Febrin Trianita Anggraeni
Medical Faculty, Universitas Wijaya Kusuma Surabaya

Roethmia Yaniari
Department Of Internal Medicine, Medical Faculty, Universitas Wijaya Kusuma Surabaya

Noer Kumala Indahsari
Department of Biochemistry, Medical Faculty, Universitas Wijaya Kusuma Surabaya,

DOI: https://doi.org/10.19184/ams.v11i1.52458

Abstract

East Java has the highest DM cases in Indonesia, especially Lamongan Regency with 23,226 cases. The high number of DM cases is influenced by several things, including the implementation of DM treatment patterns in terms of HbA1c examination. Inappropriate treatment patterns will have a negative impact on DM patients. In addition, changes in physical activity, diet, and medication compliance also influence HbA1c levels in DM patients. This study aimed to analyze the relationship between care patterns regarding HbA1c levels in Diabetes Mellitus patients. Thisresearch method is observational analytic study utilized a cross-sectional design. The study population comprised all Type 2 DM patients enrolled in Prolanis at Deket Public Health Center. A total of 54 patients were sampled using a diabetes self-management care pattern questionnaire. Data were analyzed using univariate and bivariate analysis, with the Spearman rank test via SPSS. The research results found that out of 54 respondents, 30 had poor care patterns. Among those, 28 (93.3%) had poor HbA1c levels, 2 (6.7%) had moderate HbA1c levels, and none (0.0%) had good HbA1c levels. The results of Spearman's rank analysis showed that there was a significant relationship between treatment patterns and HbA1c levels in T2DM patients at the Deket Lamongan Community Health Center (P=0.000). with a very strong correlation coefficient of 0.887. This research concludes that treatment patterns have a very significant positive relationship with HbA1c levels.

Keyword: Type 2 Diabetes Mellitus (T2DM), HbA1c, Self-Management of Diabetes Mellitus (SMDM)

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