ANALISIS KARAKTERISTIK PASIEN DIABETES MELITUS DAN KADAR HbA1C SEBAGAI FAKTOR RISIKO KEJADIAN NEUROPATI DIABETIK

Authors

  • Jefri Henky Universitas Baiturrahmah
  • Rendri Bayu Hansah Universitas Baiturrahmah
  • Aisyah Tusaddyah Universitas Baiturrahmah

DOI:

https://doi.org/10.59003/nhj.v5i7.1769

Keywords:

Diabetic Neuropathy, Risk Factors

Abstract

Diabetes Mellitus is a disease characterized by increased blood sugar levels. Indonesia is ranked 5th in the world with the highest number of diabetes mellitus sufferers. Diabetic neuropathy is a chronic complication in patients with type 2 diabetes mellitus. The risk factors that cause diabetic neuropathy are divided into two, namely factors that can be modified hyperglycemia, hypertension, dyslipidemia, obesity, and alcohol consumption, and risk factors that cannot be modified age, gender, duration of suffering from DM, and HbA1C levels. This research is observational analytic using a case control design, to determine the characteristics of diabetes mellitus patients and HbA1C levels as risk factors for diabetic neuropathy. The sample in this study was selected using a consecutive sampling technique and the number of samples in this study was 31 samples in the case group and 31 samples in the control group. The highest age of patients in this study was in the group ≥60 years, namely 17 patients (54.8%), the risk factor was that age ≥60 years in diabetes mellitus patients had a 1.3 times chance of suffering from diabetic neuropathy (OR=1.304; 95% CI = 0.474-3.585). The largest gender was in the female group, namely 21 patients (67.7%), risk factors: female gender has a 1.1 times chance of suffering from diabetic neuropathy (OR=1.164; 95% CI= 0.395-3.431). The highest BMI was in the normal group, namely 19 patients (61.3%), in this study BMI was not a risk factor for diabetic neuropathy (OR=1.000; 95% CI=0.360-2.779). The longest duration of suffering from DM was in the >5 years group, namely 17 patients (54.8%), the risk factor was that the duration of suffering from DM >5 years was 1.7 times the chance of suffering from diabetic neuropathy (OR=1.729; 95% CI=0.615-4.860). The smoking habit was highest in the non-smoking group, namely 20 patients (64.5%), in this study smoking habit was not a risk factor for diabetic neuropathy (OR=1,000; 95% CI=0.353-2.831). The highest HbA1C levels in this study were in the uncontrolled group, namely 17 patients (54.8%), risk factors for uncontrolled HbA1C had a 1.1 times chance of suffering from diabetic neuropathy (OR=1.140; 95% CI=0.418-3.114). Age, gender, duration of suffering from DM and HbA1C levels are risk factors for diabetic neuropathy.

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References

Diagnosis And Classification of Diabetes Mellitus. Diabetes Care. 2010;33(1):62-68.

Sun H, Saeedi P, Karuranga, Dkk. IDF Diabetes Atlas: Global, Regional and Country-Level Diabetes Prevalence Estimates For 2021 And Projections For 2045. Diabetes Res Clin Pract. 2022.

Riset Kesehatan Dasar. Badan Penelitian dan Pengembangan Kementerian Kesehatan RI. Jakarta: Kemenkes RI. 2018.

Utari, T. D. & Wati, Y. R. Hubungan Antara Kadar Hba1c Dengan Neuropati Diabetik Pada Penderita Diabetes Mellitus Tipe II Di RS Al-Ihsan. J Proked. 2020;6(1):407-415.

Melati Putri, A. & Hasneli, Y. Faktor-Faktor Yang Mempengaruhi Derajat Keparahan Neuropati Perifer Pada Pasien Diabetes Mellitus: Literature Review. J Ilmu Keperawatan. 2020;8(1):153-165.

Husada, S. & Saputri. Komplikasi Sistemik Pada Pasien Diabetes Melitus Tipe 2. J Kesehatan. 2020;11(1):230-236.

Qurotulnguyun, L. & Rahmayani, F. Sutarto. Pengaruh Senam Kaki Diabetik Terhadap Neuropati Pada Pasien Diabetes Melitus. J Medula. 2021;13(1):53-58.

Rachmantoko, R., Afif, Z., Rahmawati, D., Rakhmatiar, R. & Nandar Kurniawan, S. Diabetic Neuropathic Pain. JPHV (Journal of Pain, Vertigo and Headache). 2021;2(1):8-12.

Hicks, C. W. & Selvin, E. Epidemiology of Peripheral Neuropathy and Lower Extremity Disease In Diabetes. 2019;19(1).

Kirana Suri, I. Neuropati Diabetika: Kontribusi Karakteristik Individu, Lama Sakit, Merokok, dan Hiperglikemi. Jurnal Kesehatan Masyarakat Indonesia. 2022;17(2):1-5.

Feldman, E. L. Et Al. Diabetic Neuropathy. Nature Reviews Disease Primers. 2019;5(41).

Triulandari Kusnadi, D. & Zulkarnaini, A. Karakteristik Faktor-Faktor Risiko Terjadinya Neuropati Diabetik Pada Pasien Diabetes Melitus Tipe 2 Di RSI Siti Rahmah Padang Tahun 2019-2020. Journal Scientic. 2022;1(2):94-100.

Prasetyani. Analisis Faktor Yang Mempengaruhi Kejadian Neuropati Diabetik Pada Pasien Diabetes Melitus Tipe 2. JKK. 2019;12(1):40-49.

Aji Hidayatillah, S. et Al. Hubungan Status Merokok Dengan Kejadian Ulkus Diabetikum Pada Laki-Laki Penderita Diabetes Melitus. JEKK. 2019;5(1):32-37.

Suri, M. H., Haddani, H. & Sinulingga, S. Hubungan Karakteristik, Hiperglikemi, Dan Kerusakan Saraf Pasien Neuropati Diabetik Di RSMH Palembang. Biomedical Journal of Indonesia: Jurnal Biomedik Fakultas Kedokteran Universitas Sriwijaya. 2018;4(1):40–45.

Hamarno, R., Nurdiansyah Z, M. & Toyibah, A. Hubungan Antara Kepatuhan Kontrol Dengan Terjadinya Komplikasi Kronis Pada Penderita Diabetes Melitus Tipe 2 Di Puskesmas Janti Kota Malang. J UMM. 2016;7(2):126-134.

Kadri, H. & Nurfitriani, N. Hubungan Lama Menderita Dan Indeks Massa Tubuh Terhadap Gejala Neuropati Pada Penderita Diabetes Melitus Di Wilayah Kerja Puskesmas Kenali Besar. Jurnal Akademika Baiturrahim Jambi. 2021;10(1):446-453.

Hary, W., Faiqotunnuriyah. Faktor Yang Berhubungan Dengan Kejadian Neuropati Diabetik Pada Penderita Diabetes Melitus Tipe 2. JKI. 2021;13(1):64-76.

Utomo, M. R. S., Wungouw, H. & Marunduh, S. Kadar Hba1c Pada Pasien Diabetes Melitus Tipe 2 Di Puskesmas Bahu Kecamatan Malalayang Kota Manado. Jurnal E-Biomedik (Ebm). 2015;3(1).

Anugrah, C. et al. Faktor Risiko Terjadinya Komplikasi Kronis Diabetes Melitus Tipe 2 Pada Pra Lansia. 2022;6(1):262–271.

Dani Rosdiana Erwin Christianto, S. Gambaran Status Gizi Pasien Diabetes Melitus Tipe 2 Di Bangsal Penyakit Dalam Rsud Arifin Achmad Provinsi Riau. JOM FK. 2016;3(1).

Rahmawati, A. & Hargono, A. Dominant Factor of Diabetic Neuropathy on Diabetes Mellitus Type 2 Patients. Jurnal Berkala Epidemiologi. 2018;6(1):60-67.

Amelia, R., Wahyuni, A. S. & Yunanda, Y. Diabetic neuropathy among type 2 diabetes mellitus patients at amplas primary health care in Medan city. Open Access Maced J Med Sci. 2019; 7:3400–3403.

Liu, X., Xu, Y., An, M. & Zeng, Q. The Risk Factors For Diabetic Peripheral Neuropathy: A Meta-Analysis. Plos One 9. 2019.

Sri Rahmi, A., Syafrita, Y. & Susanti, R. Hubungan Lama Menderita Dm Tipe 2 Dengan Kejadian Neuropati Diabetik. JMJ. 2022;10(1):20-25.

Gede, Arista., Putu, Dewa., et al. Nilai Ankle Brachial Index (ABI) Dengan Neuropati Perifer Diabetik Pada Pasien Diabetes Melitus Tipe 2. JGK. 2020;2(1):35-43.

Simanjuntak, G. V. & Simamora, M. Lama Menderita Diabetes Mellitus Tipe 2 Sebagai Faktor Risiko Neuropati Perifer Diabetik. Holistik Jurnal Kesehatan. 2020;14(1):96-100.

Suryani, E., Novi, A., Firdaus, T., Febby, Y. & Fauzia, H. Pengaruh Buerger Allen Exercise Terhadap Neuropati Diabetik Di Wilayah Kerja Puskesmas Kecamatan Kertasemaya Kabupaten Indramayu. Indonesian Journal of Health Research. 2021;4(1):121-131.

Retnaningsih, D. et al. Perilaku Merokok Dengan Kejadian Hipertensi Pada Lansia. JIK. 2016;2(1):122-130.

Shabira, Dionissa., Harjono, Yanti. Hubungan Antara Derajat Merokok dan Kadar Gula Darah Terhadap Risiko Terjadinya Kaki Diabetik Pada Pasien DM Pria di RSUD Ciawi Bogor. J Bina widya. 2014;25(4):162-167.

Ario, M. D. Effect of Nicotine in Cigarette for Type 2 Diabetes Mellitus. J Majority. 2014;3(1):75-80.

Campagna, D. Et Al. Smoking and Diabetes: Dangerous Liaisons and Confusing Relationships. Diabetology And Metabolic Syndrome. 2019;11(85):1-12.

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Published

2025-12-30

How to Cite

Henky, J., Hansah, R. B., & Tusaddyah, A. (2025). ANALISIS KARAKTERISTIK PASIEN DIABETES MELITUS DAN KADAR HbA1C SEBAGAI FAKTOR RISIKO KEJADIAN NEUROPATI DIABETIK. Nusantara Hasana Journal, 5(7), 10–18. https://doi.org/10.59003/nhj.v5i7.1769