Case study of uncontrolled diabetes mellitus with neurodermatitis, peripheral neuropathy, and obesity type i with central obesity
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Feb 28, 2023
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Abstract
Diabetes Mellitus (DM) is a metabolic disease caused by abnormalities in the secretion of insulin, and the action of insulin, or both of them. In 2019, The International Diabetes Federation organization estimates 463 million people in the world who suffer from DM and Southeast Asia ranked third at 11.3%. While Indonesia is ranked 7th in Southeast Asia with 10.7 million patients. The prevalence of DM increased from 6% in 2013 to 8.5% in 2018. Based on Riskesdas 2018, DM disease in Banten province is amount of 1.62% (23,262). In 2021, there were 146 cases at Legok Public Health Center continuing to increase. Controlled blood sugar and risk factors for Diabetes Mellitus were conducted in Mr. F so that the complications could be prevented. Family medicine approaches with the Mandala of Health paradigm in a 49-year-old man was used for the complaints of wounds in both legs, itching since 2 years ago, headaches, fatigue, and tingling in the legs suffering from DM since November 2021. Based on the anamnesis of physical and supporting examination, the patient was diagnosed with uncontrolled DM accompanied by peripheral neuropathy, central obesity, and neurodermatitis potential diabetic ulcer. The results of the intervention showed a decrease in blood sugar, weight loss of 2 kg, complaints of itching, tingling, and wounds on both legs improved in Mr. F. Risk factors for uncontrolled blood sugar in Mr. F involved lack of knowledge, unhealthy lifestyle, lack of physical activity, non–compliance with medication and, doing control to the Health Center, financial limitations, as well as lack of support from Mr. F's family.
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How to Cite
Leovanka Onko, D., Drew, C., Risart Azzahra, P. and Justina (2023) “Case study of uncontrolled diabetes mellitus with neurodermatitis, peripheral neuropathy, and obesity type i with central obesity”, Science Midwifery, 10(6), pp. 4802-4807. doi: 10.35335/midwifery.v10i6.1077.
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Anyanwu, A., Olopade, O., Onung, S., Odeniyi, I., Coker, H., Fasanmade, O., & Ohwovoriole, A. (2020). Serum Vitamin D Levels in Persons with Type 2 Diabetes Mellitus in Lagos, Nigeria. International Journal of Diabetes and Clinical Research, 7(4). https://doi.org/10.23937/2377-3634/1410133
Dinisari, M. C. (2020). 10 Penyakit Penyebab Kematian Tertinggi di Dunia. Lifestyle.
Fadini, G. P., Morieri, M. L., Boscari, F., Fioretto, P., Maran, A., Busetto, L., Bonora, B. M., Selmin, E., Arcidiacono, G., Pinelli, S., Farnia, F., Falaguasta, D., Russo, L., Voltan, G., Mazzocut, S., Costantini, G., Ghirardini, F., Tresso, S., Cattelan, A. M., … Vettor, R. (2020). Newly-diagnosed diabetes and admission hyperglycemia predict COVID-19 severity by aggravating respiratory deterioration. Diabetes Research and Clinical Practice, 168. https://doi.org/10.1016/j.diabres.2020.108374
Grierson, L., & Vanstone, M. (2021). The rich potential for education research in family medicine and general practice. Advances in Health Sciences Education, 26(2). https://doi.org/10.1007/s10459-020-09994-7
Intan Fitriyani, R., Sukmawati, E., Arief Rantauni, D., DIII Kebidanan, P., & Serulingmas Cilacap, Stik. (2022). CASE STUDY: MIDWIFE CARE ON Mrs. E TRIMESTER III PREGNANCY, LABOR, NIFAS, NEONATUS AND FAMILY PLANNING. 3. http://ejurnal.stie-trianandra.ac.id/index.php/klinikHalamanUTAMAJurnal:http://ejurnal.stie-trianandra.ac.id/index.php
Jamaluddin. (2019). Obesitas sebagai faktor risiko penyakit jantung koroner di Rumah Sakit Umum Bahteramas Provinsi Sulawesi Tenggara. Seminar Nasional Teknologi Terapan Berbasis Kearifan Lokal, 2(1).
Kemenkes RI. (2018). RISKESDAS 2018.pdf. In Riset Kesehatan Dasar.
Kemenkes RI. (2020). Infodatin 2020 Diabetes Melitus Pusat Data dan Informasi Kementerian Kesehatan RI. P2PTM Kemenkes RI.
KEMENKES RI. (2021). Profil Kesehatan Indonesia 2020. In Kementrian Kesehatan Republik Indonesia.
Kemenkes RI Dirjen P2P. (2020). Kementerian Kesehatan Republik Indonesia. In Kementerian Kesehatan RI (Vol. 5, Issue 1).
Kementerian Kesehatan RI. (2020). Infodatin tetap produktif, cegah, dan atasi Diabetes Melitus 2020. In Pusat Data dan Informasi Kementerian Kesehatan RI.
Klemenc-Ketis, Z., Švab, I., Stepanović, A., & Poplas Susič, A. (2019). Transition from a traditional to a comprehensive quality assurance system in Slovenian family medicine practices. In International Journal for Quality in Health Care (Vol. 31, Issue 4). https://doi.org/10.1093/intqhc/mzy157
Lee, I. K., Hsieh, C. J., Lee, C. Te, & Liu, J. W. (2020). Diabetic patients suffering dengue are at risk for development of dengue shock syndrome/severe dengue: Emphasizing the impacts of co-existing comorbidity(ies) and glycemic control on dengue severity. Journal of Microbiology, Immunology and Infection, 53(1). https://doi.org/10.1016/j.jmii.2017.12.005
Noctor, E., Crowe, C., Carmody, L. A., Saunders, J. A., Kirwan, B., O’Dea, A., Gillespie, P., Glynn, L. G., McGuire, B. E., O’Neill, C., O’Shea, P. M., & Dunne, F. P. (2016). Abnormal glucose tolerance post-gestational diabetes mellitus as defined by the International Association of diabetes and Pregnancy Study Groups criteria. European Journal of Endocrinology, 175(4). https://doi.org/10.1530/EJE-15-1260
Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., Colagiuri, S., Guariguata, L., Motala, A. A., Ogurtsova, K., Shaw, J. E., Bright, D., & Williams, R. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 157. https://doi.org/10.1016/j.diabres.2019.107843
Saeedi, P., Salpea, P., Karuranga, S., Petersohn, I., Malanda, B., Gregg, E. W., Unwin, N., Wild, S. H., & Williams, R. (2020). Mortality attributable to diabetes in 20–79 years old adults, 2019 estimates: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice. https://doi.org/10.1016/j.diabres.2020.108086
Silvia, N., Didik Nur Imanah, N., Sya, Y., Sukmawati, E., DIII Kebidanan, P., & Serulingmas, S. (2022). CASE STUDY: MIDWIFE CARE ON MY WHILE TRIMESTER III PREGNANCY, LABOR, NIFAS, NEONATES, AND FAMILY PLANNING. 2. http://ejurnal.stie-trianandra.ac.id/index.php/klinikHalamanUTAMAJurnal:http://ejurnal.stie-trianandra.ac.id/index.php
Sugiyono. (2017). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif dan R &D. Alfabeta.
Sugiyono. (2019). Metode Penelitian Kuantitatif, Kualitatif, dan R&D (1st ed.). Penerbit Alfabeta.
Sukmawati, E. (2017). Efektifitas Konsumsi Buah Pisang Ambon Untuk Menurunkan Hipertensi Pada Ibu Usia Reproduksi Sehat. 2-Trik: Tunas-Tunas Riset Kesehatan, 7(2).
Sukmawati, E. (2018). wahyunita yulia sari, indah sulistyoningrum. Farmakologi Kebidanan. Trans Info Media (TIM).
Sukmawati E, wahyunita yulia sari, & indah sulistyoningrum. (2018). Farmakologi Kebidanan. Trans Info Media (TIM). https://scholar.google.com/scholar?oi=bibs&cluster=11760770443894442881&btnI=1&hl=id
Supriyanto, S., Ernawaty, Setyawan, F. E. B., & Lestari, R. (2019). Enhancing family medicine practice in developing countries through a holistic-comprehensive care model: A review. In Indian Journal of Public Health Research and Development (Vol. 10, Issue 10). https://doi.org/10.5958/0976-5506.2019.02910.3
Williams, R., Karuranga, S., Malanda, B., Saeedi, P., Basit, A., Besançon, S., Bommer, C., Esteghamati, A., Ogurtsova, K., Zhang, P., & Colagiuri, S. (2020). Global and regional estimates and projections of diabetes-related health expenditure: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice. https://doi.org/10.1016/j.diabres.2020.108072