THE NUMBER OF DIABETIS MELLITUS PATIENTS IN PUSKESMAS

WONOSARI BONDOWOSO

PROJECT PAPER

Arranged to Fullfill the Assignment of English for Biology guided by Dr. Sueb, M.Kes
Will be presented on Wednesday, November 1, 2017

By Group 9 Class C of 2017

1. Eliza Fitri Kamaliya (170342615027)

2. Putri Wahyuni A.N. (170341615018)

UNIVERSITAS NEGERI MALANG

FACULTY OF MATHEMATHICS AND NATURAL SCIENCE
DEPARTMENT OF BIOLOGY
October 2017
 THE NUMBER OF DIABETIS MELLITUS PATIENTS IN PUSKESMAS
WONOSARI BONDOWOSO

Eliza Fitri Kamaliya, Putri Wahyuni Arofatun and Dr.Sueb, M.Kes

Department of Biology, Faculty Mathematics and Natural Sciences, Universitas Negeri
Malang

Correponding Author: putriwahyuni0099@gmail.com and sueb.fmipa@um.ac.id

Abstract

Diabetes mellitus is a metabolic disorder caused by many factors such

as lack of insulin or the inability of the body to utilize insulin (Insulin
resistance), with a symptom of chronic hyperglycemia and
carbohydrate, fat and protein metabolism disorders. The purpose of this
research was to determine the number of diabetics through a survey of
diabetic patients at public clinic wonosari bondowoso.The research is
observational research. The population are all people with diabetes
mellitus patients at Bondowoso and its samples are people who check
in clinics Wonosari Bondowoso. Sampling technique is done by
retrieving the data from clinics wonosari and selecting samples of
people affected by diabetes mellitus with the period of January to July
2017. The total diabetes mellitus patients at puskesmas wonosari are 51
new patients and 83 old patients with male gender. While 116 new
patients and 66 patients lamaa with female gender. The total number of
Diabetes Mellitus patients who checked themselves at the public
clinics Wonosari. Data obtained from early January to July 2017 shows
that no diabetics aged 0-19. The conclusions is patients most at 35-45
and women more affected by diabetes mellitus.

Keyword : Diabetes Mellitus, insulin

INTRODUCTION

Diabetes has been a mass killer on globe for quite a long time now. There have been
several previous estimates of the number of persons with diabetes. The World Health
Organization (WHO) published estimates for the years 2000 and 2030, using data from 40
countries but extrapolated to the 191 WHO member states. WHO estimates that more than
180 million people worldwide have diabetes, this number is likely to more than double by
2030 (Rambhade, 2010).
The world is facing an epidemic of diabetes mellitus. Currently, more than 250
million people in the world have diabetes and it is predicted that this number will double in a
little over 20 years. The epidemic is not evenly distributed around the world. While the
world-wide prevalence of diabetes is 34%, several countries and regions experience a
prevalence rate of diabetes of well over 10%. This includes some countries in the Middle
East, where in some cases, the prevalence of diabetes among middle aged adults exceed 16%
(Stefansson, 2015).
According to Riskesdas report in 2013, East Java Province is one of areas in
Indonesia with prevalence of Diabetes Mellitus patiens of 2.1% (Riskesdas, 2013). Whereas,
according to data from Bondowoso District Health Office, the prevalence of Diabetes
mellitus type 2 cases in Bondowoso district has increased in the last 3 years. Based on
technical measurement of diabetes mellitus risk type 2 year 2008 Control program of number
of cases of Type 2 Diabetes Mellitus can be done by detecting early risk of Type 2 Diabetes
Mellitus disease. The number of people with type 2 DM in Bondowoso district in 2014 rose
to 1560 followed by 2015 to 1834. The increase in the number of patients each year.
Bondowoso District Health Office has a program from the Ministry of Health to reduce the
number of patients with Type 2 Diabetes Mellitus by detecting early Diabetes Mellitus Type
2 disease. The application for early detection of the community is expected to reduce the
number of Diabetes Mellitus patients for every year, especially in Bondowoso district
(Erawantini, F. 2017).
Based on the background above we will conduct survey diabetes mellitus at public
clinicsWonosari, Bondowoso. The purpose of this research was to determine the number of
diabetics through a survey of diabetic patients at public clinic wonosari bondowoso.

METHODS

This research is observational research, its an observation which analyses the

relationship between a certain effect by a factor of certain risks .Its can be used to assess
how big the role of risk factors against occurrences of a disease (Sastroasmoro, 2011;
Schlesselman, 1982).
The population are all people with diabetes mellitus deases at Bondowoso and its
samples are people who check in clinics Wonosari Bondowoso. Sampling technique is done
by retrieving the data from clinics wonosari and selecting samples of people affected by
diabetes mellitus with the period of January to July 2017.
Location: clinics wonosari Bondowoso
Time : January until July 2017

(A) (B)

(C)
Fig 1. (A) Location, (B) Distance between Universitas Negeri Malang with Public Clinics
Wonosari, (C) Public Clinics Wonosari
RESULT AND DISCUSSION
The results that have been obtained are as follows.
Table 1. total diabetes mellitus patients at puskesmas wonosari

JUMLAH
BULAN TOTAL Lk Pr
Baru Lama Baru Lama
1 45 7 13 16 9
2 40 2 5 16 17
3 32 5 8 11 8
4 65 23 12 25 5
5 33 2 12 14 5
6 22 3 8 3 8
7 34 2 12 15 5
8 45 7 13 16 9
TOTAL 51 83 116 66

From the results obtained 51 new patients and 83 old patients with male gender.
While 116 new patients and 66 old patients with female gender. According to table 1 above
by sex, the proportion of total overall diabetes mellitus patients is higher in female patients.
whereas according to new or old patients, in new patients most patients in women, and old
patients most patients in men.

Table 2. Total diabetes mellitus patients at puskesmas wonosari based on age

B
20 - 24 TH 25 - 34 TH 35 - 44 TH 45 - 54 TH 55 - 59 TH 60 - 64 TH 65 - 69 TH >= 70 TH
U
L Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr
A
N B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L B L
1 0 0 0 0 0 0 0 0 1 2 5 1 4 2 8 0 0 1 2 0 1 0 1 0 1 3 0 5 0 5 0 3
2 0 0 0 0 0 0 2 2 0 1 1 6 1 4 6 2 1 0 2 6 0 0 2 1 0 0 0 0 0 0 3 0
3 0 0 0 0 0 2 0 1 0 2 4 1 2 2 4 2 1 0 1 2 1 2 0 2 1 0 2 0 0 0 0 0
1 1 1
4 0 0 0 0 0 0 0 0 0 3 3 1 1 3 5 1 2 2 3 0 0 1 0 1 0 3 4 1 0 0 0 1
1
5 0 0 0 0 0 0 0 0 0 3 1 1 0 3 0 1 0 2 0 0 2 1 0 1 0 3 3 1 0 0 0 1
6 0 0 0 0 0 2 0 1 0 2 2 1 2 2 0 2 0 0 0 2 1 2 0 2 0 0 0 0 0 0 1 0
7 0 0 1 0 0 0 2 0 1 3 3 1 0 3 0 1 1 2 6 0 0 1 0 1 0 3 3 1 0 0 0 1
8 0 0 0 0 0 0 0 0 1 2 5 1 4 2 8 0 0 1 2 0 1 0 1 0 1 3 0 5 0 5 0 3
T
O
T
A 1 3 1 1 2 4 1 1 1 1 1 1 1
L 0 0 1 0 0 4 4 4 3 8 4 3 4 1 1 9 5 8 6 0 16 7 4 8 3 5 2 3 0 0 4 9
 From the table above can be seen the total number of Diabetes Mellitus patients who
checked themselves at the public clinics Wonosari. Data obtained from early January to July
2017 shows that no diabetics aged 0-19. Patients most at 35-45. Based on data, women more
affected by diabetes mellitus. it is the same with the results of research Marinho (2013) that a
total of 419 users of the health service were included, with a majority of the female gender
(88.1%); aged between 30 and 44 years (42.5%), 37 years old on average; married or in
stable union (60.4%); without a permanent job (57.8%); incomplete primary education
(39.4%); average family income of one Brazilian minimum wage per month; and classified as
socioeconomic class D/E (58.2%). In relation to the occurrence of associated with type 2
diabetes mellitus, 25.3% of the users were aged 45 years; 59.7% had excess weight, with
40.8% classified as overweight and 18.9% as obese. In relation to waist circumference,
24.8% were classified as increased risk and 59.2% as highly increased risk for cardiovascular
disease. The majority (83.3%) did not practice physical activity regularly; 53.7% reported not
eating fruits and/or vegetables daily; 12.9% were taking antihypertensive drugs; 5.3%
reported a history of high glucose levels in routine exams, during illnesses or during
pregnancy and 47% reported family history of type 2 diabetes mellitus.
One of the non-communicable diseases with the highest proportion in Indonesia and
is the sixth highest cause of death is diabetes mellitus. The increase in the number of cases of
diabetes mellitus is closely related to the demographic transition. the demographic transition
caused by improved quality of life is associated with increased cases of diabetes mellitus.
This is because changes in the structure of the work of the population, previously dominated
from the agricultural sector into the factory and service sectors caused a reduction in physical
activity so that the energy consumed is greater than the energy released. It causes obesity
which is one of diabetes risk factors (Ramachandran, 2004).
Diabetes Mellitus has three types. Its type 1 DM or Insulin Dependent DM or
Juvenile Onset DM, type 2 DM or Noninsulin Dependent DM or Adult Onset DM, type
Gestational Diabetes Mellitus, and Malnutrition Related Diabetes Mellitus (Bolla,F et.al.,
2015). At diabetes mellitus type 1the insulin dependent DM or Juvenile Onset Diabetic
patients depend on insulin. There is usually sudden onset and occur in the younger age group
and there is an inability of pancreas to produce adequate amount of insulin.
There are opinions about insulin deficiency is caused by the inability of insulin to
meet the required levels (Nathan, et al., 2005). Faster and shorter duration of action than
regular insulin for pre-meal coverage, while the long-acting analogs have a longer duration of
action allowing once-daily dosing; also shows less day-to-day (Penalver, J. 2016). People <
60 years of age improved their glycaemic control over time, due in part to better adapt to
changes in lifestyle, compared with other younger age groups. In older people with diabetes,
muscle mass and strength decrease with age. Older patients with poorer health, will benefit
even a modest increase in physical activity. Finally, patients at risk of falls should be referred
to a physiotherapist for muscle and exercise balance (Penalver, J. 2016).
CONCLUSION
One of the non-communicable diseases with the highest proportion in Indonesia and
is the sixth highest cause of death is diabetes mellitus. Based on our observation, the total
diabetes mellitus patients at puskesmas wonosari, Bondowoso are 51 new patients and 83 old
patients with male gender. While 116 new patients and 66 patients lamaa with female gender.
The total number of Diabetes Mellitus patients who checked themselves at the public clinics
Wonosari. Data obtained from early January to July 2017 shows that no diabetics aged 0-19.
Patients most at 35-45. Based on data, women more affected by diabetes mellitus.

ACKNOWLEDGEMENT
Thank for our lecturer of English for Biology Universitas Negeri Malang, Mr. Dr. Sueb,
M.Kes for his help in this article.

REFERENCES

Bolla, K,. Sri, S,. Varalaksmi, K,. 2015. Diabetes Mellitus & Its Prevention.

Marinho, N,. Vasconcelos, H., Alencar, A,. Almeida, P,. Damasceno, M. 2013. Risk for type
2 diabetes mellitus and associated factors. Brazil:Universidade Federal do Cear.

Nathan, David & Linda, B. 2005. Beating Diabetes : The first program clinically proven to
Dramatically Improve Your Glucose Tolerance. New York : Me Graw Hill.

Penalver, J., Timon, I., Collantes, C., and Gomez, F. 2015. Update On The Treatment Of
Type 2 Diabetes Mellitus.

Ramachandran, A. 2004. Temporal Changes in Prevalence of Diabetes and ImpairedGlucose

Tolerance Associated with Livestyle Transition Occuring in the Rural Population in
India.

Rambhade, S,. Chakraborty, A,. Patil, U,. 2010. Diabetes Mellitus-Its complications, factors
influencing complications and prevention- AN Overview.

Sastroasmoro Sudigdo, 2011. Dasar-dasar Metodologi Penelitian Klinis, Jakarta: CV.

Sagung Seto.

Schlesselman James, 1982. Case Control Studies Design, Conduct, Analysis. New York
Oxford: Oxford University Press. Available at: 201918171615.