There needs to be an effort in the management of Diabetes mellitus to keep blood sugar levels as close to normal as possible to prevent complications. Diabetes mellitus control can be done through four pillars, namely education, medical nutrition therapy, physical exercise, and pharmacological intervention. According to data from the District Health Office. Ciamis in 2019 there were 305 people suffering from diabetes mellitus in Kawali sub-district. The purpose of the study was to determine the effect of the four pillars of diabetes mellitus control on the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district. This research is a descriptive-analytic study using a cross-sectional approach. Samples were taken using the purposive sampling method as many as 30 respondents. Data were collected using questionnaires and observation sheets. Data analysis used the Chi-Square test with a 95% confidence level. The results showed that 83% of respondents had a good level of education, 60% had appropriate medical nutrition therapy settings, 60% did not do physical exercise, and 66.7% adhered to pharmacological interventions. The results of statistical tests showed that there was a relationship between the pillars of education, medical nutrition therapy, and pharmacological intervention with the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district. There is no relationship between physical exercise and the incidence of complications in people with diabetes mellitus in Kawali sub-district, Ciamis district

Hypertension is an increase in systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg. The number of hypertension sufferers has increased each year, in 2015 it reached 19,552, in 2016 it reached 24,750 and in 2017 it reached 38,057. In 2017 there were 115 hypertensive patients recorded in the report book that checked their health at the Sadananya Health Center. One of the causes of the high incidence of hypertension is cholesterol caused by the consumption of inappropriate food. One of the laboratory examinations to support hypertension diagnosis is blood cholesterol examination which can show excess cholesterol which makes hypertension difficult to control. To know the description of total cholesterol levels in hypertensive patients at the Sadananya Health Center. Quantitative descriptive, the population in this study were people with hypertension at the Sadananya Health Center. Sampling with accidental sampling, as many as 30 respondents. The cholesterol examination method used is CHOD-PAP. The results showed that blood pressure in respondents all had high blood pressure, namely >140/90 mmHg (100%), a high cholesterol level of 24 respondents (80%), blood pressure 140-150 who had high cholesterol as many 13 respondents, blood pressure 160-170 who had high cholesterol as much 6 respondents, blood pressure >180 who had high cholesterol as much 5 respondents. This study concludes that hypertensive clients have more high total cholesterol levels, which is as much as 80% and normal 20%. More hypertensive patients have high total cholesterol levels, which are 80% and 20% normal.