Pendahuluan: Diabetes Mellitus menyebabkan 5,1 juta kematian pada tahun 2013. Menurut International Diabetes Federation bahwa pada tahun 2013 terdapat 382 juta penderita DM di dunia dan diperkirakan akan meningkat pada tahun 2035 melebihi 592 juta penderita DM, 55% peningkatan terjadi pada DM Tipe 2. Tujuan: Mengetahui faktor – faktor yang memengaruhi kadar gula darah penderita diabetes mellitus (DM) tipe 2 di RSUD dr.Djasamen Saragih Pematangsiantar. Metode: Desain penelitian ini menggunakan metode survei analisis deskriptif dengan pendekatan cross sectional. Populasi penelitian ini adalah pasien rawat jalan di poli penyakit dalam, berjumlah 40 orang. Metode pengambilan sampel menggunakan teknik total sampling. Analisis data menggunakan chi square. Hasil: Penelitian menunjukkan tidak ada pengaruh antara indeks massa tubuh dengan kadar gula darah dengan p value 0,338 > 0,05, ada pengaruh riwayat keturunan/genetik dengan kadar gula darah dengan p value 0,034 < 0,05, ada pengaruh Aktivitas fisik dengan kadar gula darah dengan p value 0,047 < 0,05, ada pengaruh pola makan dengan kadar gula darah dengan p value 0,05 ≤ 0,05. Kesimpulan: Ada pengaruh pola makan, aktivitas fisik dan Riwayat keturunan  terhadap kadar gula darah dan Tidak ada pengaruh indeks massa tubuh (IMT) terhadap kadar gula darah.

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Background; bone strength is strongly influenced by bone mineral density conditions that will disappear along with age increase causing the occurrence of osteoporosis. Objectives: to knowing the relationship of protein intake, vitamin C and vitamin D with bone mineral density in young adult women in the city of Lubuk Pakam. Materials and Methods; This was an observational study using cross sectional study design. The population in this study were all young women who were invited and came to the office of the Sub-district of 6 villages and 7 subdistricts at the appointed time to perform bone density examination as many as 45 people. Results; this study showed that there was a correlation between protein adequacy with DMT had p = 0,001, vitamin C sufficiency relationship with DMT did not have relationship p = 0,127, vitamin D sufficiency relationship with DMT got got no relation p = 0,121. Conclusion; proteins have the function of organizing and building new cells in bones that can maintain bone strength and replace damaged cells. Vitamin C and D have a role as one as antioxidants and aids in osteocalacin synthesis.

Background There is an opinion that Helicobacter Pylori may contribute to the progression of gastropathy. The presence of Helicobacter Pylori infection can accelerate the damage of gastric and duodenal mucosa. Gastropathy is mucosal disturbances that usually accompany with gastritis gastric ulcer, duodenal ulcer and gastric cancer. Endoscopically, the mucosal appearances consisted of mosaic pattern, adema, hyperemia, superficial ulceration and red spot. Objective To assess the influence of Helicobacter Pylori on gastropathy. Methods The study enrolled a total 50 patients with gastroscopic lesions (gastritis, gastric ulcer, duodenal ulcer, gastric cancer) and positive CLO test, to undergo evaluation on gastropathic appearences. Result Reported in the third western pacific Helicobacter congress June 22‐24 Bali Indonesia

Introduction : Hypertension is an important health problem because of its high prevalence and can lead to cardiovascular disease and chronic kidney disease. This study aimed to determine what risk factors affect the incidence of hypertension in pre-elderly in Rantau Panjang Kiri Village, Kubu Babussalam District. Method : This research was an analytic observational study with a case-control design. by using Simple Random Sampling technique. Data were analyzed using Chi-Square test. The research population was pre-elderly in Rantau Panjang Kiri Village. The sample were 160 respondents, namely 80 cases (hypertension) and 80 controls (not hypertension). Result : There was a genetic risk with the incidence of hypertension with p-value = 0.000 < .05 and OR = 16.714, physical activity with p-value = 0.000<.05 and OR = 4.421, sodium intake with p-value = 0.000 < .05 and OR = 5.858, nutritional status with p-value = .004 < .05 and OR = 2.772, smoking habit with p-value = .001 < .05 and OR = 3.211 and there was no risk between gender and the incidence of hypertension with p-value = .155 < .05 and OR = 1.653. The dominant risk factor for hypertension was genetic with p-value = 0.000 < .05 and OR 16.489. Conclusion : For the pre-elderly who have a family history of hypertension, it is better to do regular blood pressure checks so that the pre-elderly blood pressure can be kept under control, for the elderly with obesity and insufficient/regular physical activity, it is better to maintain an ideal body weight and do adequate/regular physical activity.