Rismaya Ayu Shakila, Rinawati Tarigan

Penurunan Kadar Gula Darah Pada Pasien Dm Tipe II Dengan Masalah Keperawatan Ketidak Stabilan Kadar Gula Darah Dipuskesmas Helvetia

Introduction

Penurunan kadar gula darah pada pasien dm tipe ii dengan masalah keperawatan ketidak stabilan kadar gula darah dipuskesmas helvetia. Studi kasus penurunan kadar gula darah pasien DM Tipe II di Puskesmas Helvetia melalui latihan kaki diabetik. Hasil menunjukkan penurunan signifikan dari 310 mg/dl menjadi 230 mg/dl.

Abstract

Type II diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, occurring due to abnormalities in insulin secretion, insulin action or both. One of the recommended sports exercises is leg exercises. Diabetic foot exercises are a form of physical exercise for Diabetes Mellitus sufferers of all ages to avoid injuries so that blood circulation in the feet can be facilitated. Foot exercises are movements that train the small muscles of the feet and improve blood circulation in various positions such as sitting, standing or lying down. The purpose of this writing is to discuss diabetes foot exercises which can reduce blood sugar levels in people with Type II Diabetes Mellitus. The writing method uses a descriptive design with a killing process approach. The written results show a decrease in blood sugar levels after carrying out diabetic foot exercises with results before doing 310 mg/dl and after doing 230 mg/dl.

Review

This paper addresses a highly relevant clinical issue: the management of Type II Diabetes Mellitus and the potential role of non-pharmacological interventions like diabetic foot exercises in reducing blood sugar levels. The stated objective to explore how these exercises can contribute to glycemic control is commendable, given the importance of accessible and low-cost interventions in primary care settings, as suggested by the study's location at Puskesmas Helvetia. The initial finding, showing a decrease in blood sugar levels from 310 mg/dl to 230 mg/dl, presents an intriguing preliminary observation that warrants further investigation into the efficacy of this intervention. However, the methodological approach significantly limits the interpretability and generalizability of the findings. The abstract describes a "descriptive design with a killing process approach," which is an unclear and unusual phrase in scientific methodology, raising concerns about the rigor of the study design. The presentation of only two specific blood sugar values ("before doing 310 mg/dl and after doing 230 mg/dl") strongly suggests that the reported data may pertain to a single case or a very small, uncontrolled observation. Crucially, the abstract lacks essential information regarding the sample size, the duration and frequency of the intervention, the specifics of data collection, and any statistical analysis. Without a control group, randomization, or blinding, it is impossible to attribute the observed decrease solely to the diabetic foot exercises. To advance this important topic, future research should adopt more robust methodologies. This would ideally involve conducting controlled clinical trials with larger sample sizes, clearly defined intervention protocols (frequency, duration, intensity of exercises), and comprehensive follow-up periods. A clearer explanation of the "killing process approach" or the adoption of more universally recognized research designs would also be crucial for enhancing scientific credibility. While the current paper provides a preliminary, descriptive insight, it primarily serves as a hypothesis-generating piece, highlighting the need for rigorous empirical studies to validate the effectiveness of diabetic foot exercises in managing blood sugar levels in Type II Diabetes Mellitus patients.

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