The Relationship Between HBA1C Levels and Diabetic Complications in Patients with Type II Diabetes Mellitus at RSU Royal Prima Medan
Abstract
North Sumatra is home to a considerable population of Diabetes Mellitus (DM) patients, specifically individuals aged 15 years and above, totaling 49,572. Among the cities in the province, Medan stands out with the highest prevalence of Type II DM patients. The data indicates that in 2018 alone, the number of DM patients in Medan reached 7,826, solidifying its status as the primary contributor to the overall prevalence of DM in North Sumatra. The focal point of this research is to assess the understanding of the connection between HbA1c levels and complications in Type II Diabetes Mellitus patients, particularly those receiving care at Royal Prima Hospital in Medan. Employing a cross-sectional research design, the study involved 85 participants selected through purposive sampling, and data analysis was conducted using SPSS software. The study's outcomes highlight a significant relationship between HbA1c levels and complications in Type II Diabetes Mellitus patients at Royal Prima Hospital in Medan. This association is substantiated by the chi-square test results, yielding a p-value of 0.000, which is less than the significance threshold of 0.05. This statistical significance implies a robust and noteworthy correlation between HbA1c levels and the occurrence of complications in patients with Type II Diabetes Mellitus at the mentioned hospital.
References
Aisyah, R.P. and Wahyono, B., 2021. Mutu Pelayanan Kesehatan Setelah Persalinan Yang Berhubungan Dengan Kepuasan Pelayanan Ibu Nifas. Indonesian Journal of Public Health and Nutrition, 1(2), pp.282-290.
Allorerung, D.L., Sekeon, S.A.S. and Joseph, W.B.S., 2016. Hubungan antara umur, jenis kelamin dan tingkat pendidikan dengan kejadian Diabetes Melitus tipe 2 di Puskesmas Ranotana Kota Manado. Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi Manado, Jurnal ilmiah.
Boulton, A.J., 2019. The diabetic foot. Medicine, 47(2), pp.100-105.
Corina. 2018. Profil Komplikasi Kronis Pada Pasien Diabetes Melitus Tipe II Di Poli Endokrin RSUD Dr. Soetomo Periode juli-september 2017 (doctoral dissertation, Fakultas Kedokteran).
Gopinath, B., Prasad, S.M., Jayarama, N. and Prabhakara, K., 2013. Study of factors associated with poor glycemic control in Type-2 Diabetic patients. Global journal of Medicine and public health, 2(2), pp.1-5.
Hanniya, R.M., Akbar, M.R. and Nurhayati, E., 2017. Hubungan kadar hba1c dengan komplikasi makrovaskular pada pasien diabetes mellitus tipe 2. Prosiding Pendidikan Dokter, pp.46-52.
Hardianto, D., 2020. Telaah Komprehensif Diabetes Melitus: Klasifikasi, Gejala, Diagnosis, Pencegahan, Dan Pengobatan: A Comprehensive Review of Diabetes Mellitus: Classification, Symptoms, Diagnosis, Prevention, and Treatment. Jurnal Bioteknologi & Biosains Indonesia (JBBI), 7(2), pp.304-317.
Haryati, A.I. and Tyas, T.A.W., 2022. Perbandingan Kadar HbA1c pada Pasien Diabetes Melitus Tipe 2 yang Disertai Hipertensi dan Tanpa Hipertensi di Rumah Sakit Umum Daerah Duri, Mandau, Bengkalis, Riau. Jurnal Kedokteran dan Kesehatan, 18(1), pp.33-40.
Nicholas, J., Charlton, J., Dregan, A. and Gulliford, M.C., 2013. Recent HbA1c values and mortality risk in type 2 diabetes. population-based case-control study. PLoS One, 8(7), p.e68008.
Oktavia, S., Budiati, E., Masra, F., Rahayu, D. and Setiaji, B., 2022. Faktor-faktor Sosial Demografi yang Berhubungan dengan Kejadian Diabetes Melitus Tipe 2. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 12(4), pp.1039-1052.
Perkeni., 2019. Pedoman Pengelolaan dan Pencegahan DM Tipe 2 Dewasa di Indonesia. Jakarta: PB Perkeni; 2019
Prasetyani, D. and Sodikin, S., 2017. Analisis Faktor Yang Mempengaruhi Kejadian Dm Melitus (Dm) Tipe 2. Jurnal Kesehatan Al-Irsyad, pp.1-9.
Putra, I.G.A.P., Budhitresna, A.A.G. and Astini, S., 2023. Hubungan Kadar Hb-A1c (Glikosilasi Hemoglobin) dengan Komplikasi Makrovaskular pada Penderita Diabetes Melitus tipe 2 di RSUD Sanjiwani Gianyar. AMJ (Aesculapius Medical Journal), 3(1), pp.37-42.
Rahmania, P., 2023. Hubungan Persentase Visceral Fat Dengan Kejadian Diabetes Melitus tipe 2 Di Rumah Sakit Umum Haji Medan (Doctoral dissertation).
Ratnasari, P.M.D., Andayani, T.M. and Endarti, D., 2019. Analisis Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Berdasarkan Pola Peresepan Antidiabetik dan Komplikasi. Jurnal Manajemen dan Pelayanan Farmasi, 9(4), p.260.
Rita, N., 2018. Hubungan Jenis Kelamin, Olah Raga Dan Obesitas Dengan Kejadian Diabetes Mellitus Pada Lansia. Jik-Jurnal Ilmu Kesehatan, 2(1), pp.93-100.
Samanta, S., 2021. Glycated hemoglobin and subsequent risk of microvascular and macrovascular complications. Indian Journal of Medical Sciences, 73(2), pp.230-238.
Setiyorini, E., Wulandari, N.A. and Efyuwinta, A., 2018. Hubungan kadar gula darah dengan tekanan darah pada lansia penderita Diabetes Tipe 2. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 5(2), pp.163-171.
Sugandha, P.U. and Lestari, A.W., 2015. Gambaran pengendalian kadar gula darah dan HbA1c pada pasien diabetes Melitus Tipe 2 yang dirawat di RSUP Sanglah Periode Januari-Mei 2014. Program Studi Pendidikan Dokter, Fakultas Kedokteran Universitas Udayana Bagian Patologi Klinik FK Universitas Udayana/RSUP Sanglah Denpasar.
Utomo, M.R., Wungouw, H. and Marunduh, S., 2015. Kadar Hba1C Pada Pasien Diabetes Melitus Tipe 2 Di Puskesmas Bahu Kecamatan Malalayang Kota Manado. eBiomedik, 3(1).
Wulandari, I.A.T., Herawati, S. and Wande, I.N., 2020. Gambaran kadar hba1c pada pasien diabetes melitus tipe ii di rsup sanglah periode juli-desember 2017. Jurnal medika udayana, 9(1), pp.71-75.
Zheng, Y., Ley, S.H. and Hu, F.B., 2018. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nature reviews endocrinology, 14(2), pp.88-98.
