AND aOR. There were 9 Case-Control studies and 4 Cross-Sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: 13 studies from Oman, Iran, Lebanon, Ghana, Finland, Nigeria, China, Japan, and Saudi Arabia were selected for meta-analysis. Total sample was 71,037. Had history of hypertension (aOR= 5.48; 95% CI = 2.26 to 13.32; p= 0.002) and diabetes mellitus (aOR = 1.93; 95% CI= 1.45 to 2.57; p< 0.001) increased the risk of stroke. High HDL levels reduced the risk of stroke (aOR = 0.46; 95% CI = 0.27 to 0.79; p= 0.004). Conclusion: History of hypertension and diabetes mellitus increase the risk of stroke. However, high HDL levels reduce the risk of stroke. Keywords: hypertension, high-density lipoprotein, diabetes mellitus, stroke.

Effect of Combination Herbal Plants Extracts on Diabetes Mellitus

Diabetes is a non-communicable disease with metabolic dysfunction characterized by high glucose levels due to damage to pancreatic β cells so that insulin cannot be secreted normally by the body. Diabetes mellitus cannot be cured, but it can only be controlled with appropriate treatment. Most of the available synthetic antidiabetic treatments have serious side effects and are quite expensive. Therefore, traditional herbal medicine is an alternative which is used for some people in maintaining normal blood sugar levels. The use of herbal therapy with a combination of plant extracts has the potential to be more effective in lowering blood sugar when compared to single plant extracts. The aim of this article review is that to compile and provide a scientific overview of the various studies which have been conducted previously regarding the effectiveness of combinations of herbal plant extracts in diabetes mellitus. A comprehensive literature study was conducted by using various electronic search databases with the keyword “Combination of antidiabetic extracts” and 30 international research journals which were combined into review articles were obtained which shows that combinations of plant extracts proved to be more effective in lowering blood glucose levels compared to single herbal plant extracts.

Teplizumab: an FDA- approved drug, marks milestone in treatment of type 1 diabetes

Diabetes type-1 is a chronic disease characterized by immune-mediated destruction of insulin-producing beta cells in the pancreas. It progresses through distinct stages at varying rates, with stage 1 being β-cell autoimmunity with normal blood sugar, stage 2 being β-cell autoimmunity with dysglycemia, and stage 3 being symptomatic disease onset.

Prediabetes increases the risk of major limb and cardiovascular events

BackgroundPrediabetes, an intermediate stage between normal blood sugar levels and a diabetes mellitus diagnosis, is increasing in prevalence. Severe prediabetes is associated with a similar risk of complications as diabetes, but its relationship with peripheral arterial disease remains underexplored.MethodsWe conducted a retrospective cohort study involving 36,950 adult patients, utilizing electronic medical records from the National Taiwan University Hospital between 2014 and 2019. We employed multivariable Cox regression and Kaplan–Meier analysis with the log-rank test to analyze major adverse limb events (MALE) and major adverse cardiovascular events (MACE) in relation to normal glucose regulation (NGR) and prediabetes.ResultsDuring the 131,783 person-years follow-up, 17,754 cases of prediabetes and 19,196 individuals with normal glucose regulation (NGR) were identified. Kaplan–Meier analysis revealed an increased incidence of both MALE and MACE in individuals with prediabetes. (log-rank p = 0.024 and < 0.001). Prediabetes exhibited a significant association with an elevated risk of MALE (adjusted hazard ratio (aHR) 1.26 [95% CI 1.10–1.46], p = 0.001) and MACE (aHR 1.46 [1.27–1.67], p < 0.001). Furthermore, in individuals with prediabetes, the elevation in the risk of MALE commenced before HbA1c levels surpassed 5.0% (for HbA1c 5.0-5.5%: aHR 1.78 (1.04–3.04), p = 0.036; HbA1c 5.5-6.0%: aHR 1.29 [1.06–1.58], p = 0.012; aHbA1c 6.0-6.5%: aHR 1.39 [1.14–1.70], p < 0.001). Similarly, the onset of increased MACE risk was observed when HbA1c levels exceeded 5.5% (for HbA1c 5.5–6.0%: aHR 1.67 [1.39–2.01], p < 0.001; HbA1c 6.0-6.5%: HR 2.10 [1.76–2.51], p < 0.001). Factors associated with both MALE and MACE in prediabetes include advanced age, male gender, higher body mass index, and a history of heart failure or atrial fibrillation.ConclusionWe demonstrated higher susceptibility to MALE and MACE in prediabetes compared to normoglycemic counterparts, notwithstanding lower HbA1c levels. Complications may manifest at an earlier prediabetes trajectory. Intensive lifestyle modification may improve the prognosis of severe prediabetes.

Swellable colorimetric microneedles for glucose detection based on glucose oxidase-like gold nanoparticles

BackgroundRegular blood glucose monitoring is very important for diabetic patients. The composition of skin interstitial fluid (ISF) is similar to that of blood, which can be used for daily blood sugar detection and disease care. However, most methods of ISF extraction have complicated steps, may cause skin damage, and can only extract a limited amount of ISF, resulting in low detection efficiency. Therefore, it is very necessary to develop a detection method that can not only extract a large amount of ISF safely, efficiently, and conveniently, but also realize rapid detection of glucose level in ISF. ResultsHere, we developed a gold nanoparticle (AuNP)-based swellable colorimetric MN patch with minimally invasive sampling function and real-time ISF glucose analysis ability. The MN patch could quickly absorb a large amount of skin ISF, and 60.2 mg of ISF was extracted within 10 min in vitro. It was divided into two layers: the tip layer was embedded with AuNPs with glucose oxidase (GOx)-like activity, which catalyzed the oxidation of glucose extracted from ISF and produced hydrogen peroxide (H2O2); horseradish peroxidase (HRP) encapsulated in the backing layer catalyzed the oxidation of 3, 3′, 5, 5′-tetramethylbenzidine (TMB) by H2O2 to produce oxTMB, which led to a visible color shift in the backing layer. The ISF glucose level was judged by naked eyes and further quantified by color analysis with Image J software. As a result, the colorimetric MN patch successfully identified the normal blood sugar and hyperglycemia state in vivo. SignificanceThe colorimetric MN patch combined in-situ colorimetric sensing based on AuNP nanozyme with MN patch, which detected glucose level without blood drawing, increasing patients’ compliance and reducing detection steps and time. Compared with the detection methods based on natural nanozymes, our method had better stability and sensitivity to complex environments (extreme pH and high temperature, etc.) in actual detection.

The association of hyperglycemia and kidney dysfunction with cognitive impairment in community‐dwelling older adults in Taiwan

AbstractBackgroundDiabetes was considered one of the risk factors for dementia. However, one‐third of diabetic patients also suffer from kidney disease. It remains unclear the intercorrelation between blood sugar and kidney function that affects the occurrence of mild cognitive impairment for people with normal blood sugar levels. This study aimed to explore the relationship between hyperglycemia and kidney dysfunction (KD) on cognitive impairment in older adults.MethodThis is an eight‐year cohort study (2011‐2019). A total of 509 non‐demented older adults were recruited from the elderly health checkup program at baseline (2011‐2013) with three biannual follow‐ups. Global and domain‐specific (memory, attention, executive function, and language) cognition were assessed by the Taiwanese version of Montreal Cognitive Assessment (MoCA‐T) and a battery of neuropsychological tests, respectively. MCI was defined as a MoCA‐T score of 22 or 23. Hyperglycemia was defined as fasting blood glucose greater than 100 mg/dL. KD was defined as having either glomerular filtration rate &lt; 60 ml/min/1.73 m2 or proteinuria. The generalized linear mixed model was utilized to examine the effects of hyperglycemia and KD on cognitive performance.ResultThe prevalence of MCI was 9.4% at baseline. Hyperglycemia [adjusted odds ratio (aOR) = 1.91] and KD (aOR = 1.98) were significantly associated with the risk of MCI over eight years after adjusting for covariates, respectively. In addition, hyperglycemia and KD were significantly associated with poor performance of logical memory (β:‐0.51 to ‐0.01), executive function (β:‐0.25 to ‐0.003), attention (β:‐0.07 to ‐0.03), and verbal fluency (β:‐0.08 to ‐0.005). Hyperglycemia and KD was associated with an increased risk of MCI participants aged less than 75 years (aOR = 2.19–2.21) and in APOE ε4 non‐carriers (aOR = 2.02–2.15).ConclusionOur finding indicated that poor glycemic control and kidney function were associated with an increased risk of MCI or poor performance of cognitive domains in older adults. Cognitive impairment may be reversible through optimal management of glycemia and kidney disease; interventions (e.g., self‐management education, dietary restriction, and sufficient physical activity, etc.) at the early stage will be helpful to prevent dementia.

Effects Of Psidium Guajava Crude Leaf Methanol-Extract On Lowering Blood Sugar Levels In Rat

Blood sugar levels, or blood glucose levels, are crucial for overall health and are regulated by the pancreas through insulin. Normal blood sugar levels range between 70-99 mg/dL when fasting and up to 140 mg/dL two hours after eating. Abnormal blood sugar levels can suggest a variety of health issues, including hypoglycemia (low blood sugar levels caused by excess insulin, certain drugs, or illnesses such as diabetes) and hyperglycemia (high blood sugar levels associated with diabetes). Regular blood sugar monitoring is necessary, especially for diabetics. Guava, a tropical fruit, includes a variety of phytochemicals that have been linked to pharmacological benefits such as antibacterial capabilities. This research uses an extraction process involving solid-liquid extraction or maceration, with methanol being the optimal solvent. The extract yields 9.51%. Wistar rats are used to investigate its antidiabetic efficacy. The rats are divided into three groups: positive control, negative control, and extract treatment. Diabetes is induced by subcutaneous injection of Alloxan, followed by oral administration of the methanol extract. Blood glucose levels are assessed after fasting for 6-8 hours. The extract from dried Guava leaf powder yields a concentrated extract with a 9.51% yield. In vivo assessments showed a significant reduction in blood glucose levels in rats treated with guava leaf extract, suggesting potential anti-hyperglycemic effects. The phenolic compounds in guava leaves contribute to antioxidant and anti-hyperglycemic effects. The study highlights the potential therapeutic effects of guava mint leaves and their extract components for diabetes management and antioxidant health benefits.

Fiber Intake, Physical Activity, and Blood Sugar Levels in Type 2 DM Patients at Puskesmas I Denpasar Timur

Background: Diabetes Mellitus (DM) is a chronic disease that occurs when the pancreas is unable to produce insulin or when the body cannot use properly produced insulin. Normal blood sugar levels are below 200 mg/dl. The purpose of this study is to find out the correlation of fiber intake and physical activity with blood sugar levels in patients with type 2 diabetes mellitus at Public Health Center (Puskesmas) of Denpasar Timur I.&#x0D; Method: This type of study is observational using cross sectional design. This study was conducted in December 2022. The number of samples in this study was 50 people. Fiber intake data are collected using the SQ-FFQ form, physical activity data are collected using the GPAQ (Global Physical Activity Questionnaire), blood sugar levels by blood strip using a glucometer. &#x0D; Result: The data was processed with statistical analysis of Spearman Rank correlations. The results showed that 58% had sufficient fiber intake, 16% had high-category physical activity, and 42% had blood sugar levels &lt;200 mg/dl. The results showed there was a relationship between fiber intake and blood sugar levels (p&lt;0.05) and also a significant relationship of physical activity with blood sugar levels (p&lt;0.05).&#x0D; Conclusion: The final result is there was a relationship between fiber intake and blood sugar levels and also a significant relationship of physical activity with blood sugar levels.

Cognitive deficits among people with schizophrenia and prediabetes or diabetes.

Both type 2 diabetes mellitus (T2DM) and schizophrenia are known to be associated with cognitive deficits. The impact of the comorbidities of T2DM or prediabetes (PD) on cognition among people with schizophrenia has been poorly researched. We evaluated the cognitive functioning of patients with schizophrenia and PD or T2DM and compared them to patients with schizophrenia with normal blood sugar. We retrospectively collated data on cognition, fasting blood glucose (FBG), lipids and other selected demographic and clinical variables of 171 patients with schizophrenia and 16 patients with schizoaffective disorder who were admitted to an inpatient rehabilitation facility in Western Australia from 2011 to 2018. The Brief Assessment of Cognition in Schizophrenia (BACS) was used to evaluate cognitive functioning. Parametric and non-parametric analyses were used to examine the study's aims. Sixty-six percent of the patients had normal blood sugar, 25% had PD and 9% had T2DM. The BACS composite score revealed an increasing gradient of cognitive deficits, ranging from mild to severe, between the normal, PD and T2DM groups, respectively. The T2DM group had a significantly lower composite score compared with the PD (p = 0.026) and normal groups (p < 0.001). On the BACS subtests, the scores of T2DM and PD patients were similar except for the token motor task, in which the T2DM group had significantly lower scores (p < 0.001). The T2DM group also had lower scores on the subtests of BACS, except memory tests, compared with those with normal blood sugar. There was no significant difference in the composite and subtest cognitive scores between the PD and normal groups. Our study revealed more pronounced cognitive deficits among patients with schizophrenia and dysglycaemia, particularly those with T2DM, compared with those with schizophrenia with normal blood sugar.

The Prevalence of Microalbuinuria &amp; Associated Risk Factors at the Time of Diagnosis among Type 2 Diabetic Patients in Rajshahi City, Bangladesh

Background: The presence of albumin in the urine is a marker of glomerular involvement in type 2 diabetes mellitus (T2DM), depicting diabetic nephropathy. Strict glycemic control can prevent and delay the occurrence of microalbuminuria and other diabetic complications. Therefore, this study evaluated the prevalence of microalbuinuria &amp; associated risk factors at the timi e of diagnosis among type 2 diabetic patients in Rajshahi city.&#x0D; Methods: Between January 2019 and December 2019, a cross-sectional analytical study was collaboratively undertaken by the Department of Physiology at Rajshahi Medical College and the Diabetic Association Hospital in Rajshahi. Following an initial evaluation, patients underwent an oral glucose tolerance test (OGTT) for a conclusive diagnosis of DM. Subsequently, subjects were subjected to rigorous screening procedures based on specific inclusion and exclusion criteria. Study group A consisted of 80 diabetic subjects, while an equivalent number of age- and gender-matched non-diabetic individuals were recruited for study group B, with participants drawn from hospital staff, patients' relatives, and volunteers, resulting in a total of 80 participants in each group.&#x0D; Results: The study findings showed that among the healthy adult group, 85% had normal fasting blood sugar (FBS), while 15% had impaired fasting sugar (IFG). Conversely, in the diabetic group, none had normal FBS or IFG. The mean urine microalbumin level was significantly higher in the diabetic group (24.63±14.75 mg/day) compared to the control group (11.59±5.41 mg/day), indicating abnormal levels in about one-third of diabetic respondents versus none in the healthy group. Additionally, all healthy adults had normal urine spot microalbumin levels, whereas 25 diabetic respondents exceeded normal levels.&#x0D; Conclusion: Newly diagnosed diabetic patients showed higher levels of urine microalbumin compared to healthy adults, suggesting potential early markers for diabetic nephropathy. However, further large-scale prospective studies are required to confirm their clinical usefulness for routine screening.

Study of HbA1c levels in non-diabetic individuals recovered from Covid-19.

To study the glycemic control by estimating HbA1c levels among previously non-diabetic individuals aged above 40 years, who recovered from coronavirus disease 2019 (Covid-19) infection. This is an analytical cross-sectional study of people affected with Covid-19 infection, who were home-isolated, hospitalized, and discharged. The simple random sampling technique was used for the study group. Tirupati City, Andhra Pradesh State, India. We assessed socio-demographic profiles, hba1c levels, RBS, and severity of infection. The obtained laboratory reports were analyzed by using means and proportions after entering data in MS Excel and converted to SPSS software new version. The study participants comprised mostly middle age group males and females (mostly 40-60 years, with 60% of them being females). Most of the study subjects were healthy, and 58% of them have normal hba1c levels. 32% of them are in border line diabetic. The prevalence of diabetes post Covid-19 infection is 10%. The majority of participants have normal random blood sugar levels (around 92%), and very less individuals have abnormal random blood sugar levels (2% of the subjects). There is no significant association between hypertension and raised blood sugar levels post Covid-19 infection. Based on the study, Covid-19 infection has an impact on blood sugar levels and altered glycemic control, switching a few individuals into diabetic and a significant number of individuals into the pre-diabetic state, who are non-diabetic individuals before Covid-19 infection.

Identifikasi Kadar Gula Darah pada Atlet Angkat Besi Menggunakan Aplikasi Berbasis WEB

This study aims to analyze blood sugar levels in weightlifters in Jambi City using a web-based application. The method used is descriptive observational using a survey design. The research results showed that normal blood sugar levels were greater than abnormal blood sugar levels based on gender and age. In conclusion, blood sugar levels in weightlifting athletes are predominantly normal based on age and gender.&#x0D; &#x0D; Keywords: Weightlifting Athletes, Blood Glucose Levels, Web

Hubungan Perilaku Self Management Dengan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe II Di Puskesmas Sekupang Kota Batam

Diabetes mellitus is a chronic disease but can be controlled or prevented with self-management. Self-management of diabetes aims to control blood glucose levels optimally and prevent complications that arise. Activities that can be done include diet, physical activity/exercise, blood glucose control, taking medication regularly and foot care. This research aims to determine the relationship between self-management behavior and blood sugar levels in type 2 diabetes mellitus patients. This type of research is a quantitative research method with a correlative descriptive design with a cross sectional approach. Data collection used a non-probability sampling technique in the form of accidental sampling with a sample size of 36 respondents, using the chi square test. Most respondents have sufficient self-management (69.4%). Apart from that, the majority of respondents had normal blood sugar levels (97.2%). The results of the analysis test were obtained with a P value = 0.004 (&lt;0.05). It is hoped that the UPTD BLUD Sekupang Community Health Center will create a diabetes self care management program with efforts to improve blood sugar control.

Health Examination of Hypertension and Diabetes Mellitus Patients in the Chronic Disease Management Program in the Community Health Center Waru Pemekasan Working Area

Efforts to prevent and control non-communicable diseases need to be a common concern. One of the efforts made by BPJS in collaboration with existing primary services including community health centers is the chronic disease management program or PROLANIS. Most of the people who come for health checks are the elderly and elderly. To check BMI, especially height in the elderly, it is necessary to check height according to the condition of the elderly. Around 70% of people who come have previously been diagnosed with hypertension. After checking their blood pressure, some of them had their blood pressure controlled. However, this condition needs to be maintained and even improved so that those who experience hypertension can control their condition and prevent them from experiencing further complications. Likewise with those who experience DM, around 73%, but there are still some (9%) who have random high blood sugar levels. By carrying out community service with the topic of health examinations for hypertension and diabetes mellitus patients in the chronic disease management program in the Community Health Center Waru Pemekasan Work Area, it can be beneficial for all patients. The community service activities went well with assistance from the community health center. Of all those who came, around 70% had previously been diagnosed with hypertension and 73% had been diagnosed with DM. From the results of the examination, it was found that some of the hypertension sufferers had a condition where their blood pressure was controlled. Likewise with DM sufferers, some have normal blood sugar.

제 2형 당뇨병 환자의 약물 순응도 영향요인

Diabetes continues to increase due to changes in lifestyle habits such as obesity, irregular diet, and decreased physical activity along with the aging population. Moreover, diabetes is difficult to cure and has a high incidence of complications and mortality, so it is very important to increase the drug adherence to maintain normal blood sugar. therefore, this study is a cross-sectional and descriptive survay conducted to identify factor affecting drug adherence in patients with type 2 diabetes.&#x0D; This study used the Korea Medical Panel data (β-version 1.0) in 2018, and among them, 1,069 people who were taking drugs after diagnosis of type 2 diabetes. The dependent variable of the study was the presence or absence of drug adherence, and the independent variable included demographic, physical and social characteristics and drug use characteristics. Data analysis was performed using Chi-Square and Logistic Regression using SPSS/wWin 22.0. The study result that 95.3% of patients with type 2 diabetes had a 1.97 (95% CI=1.06~3.67) times higher drug adherence factors than those without spouses of demographic factors. As for the physical and social characteristics factors, the group without decision-making disabilities had a drug adherence ratio of 2.25 (95% CI=1.16~4.24) for those with decision-making disabilities. Finally, compared to the group that did not occur in the drug side effects of drug use characteristics, the group satisfied with the drug was 4.44 times higher (95% CI=2.34-8.45) and the drug adherence ratio of the moderate/ unsatisfied subjects was 17.70 (95% CI=5.72-54.76). In conclusion, in order to increase drug adherence in type 2 diabetes patients, it is necessary to increase drug satisfaction through active intervention by health and medical staff through immediate monitoring of drug side effects, as well as education and intervention.

Pemeriksaan Kadar Gula Darah Sewaktu pada Remaja di SMAN 7 Denpasar

People in urban areas tend to have unhealthy lifestyles, especially teenagers. This can trigger various diseases. Health status needs to be considered from an early age, especially paying attention to the intake of sugar in the body. Excess sugar levels in the blood are one of the causes of diabetes mellitus. Measurement of blood sugar (GDS) in adolescents of SMAN 7 Denpasar aims to screen for Diabetes Mellitus (DM) to detect this disease early. The method is done by checking the blood sugar test (GDS), weight, and height. The results of the blood sugar test in this community service activity showed that out of 50 students with a ratio of male and female percentages of 40% and 60% respectively, only 4% were identified with low blood sugar levels while the remaining 96% had normal blood sugar levels. The conclusion of the community service at SMAN 7 Denpasar is that most of the students have normal blood sugar levels.

Prevalence of Diabetes Mellitus in Myocardial Infarction Patients -An Observational Study

Abstract:&#x0D; Background: According to studies, having diabetes is a risk factor in and of itself for developing cardiovascular disease. The World Health Organization (WHO) reports that the worldwide burden of death and morbidity attributable to cardiovascular disease is increasing.&#x0D; Material &amp; Methods: The present observational research was conducted at our tertiary care institution and lasted six months, from June to November 2022. We recruited 100 AMI patients upon receipt of written informed permission.&#x0D; Results: 60% of research participants had normal blood sugar levels, 25% previously knew they had diabetes mellitus, 11% had the diagnosis identified while they were hospitalized, and 4% experienced stress-related blood sugar elevations.&#x0D; Conclusion: In addition to being a predictor of prognosis and recurrences, elevated blood sugar was connected to acute cardiovascular problems, especially in those with acute myocardial infarction.&#x0D; Keywords: Risk factors, prevalence of diabetes mellitus, and acute myocardial infarction.

Review on pharmacological therapies for management of gestational diabetes

The prevalence of Gestational Diabetes Mellitus (GDM) is increasing and is closely linked to numerous negative pregnancy outcomes. To mitigate these risks, early identification and management of GDM is critical. Treatment for GDM aims to maintain normal blood sugar levels and typically includes glucose monitoring, adjustments to diet, lifestyle changes, moderate physical activity, and medication as necessary. Insulin administration is generally the preferred choice for pharmacotherapy, but oral drugs such as metformin or glyburide may also be appropriate. Compared to glyburide, which has been linked to higher birth weight, neonatal hypoglycemia, raising the risk of shoulder dystocia, and necessitating a caesarean delivery, metformin is seen to be a safe first-line therapy. It should be emphasized that some expecting mothers choose complementary and alternative therapies, such as traditional herbal supplements and treatments. This review article will address present pharmacological options and considerations associated with treating GDM.