Diabetes Mellitus Sufferers Research Articles

Prevalence of Hypertension in Type 2 Diabetes Mellitus in the Working Area of Jatibaru Community Health Center in 2023

The World Health Organization (WHO) predicts an increase in the number of diabetes mellitus sufferers in Indonesia from 8.4 million people in 2000 to around 21.3 million people in 2030. The prevalence of type 2 diabetes increases with age and changes in unhealthy lifestyles. Several studies show that the incidence of hyperglycemia in diabetes is closely related to hypertension. According to the American Diabetes Association (ADA) 2017, two out of three people with diabetes have high blood pressure. At the Jatibaru Community Health Center, based on 2023 data, it is known that hypertension and diabetes are always included in the data on the 10 most common diseases every month. Based on this background and related to the incidence of Hypertension and type 2 diabetes mellitus is still relatively high, so researchers are interested to knowing the picture hypertension in type 2 diabetes mellitus in the Jatibaru. This research is a descriptive study with a cross-sectional approach using secondary data taken from Non-Communicable Disease data. The population in this study were all adult and elderly respondents registered in the non-communicable disease program register, who based on anamnesis, physical and laboratory examination, were diagnosed with type 2 diabetes mellitus and hypertension. The sample was taken by purposive sampling. In this research, it was found that people with hypertension and diabetes mellitus were found in all adult and elderly age categories. The distribution of hypertension and type 2 diabetes mellitus patients continues to increase with increasing age, the prevalence of sufferers being more female than male. As many as 65% of the total type 2 diabetes mellitus sufferers also experience hypertension.

Asuhan Keperawatan pada Ny.D dengan Gangguan Sistem Endokrin: Diabetes Melitus di Ruang Kemuning RSUD dr. Soeselo Kabupaten Tegal

Diabetes mellitus, also called diabetes, is a serious disease caused by the inability of the pancreas to produce insulin effectively, leading to an increase in blood glucose. In recent years, the number of diabetes cases has increased (Masturoh & Anggita, 2018). According to WHO data, Indonesia occupies 7th position in the world with 10 million people suffering from diabetes and it is estimated that there will be 21.3 million people in 2021. Because it is the only country in Southeast Asia with the highest number of diabetes mellitus sufferers, Indonesia contributing to the increasing prevalence of diabetes in Southeast Asia (Anisah et al., 2023). The purpose of this writing is to find out and provide nursing care to Mrs. D with endocrine system disorders: diabetes mellitus in the kemuning ward of RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The method used is descriptive and data collection methods. From case observation, it was found that the main complaint was weakness. There were three diagnoses found, namely instability of blood glucose levels, acute pain and knowledge deficit. Interventions are structured based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

Study of Differences in Blood Sugar Levels of Diabetes Mellitus Patients Who Consume Rice Cooked with the Rice Cooker Method and The Steaming Method

The 2023 Indonesian Health Survey Report issued by the Ministry of Health revealed that there was an increase in the prevalence of diabetes mellitus (DM) in the population aged over 15 years based on the results of blood sugar level measurements. In the 2018 Basic Health Research, it was recorded that the prevalence of diabetes in Indonesia reached 10.9%. Now, the prevalence has reached 11.7% in 2023. The Aceh Health Office recorded that sufferers of Diabetes Mellitus until early 2023 reached 154,889 cases. The purpose of this study is to find out the difference in blood sugar levels in people with diabetes mellitus who consume rice after cooking with the rice cooker method and with the steaming method. This quantitative analytical research uses a cross-sectional study design. The population of the study was all people with diabetes mellitus at the Calang Health Center, Aceh Jaya Regency, totaling 50 people. Data collection was carried out from January 15 to March 15, 2024 using nonprobability sampling techniques. This study also took direct data by looking at the sugar content of the respondents by eating rice cooked by the rice cooker method and 1 month later by measuring the sugar content of the respondents consuming rice by cooking the rice by steaming. Data were analyzed using univariate, bivariate and multivariate statistical tests. The results of the study showed that factors related to blood sugar levels in DM patients were gender, age, education, occupation, income, physical activity, nutritional status, smoking behavior, and family history of diabetes. The factors most related to increased blood sugar levels in diabetes mellitus patients were steaming with OR=7.47, use of a rice cooker of 11.2 and family history of diabetes mellitus of 7.50. It is expected that respondents will control their blood sugar levels, so that DM sufferers and their families will cook rice using the steaming method, and control other risk factors that can cause high blood sugar levels.

In Vitro Alpha-Glucosidase Inhibitory Effect of Etlingera Elatior Ethanol Extract Growing in Gayo Highland, Aceh Province, Indonesia.

The prevalence of diabetes mellitus (DM) is increasing overtime, potentially leading to various severe health complications and mortality. Despite therapeutic agents have currently been developed, unexpected adverse effects are inevitable. Hence, safe and effective medications such as those of plant origin are critical to prevent unexpected complication in DM sufferers. Etlingera elatior has been widely used as spice and traditional medicine to treat diabetes in Aceh Province, Indonesia. However, study regarding α-glucosidase inhibitory effect of E. elatior growing in Gayo highlands, Aceh, Indonesia, is completely lacking. The aim of this study was to evaluate in vitro α-glucosidase inhibitory effect of E. elatior ethanol extracts (EEEE) growing in Gayo highlands, Aceh Province, Indonesia. Antioxidant activity was determined using DPPH procedure, whereas α-glucosidase inhibition assay was carried out using spectrophotometric method. Data analysis was performed using One-Way Analysis of Variance (ANOVA), followed by Duncan's multiple range test at α=0.05. Phytochemical analysis revealed the presence of total phenolic (TPC), total flavonoid (TFC), and total tannin (TTC) content in all E. elatior plant parts, in which the highest TPC was found in the stem (158.38 GAE/g), whereas the highest TFC and TTC was obtained in the rhizome extracts. The extract of fruit showed the strongest antioxidant activities, followed by the stem and leaf, with IC 50 of 2.381 μg/mL, 6.966 μg/mL, and 19.365 μg/mL, respectively. All E. elatior extracts revealed a significant inhibitory activity against α-glucosidase at the concentration of 500 μg/mL, in which the stem extract showed the most effective α-glucosidase inhibitory effect with IC 50 value of 5.15 μg/mL, suggesting its promising potential as antidiabetic agent. This study highlights E. elatior potency as a novel source of antioxidant and natural antidiabetic compounds that are useful for the prevention and treatment of diabetes.

The Effect of Aerobic Exercise Frequency on Reducing Blood Glucose in Type 2 Diabetes Mellitus Sufferers in the Lingsar Health Center Working Area in 2024

One of the keys to a person suffering from diabetes mellitus being able to live a healthy life like other people without diabetes is to maintain balanced blood glucose levels within normal limits. One important way to reduce blood glucose levels, especially in type 2 DM sufferers, is exercise. This study aims to identify the effect of aerobic exercise, on changes in blood glucose levels. This research is a pre-experimental research with a one group pre-posttest approach. The research sample was 33 people suffering from type 2 DM at the Lingsar Community Health Center, selected using a simple random sampling technique. Each respondent was given aerobic exercise 3 times a week with a minimum duration of 20 minutes. Data on blood glucose levels before and after the intervention were collected using an observation sheet. The results of the study showed that the average blood glucose before the intervention was 162.2 mg/dL and after the intervention it fell to 156.14 mg/dL. The t-test with a=0.05 showed r=0.000. It can be concluded that there is an effect of aerobic exercise on the respondents' blood glucose levels. Aerobic exercise has been proven to reduce the average blood glucose level after this is done regularly. This study results can be an evidenced base for community nursing to promote regular aerobic exercise among people with DM, to help reduce or control their blood glucose.

Effectiveness of aerobic exercise intervention and butterfly pea flower tea on reducing blood glucose levels in type II diabetes mellitus patients

The aim of this research is to analyze the effectiveness of the combination of aerobic exercise and butterfly pea flower tea as a therapy for type 2 diabetes mellitus. This research uses experimental research methods with pre and post design. This research uses only one group as a sign of the existence of a comparison group. A total of 36 adult women suffering from Type II Diabetes Mellitus participated in this study. The inclusion criteria in this study were women suffering from type II diabetes mellitus. The exclusion criteria in this study were elderly women. The initial procedure in this research is preparing research administration. Next, screen respondents who are research subjects based on inclusion and exclusion criteria and fill out Informed Consent. Subjects took pre‑test data to measure blood glucose levels. Next, the intervention was carried out within 4 weeks and aerobic exercise treatment was carried out 8 times (2x/week) and butterfly pea flower tea intervention for Type II Diabetes Mellitus sufferers. Telang flower tea is packaged in the form of tea bags which already have BPOM. Subjects collected post‑test data to measure blood glucose levels. Blood glucose levels are measured using a Point Of Care Testing (POCT) device. The first statistical analysis in this research is a descriptive test to obtain the mean, standard deviation and standard error. Next, the normality test was carried out using the Shapiro‑Wilk method, if the data was normally distributed, a difference test was carried out using the paired t test, but if the data was not normally distributed then a difference test was carried out using the Wilcoxon signed rank test. The results of this study report that providing aerobic exercise and butterfly pea flower tea intervention for 4 weeks was able to significantly reduce blood glucose levels in DM sufferers. In this case, aerobic exercise and butterfly pea flower tea are categorized as effective in reducing blood glucose levels in people with type II diabetes mellitus. We hope that future research will examine the effects of exercise with varying intensity and giving butterfly pea flower tea.

Gambaran Self Efficacay pada Penderita Diabetes Mellitus Tipe 2 di Wilayah Kerja Puskesmas Banyuanyar

Diabetes Mellitus sufferers continue to increase. The percentage of patients with type 2 DM in Surakarta city is 24%, this figure exceeds the national target of 20%, with the number of patients in Surakarta as many as 18,833 cases, in Banyuanyar Health Center as many as 2,404. Type 2 DM disease that is not properly managed will lead to complications. Efforts that can be made to prevent these complications by increasing self efficacy in its management.Objective; Knowing the description of self efficacy in patients with type 2 diabetes mellitus. Method; The type of research used is descriptive research, with a total of 86 respondents using purposive sampling technique. The research instrument used the Diabetes Management Self Efficacy Scale (DMSES).Results; From the results of the study, the majority of respondents' characteristics were based on age 40-64 years (74.4%), female gender (65.1%), high school education level (37.2%), self-employed work (43.0%), long suffering from DM ≥5 years (57.0%) and sufficient self efficacy category (41.9%). Conclusion; Self efficacy of patients with Type 2 Diabetes Mellitus in the Banyuanyar Health Center working area is in the moderate category

Controlling Blood Sugar Levels with Diet in Diabetes Mellitus Sufferers: Literature Review

Wrong eating patterns in Diabetes Mellitus (DM) sufferers will cause blood sugar levels increases, so dietary factors or planning eating is very important in control blood sugar levels. Good diet​​ become component main success DM management. The purpose of study This is For know control blood sugar levels with diet in diabetes mellitus sufferers through literature study. Search journal using Google database schoolar, pubmed , conchrance and springer ago produced 3 journals For followed up. Journal analyzed using appropriate PRISMA diagrams with inclusion criteria used​ that is journal use Language English and Indonesian, using design RCT research, and published between January 2018 to June 2024 about control blood sugar levels with diet in diabetes mellitus sufferers. Proven diet capable lowering blood sugar in diabetes mellitus sufferers.

CASE STUDY OF DM GANGRENE WOUNDS WITH SKIN INTEGRITY DISORDERS

According to the World Health Organization (WHO), Indonesia is ranked 7th among the 10 countries with the highest number of sufferers, namely 10.7 million people. Complications from diabetes mellitus with diabetic gangrene rate in Indonesia is around 15%, and the amputation rate is 30%. In diabetes mellitus patients there are many nursing problems, one of which is impaired skin/tissue integrity. Diabetes mellitus is a disease caused by metabolic disorders as a result of the pancreas being unable to produce enough insulin needed by the body. A complication that often occurs in diabetes mellitus sufferers is gangrenous wounds where tissue deformity occurs either partially (Partial Thickness) or completely (Full Thickness). This study used a qualitative research design with a case study approach. The sample was 2 (two) Diabetes Mellitus patients with Gangrene Wounds with nursing problems of Skin/Tissue Integrity Disorders. The case study was carried out at Karawang District Hospital. Data collection techniques were carried out by: interviews, observation, physical examination and documentation studies. The data was analyzed narratively based on a comparison of 2 (two) patients who were processed based on the stages of the nursing process. Based on the assessment, it was found that patient 1 and patient 2 had gangreen wounds which is one of the complications that occurs in diabetes mellitus sufferers. The nursing problem that occurred was disruption of skin/tissue integrity and the implementation carried out for these two patients was wound care. The nursing problem of skin/tissue integrity disorders in both patients showed that the problem was not resolved and the intervention was continued by the nurse who was on duty in the room. Further research with another intervention and larger sample size needed to find out the best intervention for gangrene. Keywords: Diabetes Mellitus,gangrene, skin integrity

The effect of progressive muscle relaxation on stress levels and sleep quality in diabetes mellitus sufferers

The effect of progressive muscle relaxation on stress levels and sleep quality in diabetes mellitus sufferers

Hubungan Dukungan Spiritual dengan Tingkat Kecemasan pada Penderita Diabetes Mellitus Tipe 2

Diabetes mellitus (DM) is a chronic disease in which glucose levels in the blood are high because the body cannot use enough insulin. Diabetes mellitus has increased significantly both at the world and regional levels. The high incidence of DM has an impact on physical and psychological problems in DM sufferers. One of them is the impact of DM complications and anxiety. Spiritual support is a belief in a relationship with the Almighty, the Almighty Creator and spiritual support can influence the adaptive coping of someone who experiences psychological problems, one of which is anxiety. This study aims to analyze the relationship between spiritual support and anxiety levels in people with type 2 diabetes mellitus. This research design uses a cross-sectional approach. The number of samples in this study was 71 respondents with data collection techniques using purposive sampling. The statistical test used is the Spearman rank test. The results of the research show that there is a relationship between spiritual support and the level of anxiety in type 2 diabetes mellitus sufferers at the Tlogosari Wetan Community Health Center in 2024 with a significant p value = 0.001 and a correlation coefficient r value (– 0.402). It was concluded that the strength of the relationship between spiritual support and the level of anxiety is a moderate relationship, namely in the range 0.40 - 0.599 with a negative correlation direction, which means that the higher the spiritual support, the lower the level of anxiety.

PENERAPAN EDUCATION AND SUPPORT GROUP TERHADAP KUALITAS HIDUP PASIEN DIABETES MELLITUS TIPE 2 DI WILAYAH PUSKESMAS DARUL AZHAR

In Indonesia and the world, it is predicted that the number of diabetes mellitus sufferers will increase every year. Patients with diabetes mellitus not only have physical problems but also psychological problems, this is because the complications that arise, both acute and chronic, cause changes in the sufferer's quality of life. Various approaches have been taken to overcome this problem, one of which is by providing education and support groups. This research uses a pre-experimental design with a pre-post-test one-group design approach. This research was conducted in 4 meetings over 1 month with a sample size of 27 people suffering from type II diabetes mellitus. Sample selection used a purposive sampling technique. The instruments used were the Diabetes Quality of Life (DQOL) questionnaire and the education and support group module. The analysis used uses an alternative test, namely the Wilcoxon test. The research results showed that the p-value was 0.000 <0.05, so H0 was rejected and H1 was accepted. The conclusion from the results of this research is that there is an influence of education and support groups on the quality of life of type II diabetes mellitus patients.

Hubungan Genetik, Kebiasaan Merokok, dan Aktivitas Fisik dengan Kejadian Diabetes Melitus Tipe 2 pada Lansia di Wilayah Kerja Puskesmas Sikumana Tahun 2021

Diabetes mellitus is the chronic illness knows as brought on by insufficient insulin production by the pancreas. As people age and lead increasingly unhealthy lifestyle, type 2 diabetes melitus becomes more common. The prevalence of type 2 diabetes mellitus in East Nusa Tenggara is 20.599 sufferers, and almost 30% of sufferers have not received health services. Diabetes mellitus at the Sikumana Health Center is in second place, with 4.214 sufferers based on the number of visits. The aims of this research how to know the association between family history, smoking behaviors, and physical activity with the incidence of type 2 diabetes mellitus in the elderly in the Sikumana Community Health Center working area in 2021. The type of research was a quantitative study with a case control design. The case population in this study were all diabetes mellitus sufferers in aged 60-80 years and were recorded in the medical records, while the control population in this study were those who were not diabetes mellitus sufferers who were recorded in the medical records and a sample consisted of 88 people and these samples was taken using simple random sampling. Data were analyzed using a chi-square statistical test. The results showed that there was a relationship between family history (p=0.009) and physical activity (p=0.001) with the incidence of diabetes mellitus in the elderly in the working area of the Sikumana Health Center, while smoking habits (p=0.483) there is no relationship with the incidence of diabetes mellitus in the elderly in the working area of the Sikumana Health Center.

Detection of Candida albicans in Urine Patients of Diabetes Melitus using Polymerase Chain Reaction (PCR) Method

Candida albicans is a dimorphic fungus that can grow in culture as a blastopore or as pseudohyphae. Laboratory diagnosis of the Candida albincans fungus can be carried out molecularly, which aims to identify DNA in the fungus being examined and carried out by going through the initial molecular stage, namely DNA isolation. The purpose of this study was to determine whether the fungus Candida albicans was present in urine isolate samples from diabetes mellitus sufferers at the Wonosari 1 Klaten Community Health Center. The research method used is descriptive. The samples used were urine samples from diabetes mellitus sufferers at the Wonosari 1 Community Health Center. Based on the research results, data analysis and discussion in this study, it can be concluded that the Candida albicans fungus can be detected in the ITS2 region at a product length of 107bp using the Polymerase Chain Reaction (PCR) method.

PENGARUH DIABETES SELF CARE MANAGEMENT EDUCATION TERHADAP PENGETAHUAN PENDERITA DIABETES MELITUS TIPE 2 DI WILAYAH KERJA PUSKESMAS PARIAMAN

Diabetes mellitus (DM) is now growing into a global health problem, its prevalence in 2019 was 371 million cases and is predicted to increase by 55 percent to 592 million in 2035. The purpose of the study was to determine the effect of diabetes self-care management education on the knowledge of Type 2 Diabetes Mellitus sufferers in the Pariaman Health Center Work Area, Pariaman City. The type of quasi-experimental research with one group pretest posttest design. Sampling was carried out using the total sampling technique, namely 36 respondents. The data collection tool used was a questionnaire filled in by the researcher and data processing was carried out using a computerized system. The results showed that most of the respondents (61.1%) had a low level of knowledge before being given diabetes self-care management education. Almost all respondents (86.1%) experienced an increase in their knowledge after being given diabetes self-care management education. Statistical analysis showed that there was an effect of diabetes self-care management education on increasing knowledge in type 2 diabetes mellitus sufferers in the Pariaman Health Center Work Area (p-value = 0.000 <0.05). In conclusion, providing diabetes self-care management education increases the knowledge of type 2 diabetes mellitus sufferers in the Pariaman Health Center Work Area.

PEMBERIAN PENYULUHAN DAN DEMONSTRASI PERAWATAN LUKA DIABETES MELITUS

One of the potential causes of the increasing prevalence of diabetes mellitus isinjury occurs. Uncontrolled wounds will become worse and hinder the healing process. The aim of providing counseling and demonstrations on diabetes mellitus wound care to families and Diabetes Mellitus sufferers is to increase knowledge and skills that can help families and Diabetes Mellitus sufferers to care for diabetes mellitus wounds and speed up the wound healing process. Method of providing wound care at the Scania care center with counseling and demonstration. Results Providing counseling and demonstrations on wound care for diabetes mellitus patients, patients and their families can care for wounds and speed up the healing process. Conclusion: Providing counseling and demonstrating correct wound care for Diabetes Mellitus patients can increase the knowledge and skills of families and patients in caring for wounds of Diabetes Mellitus patients. Kata Kunci: Perawatan Luka, Pasien Diabetes Melitus

Hubungan Kadar HbA1c Dengan Kadar Serum Kreatinin Pada Penderita Diabetes Melitus Tipe 2 Di RSU Sinar Kasih Purwokerto

Diabetes Mellitus is a metabolic disorder caused by a decrease in insulin products in the body. The World Health Organization estimates an increase in the number of diabetes mellitus sufferers from 8.4 million in 2000 to around 21.3 million in 2030. Chronic diabetes mellitus sufferers can cause complications, one of which is kidney complications. Kidney damage can occur due to uncontrolled blood sugar levels. Complications of diabetes mellitus can be detected by examining HbA1c. HbA1c is a non-enzymatic binding of glucose molecules to hemoglobin through a post-translational glycation process. Uncontrolled HbA1c levels can cause various complications in the body.The samples used for this research were 106 samples with normal HbA1C examination results, namely 59 patients and high results, namely 47 patients. Creatinine examination with normal results was 81 patients and high results were 25 patients. The P-value from the calculation results is 0.066 higher than 0.005. Based on the results of the chi square calculation, it can be concluded that there is not a relationship between HbA1C examination and creatinine examination in type 2 diabetes mellitus patients at Sinar Kasih Hospital.

THE RELATIONSHIP OF THE INCIDENT OF DIABETES DISTRESS AND SELF CARE IN DIABETES MELLITUS PATIENTS

The disease that is often found in the community is diabetes mellitus. Diabetes mellitus is caused by metabolic disorders that occur in the pancreas organ. Diabetic patients will feel frustrated, angry, hopeless, stressed, anxious and emotional, which is called diabetes stress. Patients with diabetes will experience psychological changes including stress due to the treatment they are undergoing. This study aims to determine the relationship between diabetes distress and self care in diabetics. This type of research used is a quantitative method, with a cross sectional approach. The research instrument used was a questionnaire sheet that had been tested for validity in previous studies. The research respondents consisted of 30 diabetes mellitus patients in the inpatient room at Permata Medika Hospital, Semarang, who were taken using total sampling techniques. The test analysis method used is Rank Spearman. There is a relationship between diabetes distress and self-care in diabetes mellitus sufferers in the inpatient ward of Permata Medika Hospital, Semarang. The results of the analysis using the Spearman rank correlation test regarding diabetes distress and self-care of diabetes mellitus sufferers obtained p value = 0.000, meaning p value ≤ 0.05. The coefficient value or r value = -0.650 shows a strong relationship in the negative direction so it means the diabetes distress is getting lighter. the better the self-care behavior. Based on the results obtained, it can be concluded that there is a relationship between diabetes distress and self-care in diabetes mellitus sufferers in the inpatient ward of Permata Medika Hospital, Semarang.

IMPLEMENTASI KEBIJAKAN STANDAR PELAYANAN MINIMAL (SPM) PADA PELAYANAN KESEHATAN DIABETES MELLITUS (DM) DI PUSKESMAS BIROBULI

. This research aims to describe and explain the implementation of the SPM policy in Diabetes Mellitus (DM) health services at the Birobuli Community Health Center. This research method is a qualitative descriptive research method and data collection techniques are by means of observation, interviews and documentation. This research was conducted at the Birobuli Community Health Center using a purposive selection and selection technique for informants as many as 6 (six) people. This research uses aspects used by Donald Van Meter and Carl Van Horn, namely: 1. Policy Standards and Targets 2. Resources 3. Characteristics of Implementing Organizations 4. Communication between Implementing Organizations 5. Attitudes of Implementers 6. Social, Economic and Environmental Environments Political. Based on the results of research and discussion, standard variables and SPM policy targets for DM sufferers at the Bureaubuli Community Health Center still reached 80.13%, this figure has not yet reached the target set in Minister of Health Regulation No. 4 of 2019 because it is still hampered by the stages of data collection activities and early detection of DM sufferers. . Resource variables that do not fully support the implementation of the Diabetes Mellitus Health SPM at the Bureaubuli Community Health Center are also a factor in achieving the Health SPM target that has not reached 100%, such as human, financial and infrastructure resources that are still insufficient. The variable characteristics of implementing agents are related to the bureaucratic structure, norms and relationship patterns that are formed between policy implementers and have run well and in accordance with SOPs. Communication variables between implementers in implementing SPM policies for diabetes mellitus sufferers do not experience obstacles. The communication variable between implementers at the community health center is carried out directly because they are still in the same work area, while communication with implementers in the community is also carried out well and is supported by the use of online communication. The attitude/tendency variable of policy implementers such as the Health Service and the Bureaubuli Community Health Center gave a good response with the existence of a clear policy governing how to implement Diabetes Mellitus services in accordance with SPM Health standards. Economic, social and political environmental variables still have obstacles regarding all funding for SPM which must be accommodated with SPM. This means that in planning the Palu City regional budget, the SPM must be taken into account first in the budget planning. Apart from that, the economic capacity of the people of Palu City is also a supporting factor in the success of the Diabetes Mellitus Health SPM. Apart from that, political support is still lacking in perceived benefits in supporting DM health services that are in accordance with the SPM. The general conclusion is that the implementation of the Minimum Service Standards (SPM) policy in the Diabetes Mellitus (DM) Health Service at the Birobuli Health Center has not gone well.

Penerapan Aktivitas Fisik Jalan Kaki Terhadap Perubahan Kadar Gula Darah Sewaktu Pada Penderita Diabetes Mellitus

Diabetes mellitus is classified into a group of metabolic diseases with special characteristics of increased blood sugar levels or hyperglycemia, which is caused by abnormalities in insulin secretion or abnormalities in insulin work. Physical activity can also affect blood sugar levels, one of which is the type of physical exercise recommended for people with diabetes mellitus, walking. This research design is experimental in the form of a one group pretest-posttest design. This research was carried out by providing physical activity intervention by walking 3 times a week for 20 minutes. Based on the application of EBP, the results obtained from 3 research respondents experienced a decrease in blood glucose levels every day with different differences. This can be proven that non-pharmacological therapy using walking physical activity is effective and can be used to reduce blood glucose levels in diabetes mellitus sufferers. . It is hoped that the results of this research can provide insight to diabetes mellitus sufferers in efforts to manage diabetes mellitus with the physical activity of walking and can have implications for this.