ORIGINAL ARTICLE

Diabetes mellitus control among elderly patients at geriatric polyclinic of Karangasem District Hospital, Bali, Indonesia: a preliminary study

Ni Made Ayu Dwipayanti, I Wayan Nariata, I Gusti Putu Suka Aryana

Ni Made Ayu Dwipayanti
Internal Medicine Medical Staff, Karangasem District Hospital, Bali Indonesia

I Wayan Nariata
Internal Medicine Medical Staff, Karangasem District Hospital, Bali Indonesia

I Gusti Putu Suka Aryana
Geriatric Consultant of Internal Medicine Departement, Faculty of Medicine, Udayana University, Sanglah Hospital, Bali Indonesia. Email: [email protected]
Online First: April 01, 2020 | Cite this Article
Dwipayanti, N., Nariata, I., Aryana, I. 2020. Diabetes mellitus control among elderly patients at geriatric polyclinic of Karangasem District Hospital, Bali, Indonesia: a preliminary study. Bali Medical Journal 9(1): 172-178. DOI:10.15562/bmj.v9i1.1664


Background: The increasing number of elderly populations also increases the number of chronic degenerative diseases, including diabetes mellitus (DM). Therefore, diabetes control is needed to prevent various complications and improve the health quality of the elderly patient. This study aims to obtain preliminary information about diabetes control in elderly patients in the geriatric clinic of Karangasem District Hospital to provide appropriate management to improve diabetes control.Method: This research is a cross-sectional study and consecutive sampling of 46 DM patients who seek treatment at the geriatric clinic of Karangasem District Hospital in the period May-July 2019. Inclusion criteria were DM patients aged ≥60 years. We exclude diabetes person with acute infection and end-stage renal disease. The criteria for DM control used in this study is body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting plasma glucose (FPG), postprandial glucose (PPG), and HbA1c levels. Data were analyzed using SPSS version 25 for Windows and depicted descriptively. Results: Among 46 samples, there were 23 (50.0%) male and 23 (50.0%) female enrolled in this study. We find median of each, BMI was 23.2856 kg/m2, SBP 120 mmHg, DBP 70mmHg, 153.5 mg/dl for FPG, 238 mg/dl for PPG, and 7.8% for HbA1c. In this study, patients who met target of diabetes control is 34.8% for BMI, 53.8% for SBP, 76.9% for DBP, 43.5% for FPG, 17.4% PPG, and 28.3 % for HbA1c levels. Conclusion: In this study, it was found that DM control in elderly patients in our Hospital is not optimal on the parameters of BMI, SBP, DBP, FPG, PPG, and HbA1c levels. Better results were obtained in systolic and diastolic blood pressure control.

References

Directorate of BPS Population Statistics. Projection of Indonesian Population. Central Bureau of Statistics. 2013;26-34

Manullang EV. The overview of Elderly Health in Indonesia. Indonesian Ministry of Health Information Data Center. 2013;1:1-18.

Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults. Diab care. 2012;35(12):2650-64.

Kocurek B. Promoting Medication Adherence in Older Adults and the Rest of Us. Diabetes Spectr. 2019;22(2):80–4.

Soelistijo SA, Novinda H, Rudijanto A. Konsensus Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2015. Jakarta: PB. PERKENI. 2015.

American Diabetes Association. Standards of Medical Care in Diabetes-2008. Diabetes Care. 2008; 31 Suppl 1:S12-S54.

Hayes AJ1, Leal J, Gray AM, Holman RR, Clarke PM. UKPDS outcomes model 2: a new version of a model to simulate lifetime health outcomes of patients with type 2 diabetes mellitus using data from the 30 year United Kingdom Prospective Diabetes Study: UKPDS 82. Diabetologia. 2013;56(9):1925-33.

American Diabetes Association. Comprehensive medical evaluation and assessment of comorbidities: Standards of Medical Care in Diabetes 2019. Diabetes Care 2019;42(Suppl 1):S34–S45

Soewondo P, Soegondo S, Suastika K, Pranoto A, Soeatmadji DW, Tjokroprawito A. The DiabCare Asia 2008 study–outcomes on control and complications of type 2 diabetic patients in Indonesia. Med J Indones. 2010;19(4):235–44.

Cholil AR, Lindarto D, Pemayun TGD, Wisnu W, Kumala P, Puteri HHS. The DiabCare Asia 2012: diabetes management, control, and complications in patients with type 2 diabetes in Indonesia. Med J Indones. 2019;28:47–56

Ludirdja JS, Kencana J, Kurniawan K, Adnyana MP, Aryana IGPS. Rerata Durasi Penderita Diabetes Melitus Terkena Nefropati Diabetik Sejak Terdiagnosis Diabetes Melitus pada Pasien di Poliklinik Geriatri RSUP Sanglah. IPTEKMA. 2010; 2(1):15-19.

Pardede TE, Rosdiana D, Christianto E. Gambaran Pengendalian Diabetes Melitus Berdasarkan Parameter Indeks Massa Tubuh dan Tekanan Darah di Poli Rawat Jalan Penyakit Dalam RSUD Arifin Achmad Pekanbaru. JOM FK. 2017;4(1):1-14

Eckel RH, Khan SE. Ferrannini E, Goldfine AB, Nathan DM, Schwartz MW, et al. Obesity and type 2 diabetes: what can be unified and what needs to be individualized? J Clin Endocrinol Metab. 2011;96(6):1654-63.

American Diabetes Association. Obesity management for the treatment of type 2 diabetes. Section 7. In Standards of Medical Care in Diabetes Diabetes Care. 2017;40(Suppl. 1):S57–S63

Lean ME, Powrie JK, Anderson AS, Garthwaite PH.. Obesity, weight loss and prognosis in type 2 diabetes. Diabet Med. 1990;7(3):228–33.

McTigue KM, Hess R, Ziouras J. Obesity in older adults: a systematic review of the evidence for diagnosis and treatment. Obesity. 2006;14(9):1485–97.

Hamman RF, Wing RR, Edelstein SL, Lachin JM, Bray GA, Delahanty L, et al. Effect of weight loss with lifestyle intervention on risk of diabetes. Diabetes Care. 2006;29(9):2102–7.

American Diabetes Association. Older Adult: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019;42(Suppl. 1):S139–S147

Artha IMJR, Bhargah A, Dharmawan NK, Pande UW, Triyana KA, Mahariski PA, et al. High level of individual lipid profile and lipid ratio as a predictive marker of poor glycemic control in type-2 diabetes mellitus. Vasc Health Risk Manag. 2019;15:149–157.


No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0