Background: Diabetes mellitus (DM) type 2 is still a serious health problem in the world. Type 2 DM results from ineffective use of insulin by the body. Most people with type 2 diabetes worldwide are the result of being overweight and lacking physical activity. The purpose of this study was to determine the relationship of body mass index and physical activity with the glycemic control of type 2 DM patients.Methods: This study used an observational study with a cross sectional design conducted at the Panti Wilasa Citarum Hospital in Semarang. The population in this study were outpatients at Panti Wilasa Citarum Hospital with a sample of 74 people. The sampling technique was consecutive sampling. Measurement of glycemic levels with HbA1c, body mass index based on weight and height, and physical activity with the PAR-WHO questionnaire. Data analysis uses the Spearman Rank correlation test. Result: From 74 research respondents found 52.7% of respondents had bad glycemic control. There is a relationship between body mass index and poor glycemic control (p = 0.041). There is no relationship between physical activity and poor glycemic control (p = 0.437).Conclusion: The advice given for respondents is to be able to maintain their diet and increase physical activity by exercising regularly.
Background: Type 2 diabetes mellitus is a chronic disease that is still a global health problem. Uncontrolled diabetes mellitus (DM) can result in poor glycemic status, with factors that affect patients including long-term DM and medication compliance. Purpose: This study aimed to determine the risk factors of long-term DM and non-compliance with medication on the poor glycemic control status of patients with type 2 DM. Methods: This type of research used observational analysis with a case–control design. Samples were taken from patients with type 2 DM, with 40 cases and 40 controls. The criteria for sample inclusion were that the patients had a glycosylated hemoglobin level check, were willing to be research respondents, and could communicate well. The exclusion criterion was patients experiencing a drastic decline in health status during the study. The sampling technique used was consecutive sampling. This research was conducted at the Panti Wilasa Citarum Hospital in Semarang City from July to September 2019. The relationship and the risk of long-term DM and adherence to taking medication with glycemic status were tested using the chi-square test. Results: This study showed that a duration of DM >5 years (p = 0.01; Odss Ratio (OR) = 3.46; 95% confidence interval [CI] = 1.37 < OR < 8.69) and non-compliance with taking medication (p = 0.02; OR = 3.15; 95% CI = 1.25 < OR < 7.93) are risk factors for poor glycemic status. Conclusion: Duration of DM >5 years and non-compliance with taking medication are risk factors for poor glycemic status in patients with type 2 DM.
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