Purpose Era Disruption 4.0 demands development in the management of Diabetes Mellitus (DM) by using application-based intervention that can facilitate nursing intervention. The aim was to evaluate the effect of diabetes mellitus calendar app as a Diabetes Self-Management Education (DSME) program on self-efficacy, HbA1c levels, lipid profile, and insulin in adult type 2 diabetes mellitus (T2DM). Methods It was randomized experimental designsimple random sampling used with a total sample of 30 respondents. The instruments used diabetes management self-efficacy scales and standard of operational procedure blood sampling. The statistical tests used were a Paired t-test, Wilcoxon, and an Independent t-test. Results DSME with an Android-based DM calendar affected self-efficacy (p < 0.001), HbA1c levels (p = 0.005), cholesterol (p = 0.009), triglyceride (p = 0.000), HDL-c (p = 0.048), LDL-c (p = 0.010), and insulin (p = 0.000) compared with the control group. Education with these electronic media has increased the perception of self-efficacy and improved the behavior of good self-management that can be seen from changes in controlled HbA1c level, lipid profile and insulin. Conclusion The results of this study can be used as a reference for providing educational experimental in patients with Type 2 Diabetes Mellitus (T2DM).

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Non-communicable diseases such as Cancer, Heart disease, Stroke, and Diabetes Mellitus can occur at the age of 15-45 years. Efforts to prevent non-communicable diseases in Indonesia through increasing community knowledge about CERDIK (Cek kesehatan berkala / periodical health checks, Enyahkan rokok/eliminate smoking, Rajin aktivitas fisik/routinely physical activity, Diet sehat seimbang/balanced healthy diet, Istirahat cukup/adequate rest, and Kelola stress/manage stress). The study purpose describes the knowledge of productive age individuals who are at risk of suffered to non-communicable diseases about CERDIK. The study design was cross-sectional. Subjects were 213 individuals who visited fast food and beverage restaurants in Blitar City, selected by simple random sampling. Data collection used the CERDIK knowledge questionnaire in March - August 2019. Data analysis used descriptive. Knowledge as a process of individual cognition that was medium and good categorized as much as 74%. It is recommended that CERDIK’s socialization be carried out continuously and everywhere.

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