ANKLE-BRACHIAL INDEX, FASTING BLOOD GLUCOSE, AND BMI SCORES AS PREVENTION AND MANAGEMENT OF THE RISK OF DIABETES MELLITUS COMPLICATIONS

Authors

  • Puspita Mardika Sari Universitas Respati Yogyakarta
  • Adi Sucipto Universitas Respati Yogyakarta
  • Listyana Natalia Retnaningsih Universitas Respati Yogyakarta
  • Sulis Mukaryanah Widarti Perawat Praktek Mandiri, Rumah Bunda
  • Dwi Asih Rohmawati RSUP Dr. Sardjito
  • Siti Nurdjanah RSUP Dr. Sardjito
  • Akhmad Surya Kuncara Universitas Respati Yogyakarta
  • Anggun Febiyanita Universitas Respati Yogyakarta

DOI:

https://doi.org/10.21111/dnj.v8i2.11492

Keywords:

Screening, prevention, blood sugar, ABI, diabetes

Abstract

Background: Diabetes has become an important health problem in the world, with prevalence rates increasing throughout the world. Uncontrolled diabetes can have various negative impacts, mainly increasing risk of complications as well as neuropathy and circulation disorders, which can cause various health problems, including diabetic foot wounds and the risk of amputation. Controlling blood sugar levels is one strategy to prevent the risk of complications. Health screening and monitoring can help in preventing and managing complications of uncontrolled diabetes. Purpose: The aim of this study was to determine the ankle-brachial index (ABI), spontaneous blood sugar levels (GDS), and body mass index (BMI) scores to prevent complications risk of Diabetes Mellitus in people through a health screening program. Method: This research was a cross-sectional approach with an observational design. It was conducted in June 2023 at Posbindu Ngrame, Tamantirto subdistrict, Kasihan district, Bantul regency, Yogyakarta province. The number of respondents in the study were 75 people who were taken by accidental sampling technique. Instruments used for data collection includes ABI questionare, microtoice and body scale for measure IMT, and glucose meter for GDS.  Results: This study showed that (90.7%) of respondents were female, in the elderly category (41.3%), had primary school education (40%), and were housewives (50.7%). GDS levels were mostly normal (78.7%), BMI category 1 (41.3%), and ABI values were normal category (89.3%). Conclusion: The description of the risks and complications of DM based on GDS and ABI values is mostly normal, while based on BMI values, most are in the 1st-degree obese category.

References

Arania, R. et al. 2021. Hubungan Antara Usia, Jenis Kelamin, Dan Tingkat Pendidikan Dengan Kejadian Diabetes Mellitus Di Klinik Mardi Waluyo Lampung Tengah’, Jurnal Medika Malahayati, 5(3), pp. 146–153. doi: 10.33024/jmm.v5i3.4200.

Armstrong, D. G., Boulton, A. J. M., & Bus, S. A. 2017. Diabetic foot ulcers and their recurrence.’, New England Journal of Medicine, 376(24), 2.

Artikaria, W. and Machmudah, M. .2022. Peningkatan Ankle Brachial Index Pada Pasien Diabetes Mellitus Tipe 2 yang Dilakukan Senam Kaki Diabetes’, Ners Muda, 3(2). doi: 10.26714/nm.v3i2.9401.

Azizah, N. 2020. Hubungan Indeks Massa Tubuh Dengan Kadar Gula Darah Puasa Pasien Rawat Jalan Diabetes Melitus Tipe 2 Di Rsup Dr. Wahidin Sudirohusodo Makassar Periode Januari-Desember 2018’, Khazanah: Jurnal Mahasiswa, 12(1), pp. 25–32. doi: 10.20885/khazanah.vol12.iss1.ar

Babaei, M. R. et al. 2020. Non-invasive vascular assessment in people with type 2 diabetes: Diagnostic performance of Plethysmographic-and-Doppler derived ankle brachial index, toe brachial index, and pulse volume wave analysis for detection of peripheral arterial disease’, Primary Care Diabetes. Elsevier, 14(3), pp. 282–289. doi: 10.1016/J.PCD.2019.09.005.

Beulens, J. W. J. et al. 2019. Risk and management of pre-diabetes’, European Journal of Preventive Cardiology, 26(2_suppl), pp. 47–54.

Cahyono, T. D. and Purwanti, O. S. .2019. Hubungan Antara Lama Menderita Diabetes Dengan Nilai Ankle Brachial Index’, Jurnal Berita Ilmu Keperawatan, 12(2), pp. 65–71. doi: 10.23917/bik.v12i2.9803.

Ciarambino, T. et al. 2022. Influence of Gender in Diabetes Mellitus and Its Complication’, International Journal of Molecular Sciences, 23(16), pp. 1–13. doi: 10.3390/ijms23168850.

Fermín-Martínez, C. A. et al. 2024 ‘Prediabetes as a risk factor for all-cause and cause-specific mortality: a prospective analysis of 115,919 adults without diabetes in Mexico City’, medRxiv. Cold Spring Harbor Laboratory Preprints. doi: 10.1101/2024.04.15.24305840.

Guo, X. et al. 2017. Associations of fasting blood glucose with influencing factors in Northeast China: A quantile regression analysis’, International Journal of Environmental Research and Public Health, 14(11). Available at: https://doi.org/10.3390/ijerph14111368.

Hartono, B. and Fitriani, F. 2019 ‘Hubungan Indeks Massa Tubuh dengan Diabetes Melitus Tipe 2 di RSUD Dr. Adjidarmo Rangkasbitung Tahun 2016’, Jurnal Kedokteran Meditek, 24(68), pp. 14–19. doi: 10.36452/jkdoktmeditek.v24i68.1697.

IDF. 2019. IDF Diabetes Atlas, Ninth edition. Brussels, Belgium: International Diabetes Federation.

Imelda, S. I. 2019. Faktor-Faktor Yang Mempengaruhi Terjadinya diabetes Melitus di Puskesmas Harapan Raya Tahun 2018’, Scientia Journal, 8(1), pp. 28–39. doi: 10.35141/scj.v8i1.406.

Kartikadewi, A. et al. 2022. Ankle Brachial Index pada Penderita Diabetes dan Non Diabetes, dan Hubungannya dengan Aktivitas Fisik dan Perilaku Merokok’, Jurnal Kedokteran dan Kesehatan, 18(1), p. 57.

Kemenkes 2018. Main results of RISKESDAS 2018’. Kementerian Kesehatan Badan Penelitian dan Pengembangan Kesehatan.

Mahdiah, Hadi, H. and Susetyowati .2023. Prevalensi obesitas dan hubungan konsumsi fast food dengan kejadian obesitas pada remaja SLTP kota dan desa di Daerah Istimewa Yogyakarta’, Jurnal Gizi Klinik Indonesia, 1(2), pp. 69–77.

Muna Lubis, S. A. et al. 2023 Faktor-Faktor yang Berhubungan dengan Kejadian Diabetes Melitus (DM) di Desa Kubah Sentang Kecamatan Pantai Labu’, Jurnal Ilmiah Universitas Batanghari Jambi, 23(2), p. 2061. doi: 10.33087/jiubj.v23i2.2968.

Nine Luthansa, D. P. 2017. Hubungan Antaraindeks Massa Tubuh Dengan Kejadian Diabetes Melitus Pada Penduduk Dewasadi Indonesia (Analisis Data Indonesia Family Life Survey Gelombang Ke-5)’, Tesis. Univesitas Gadjahmada.

Prayoga, N. D., Sulistyarini, T. and Kristanti, E. E. 2018. Motivasi Penatalaksanaan Empat Pilar Diabetes Mellitus Pada Pasien Dengan Diabetes Mellitus’, Jurnal Penelitian Keperawatan, 4(2). doi: 10.32660/jurnal.v4i2.327.

Putri, M. G., Nugroho, H. and Adi, M. S. 2022. Hubungan Indeks Massa Tubuh dan Tingkat Aktivitas Fisik dengan Kontrol Glikemik Diabetes Melitus Tipe 2’, Jurnal Epidemiologi Kesehatan Komunitas, 7(1), pp. 341–350. doi: 10.14710/jekk.v7i1.6791.

Rahmawati, R. 2021. Hubungan Usia , Jenis Kelamin dan Hipertensi dengan Kejadian Diabetes Mellitus Tipe 2 di Puskesmas Tugu Kecamatan Cimanggis Kota Depok The Relationship Between Age , Sex And Hypertension With The Incidence Of Type 2 Diabetes Mellitus In Tugu Public Health’, 6, pp. 15–22.

Resti Arania, Tusy Triwahyuni, Toni Prasetya, S. D. C. 2021. ‘Hubungan Antara Pekerjaan Dan Aktivitas Fisik Dengan Kejadian Diabetes Mellitus Di Klinik Mardi Waluyo Kabupaten Lampung Tengah, Jurnal Medika Malahayati, 5(September), pp. 163–169. doi: 10.33024/jmm.v5i3.4110.

Riaz, F. et al. 2021. Factors related to the uncontrolled fasting blood sugar among type 2 diabetic patients attending primary health care center, Abha city, Saudi Arabia, International Journal of Clinical Practice, 75(7). https://doi.org/10.1111/ijcp.14168.

Riskesdas, K. 2018. Hasil Utama Riset Kesehatan Dasar (RISKESDAS). Kementerian Kesehatan

Rosita, R. et al. 2022. Hubungan Antara Jenis Kelamin, Umur, Dan Aktivitas Fisik Dengan Diabetes Melitus Tipe 2 Pada Lansia Di Puskesmas Balaraja Kabupaten Tangerang’, Jurnal Kesehatan Masyarakat (Undip), 10(3), pp. 364–371.

Saputri, A. W., Insan, S. and Medika, C. 2019. Uji Antimikroba Ektrak Daun Salam (Syzygium Polyanthum) Terhadap Pertumbuhan Bakteri Escherichia coli’, Jurnal Insan Cendekia, 6(2, Septemb), pp. 67–73. Available at: https://digilib.itskesicme.ac.id/ojs/index.php/jic/article/view/539 (Accessed: 5 April 2023).

Sartore, G. et al. 2023. The ankle-brachial index for assessing the prevalence of peripheral artery disease and cardiovascular risk in patients with type 2 diabetes mellitus, Nutrition, Metabolism and Cardiovascular Diseases. Elsevier, 33(3), pp. 560–567.

Teli, M., Thato, R. and Rias, Y. A. (2023) ‘Predicting Factors of Health-Related Quality of Life Among Adults With Type 2 Diabetes: A Systematic Review’, SAGE Open Nursing. SAGE Publications Inc., 9.

Widiastuti, N. H. 2019. Faktor Risiko Yang Mempengaruhi Terjadinya Resistensi Insulin Pada Wanita Lansia 58-65 Tahun Di Komunitas Lansia Restu RSUD Dr Soetomo Surabaya, Tesis. Surabaya.

Aboyans, V. et al. 2012. Measurement and interpretation of the Ankle-Brachial Index: A scientific statement from the American Heart Association’, Circulation, 126(24), pp. 2890–2909.

Balitbangkes 2018. Laporan Riskesdas 2018 Nasional.pdf, Lembaga Penerbit Balitbangkes.

Lim, J.U. et al. 2017. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients’, International Journal of COPD, 12, pp. 2465–2475.

Sliwinska-Mosson, M. and Milnerowicz, H. 2017. The impact of smoking on the development of diabetes and its complications, Diabetes and Vascular Disease Research, 14(4), pp. 265–276.

Soelistijo, S. 2021. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021, Global Initiative for Asthma. Available at: www.ginasthma.org.

Downloads

Published

2024-11-07