Effect of Diabetes Self Management Education on Fasting Blood Glucose on Type 2 Diabetes

Istiqomah Istiqomah, Tria Astika Endah, Diana Irawati


Diabetes Mellitus is a metabolic disease that can increase mortality and morbidity rates. Indonesia ranks 4th in the world with the most Type 2 DM, which is 21.3 million. Education of patients with Type 2 DM is a treatment that aims to make patients behave in a healthy manner so that good glycemic control is achieved. The purpose of the study was to a.nalyze the effect of Diabetes Self Management Education on the value of fasting blood glucose in Type 2 DM patients at Telaga Murni Health Center, West Cikarang. Quasy Experiment research method with pre-experimental one group Pretest-Posttest design. Sample 44, selected using purposive sampling. Respondents were given an intervention for 4 weeks by checking blood glucose before and after the intervention. The results of the analysis showed that there was a decrease in the average blood glucose before and after the intervention, which was 27.8 mg/dl. The Wilcoxon test analysis revealed that the p value was 0.000 (<0.05), which means that there was an effect of giving DSME on the fasting blood glucose value. It is hoped that there will be maximization of education for Type 2 DM patients to increase awareness, knowledge and skills in managing their disease.


diabetes mellitus; DSME; blood glucose

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Dinar, et al. (January, 2019). Effect of diabetes educational program on self-care and diabetes control among type 2 diabetic patients in Al-Baha–Saudi Arabia. 8e. DOI: 10.3934/medsci.2019.3.23zz

Amelia, et al. (December, 2016). The Correlation between Self Care Behavior and the Level of Hba1c of the Patients with Diabetes Mellitus Type 2 in Binjai City, North Sumatra Province. Atlantis Press. Advances in Health Sciences Research, volume 1. DOI: https://doi.org/10.2991/phico-16.2017.39

American Diabetes Association. (2019). Diagnosis and Classification of Diabetes Mellitus. Diabetes Care Vol 37, Supplemet I, january 2014. https://care.diabetesjournals.org/content/37/Supplement_1/S81.full.pdf+html. Accessed December 21, 2020.

_______________________. (2020). Life doesn't end with type 2. https://www.diabetes.org/diabetes/type-2diabetes

Bara, A., et.al. (2021). The Effectiveness of Advertising Marketing in Print Media during the Covid 19 Pandemic in the Mandailing Natal Region. Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4 (1): 879-886.

Bekele, et al. (July, 2020). The effectiveness of diabetes self-management education (DSME) on glycemic control among T2DM patients randomized control trial: systematic review and meta-analysis protocol. Journal of Diabetes & Metabolic Disorders (2020) 19:1631–1637. https://doi.org/10.1007/s40200-020-00584-3

Brown Adam. 2018. 42 Factors That Affect Blood Glucose?! A Surprising Update. https://diatribe.org/42factors

Cabello et al. (July, 2014). Characteristics and effectiveness of diabetes self-management educational programs targeted to racial/ethnic minority groups: a systematic review, meta-analysis and meta-regression. BMC Endocrine Disorders Journal

Chester.B et al. (2018). Quick guide to type 2 diabetes self-management education: creating an interdisciplinary diabetes management team. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. DOI https://doi.org/10.2147/DMSO.S178556

Decroli (2019). Type 2 diabetes mellitus. Padang: FK Andalas University.

Funneli. (2010). National Standards for Diabetes Cell fManagement Education. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797385/pdf/zdcS89.pdf.

Haas et al. (2012). National Standards for Diabetes Self-Management Education and Support. https://care.diabetesjournals.org/content/35/11/2393

Infodatin. (2018). World Diabetes Day 2018. Ministry of Health. file:///C:/Users/IDCheh/Downloads/infodatin-Diabetes-2018%20(5).pdf

International Diabetes Federation. (2020, My 22). Diabetes complications. https://www.idf.org/aboutdiabetes/complications.html#:~:text=People%20with%20diabetes%20have%20an,higher%20risk%20of%20developing%20infections. Accessed September 28, 2020.

Kisokanth G, et al. (2013). Factors influencing self-management of Diabetes Mellitus; a review article. Journal of Diabetology vol. https://www.journalofdiabetology.org/article.asp?issn=2078-7685;year=2013;volume=4;issue=3;spage=6;epage=6;aulast=Kisokanth;type=0.

Kristanti, E. (2016). The Influence of Self Diabetes Management Education (SDME) on Knowledge, Attitudes, Prediabetes Blood Sugar Levels in Pesantren I Health Center kediri City. Thesis. Yogyakarta: UMY

Kusnanto. (2012). Model Self Care Management-Holistic Psychospiritual Care Against Independence, Blood Glucose, and HbA1c People with Type 2 Diabetes Mellitus. Journal Ners Vo 7 No. 2. Doi: https://dx.doi.org/10.20473/jn.v7i2.4007.

Mulyani. (2016). Self-Management Relationship of Type II Diabetes Mellitus Patients with blood sugar levels in the city hospital in Banda Aceh. Health Research Journal Vol 3 No.3. doi: 10.22435/cell.v3i2.6383.56-63.

Ningrum, P.A., Hukom, A., and Adiwijaya, S. (2020). The Potential of Poverty in the City of Palangka Raya: Study SMIs Affected Pandemic Covid 19. Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 3 (3): 1626-1634.

Novitha. (2019). Association of Diabetes Self Care Management with Blood Glucose Levels in Patients with Type 2 Diabetes Mellitus in Upt Kesmas Abiansemal II in 2019. http://repository.poltekkes-denpasar.ac.id/2120/

Nuradhayani, et al. (2017). The Effect of Diabetes Self Management Education (DSME) on Blood Sugar Levels of Type Ii Diabetes Patients in the KeseLaboratory. hatan Makassar. Scientific Journal of Health Diagnosis Vol 11 No. 4 (2017). http://ejournal.stikesnh.ac.id/index.php/jikd/article/view/243.

___________. (2019). Guidelines for Self-Glucose Monitoring in 2019. Jakarta: PERKENI

Pimouguet C,et al. (2011, Feb. Effectiveness of diabetic management program for improving diabetic care: a meta- analysis. Canadian Medical Association Journal, 2011, 183(2):115-127. Doi: 10.1503/cmaj.091786

Powers, et al. (2015). Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4833481/pdf/70.pdf

Saeedi Paoula, et al. (September, 2019). Global and Regional prevalence estimates for 2019 anda projections for 2030 and 2045: Result from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research Your Clinical Practice Vol 157. DOI: https://doi.org/10.1016/j.diabres.2019.107843

Sihombing, E.H., and Nasib. (2020). The Decision of Choosing Course in the Era of Covid 19 through the Telemarketing Program, Personal Selling and College Image. Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 3 (4): 2843-2850.

World Health Organization. (2020). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes. Accessed Dec. 30, 2020.

Yeni, C.M., Talima, A., and Milzam, H. (2020). Description of Gestational Mellitus Diabetes in the General Hospital Dr. Zainoel Abidin Banda Aceh in 2018. Budapest International Research in Exact Sciences (BirEx) Journal Vol 2 (2):236-240.

Zheng Fan, et al. (2019). Effects of an Outpatient Diabetes Self-Management Education on Patients with Type 2 Diabetes in China: A Randomized Controlled Trial. https: Luth//pubmed.ncbi.nlm.nih.gov/30800684/#:~:text=Conclusion%3A%20This%20study%20showed%20that,with%20type%202%20diabetes%20mellitus

DOI: https://doi.org/10.33258/birci.v4i4.3033

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