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This retrospective study demonstrated that overweight Hispanic adolescents with PCOS had more IR, IGT and DM than their non-PCOS counterparts. As the QUICKI Index was abnormal in all subjects with IGT and DM, we suggest its use as the first step in deciding which overweight Hispanic adolescents with PCOS should be further tested with an OGTT.

Latar Belakang :Berat badan berlebih adalah keadaan yang hampir mendekati obesitas, di mana seseorang dapat dinyatakan berat badan berlebih apabila orang tersebut memiliki IMT ≥ 23. Timbunan lemak yang berlebihan di dalam tubuh penderita berat badan berlebih atau obesitas dapat mengakibatkan resistensi insulin yang berpengaruh terhadap kadar gula darah dan mempunyai risiko 1,71 kali terkena diabetes melitus. Tanpa adanya penurunan berat badan dan modifikasi gaya hidup, orang dengan sindrom metabolik memiliki resiko bermakna untuk menjadi diabetes melitus tipe 2.Tujuan penelitian : Untuk mengetahui hubungan antara indeks massa tubuh dengan kadar Hb-A1c pada pasien FKTP diabetes melitus tipe 2 di praktik mandiri dokter K. Hakikiyah Lampung Tengah. Metode penelitian :Penelitian ini adalah analitik dengan menggunakan Desain penelitian Cross Sectional, populasi adalah seluruh pasien FKTP diabetes melitus tipe 2 di praktik mandiri dokter K. Hakikiyah Lampung Tengah. Penarikan sampel menggunakan total sampling dengan jumlah sampel 56 orang. Analisa data yang dilakukan adalah univariat dan bivariat dengan uji spearman. Hasil :Distribusi frekuensi Indeks Massa Tubuh IMT terbanyak yaitu kategori berlebih sebanyak 30 orang (53,6 %). Distribusi frekuensi kadar Hb-A1c terbanyak yaitu kategori berlebih  sebanyak 43 orang (76,8 %). Di ketahui ada hubungan antara Indeks Massa Tubuh (IMT) dengan kadar Hb-A1c pada pasien FKTP diabetes melitus tipe 2 di praktik mandiri dokter K. Hakikiyah Lampung Tengah dengan nilai p-value = 0,000, r = 0,600. Kesimpulan:Ada hubungan antara Indeks Massa Tubuh (IMT) dengan kadar Hb-A1c pada pasien FKTP diabetes melitus tipe 2 di praktik mandiri dokter K. Hakikiyah Lampung Tengah.  Kata Kunci : Indeks Masa Tubuh, Kadar Hb-A1c, DMT2.

surveys. A higher proportion of clinicians indicated that they were comfortable and confident treating adolescents at year-end, however these changes were not significant. Knowledge of Michigan confidentiality laws was unchanged and the majority of providers at baseline and yearend agreed that confidential care should be a right for adolescents (95% vs 100%). The majority of adolescents surveyed at baseline and year-end (83-100%) indicated that providers either "mostly" or "definitely" listened carefully, talked privately, showed respect, spent enough time, and explained things in an understandable way. Conclusions: This OB/GYN site implemented positive changes in its ability to deliver more adolescent friendly care. The MOC project was successful in introducing a standardized screening tool (RAAPS) by overcoming the clinic barriers to deliver the tool confidentially to teens. There were no significant changes in survey results from adolescents, providers, and staff. Results may be limited by favorable opinions at baseline, small sample size at year end evaluations and barriers to reach all clinic staff, though further data is needed to assess the true impact on patients and providers.

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