Effect of Diet, Medication, Physical Activity on Glycemic Control of Type-2 Diabetes Mellitus Patients in Makassar City

Abstract

The prevalence of diabetes mellitus continues to increase every year with various complications. This is caused by an unhealthy lifestyle. The complex management of type 2 diabetes mellitus triggers problems that cause therapeutic goals not to be achieved. The risk of complications is higher due to lack of attention to lifestyle including diet. A good diet, medication and physical activity are considered capable of improving blood sugar control so that the quality of life of people with diabetes mellitus becomes better. Objective: to analyze the effect of diet, medication, physical activity on glycemic control of patients with type 2 diabetes mellitus. Methods: the study was conducted in December 2023-February 2024 at Kassi-Kassi Health Center and Kalukubodoa Health Center, Makassar City, South Sulawesi. The sample size was type 2 diabetes mellitus patients in Kassi-Kassi Health Center as many as 184 people and Kalukubodoa Health Center as many as 168 people. The research group consisted of 2 groups, namely at Puskesmas KassiKassi and Puskesmas Kalukubodoa with a combination intervention of food menu modules for diabetic patients and leaflets and Puskesmas Kassi-Kassi with food menu modules for diabetic patients. Both research groups were intervened for 3 (three) months with the assistance of doctors and nutritionists. There are two stages in this study, namely stage 1 making a prolanis intervention model with quantitative methods followed by stage 2, namely the intervention of food menu modules for diabetic patients and with quasi-experimental methods with a non-randomized pretest postest design. Results: In the aspects of diet, medication, physical activity there is a significant increase in Kassi-Kassi Health Center and Kalukubodoa Health Center (p=0.00) on glycemic control of type-2 diabetes mellitus patients. Conclusion: The results of the trial of the food menu module for patients with type 2 diabetes mellitus showed a value of 80%, meaning that the module was feasible to use based on the assessment of the material expert. Diet, medication, physical activity have a statistical effect and there is a difference in the mean value of glycemic control of type-2 diabetes mellitus patients.