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"ABSTRAKLatar Belakang Penyakit kronis Diabetes Mellitus merupakan penyakit yangbanyak ditemui pada masyarakat Indonesia. Penderita penyakit ini membutuhkanpenanganan jangka panjang yang tidak hanya meliputi pengobatan namun jugaperubahan gaya hidup. Perubahan gaya hidup membutuhkan adaptasi yangterkadang menimbulkan stress bagi penyandang penyakit ini. Stress yang tidakdikelola dengan baik dapat menyebabkan penderita masuk dalam kondisi depresiMetode Penelitian dilakukan dengan menggunakan desain single subject designdan pengambilan sample menggunakan metode purposive sampling. Partisipanterdiri dari 2 subjek yang memiliki kriteria GDS>150, divonis menyandangDiabetes Mellitus, dan hasil ukur berdasarkan Beck?s Depression Inventory beradapada golongan depresi berat atau golongan depresi ringan-sedang. Pertemuanberjalan 6 kali ditambah 1 pertemuan untuk asesmen awal. Pendekatan yangdigunakan dalam penelitian ini yaitu cognitive behavior therapy. HasilBerdasarkan hasil pengukuran sebelum dan sesudah intervensi diperoleh hasilpartisipan mengalami penurunan tingkat depresi yang diindikasikan denganpartisipan yang lebih tenang setelah intervensi dan penurunan skor pada Beck?sDepression Inventory serta adanya perubahan pada pikiran negatif. KesimpulanPenelitian ini membuktikan bahwa pendekatan cognitive behavior therapy efektifdalam menurunkan tingkat depresi dan mengubah pikiran negatif pada penderitaDiabetes Mellitus tipe 2. Partisipan juga menyampaikan bahwa pendekatan inimemberikan manfaat karena dapat melatih partisipan mengendalikan isipikirannya.

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ABSTRACTBackground Chronic illness Diabetes Mellitus has been found as big cases in ourcountry. People who has this illness has to take a long time period of treatments,not only use drugs for long period but also change their life style. Changing lifestyle sometimes stressful for people who has this illness. If they can?t handlestress properly, they will down to depression. Method This research use singlesubject design and purposive sampling to take participants who can join thisresearch. Criteria that use in this research are people who has Diabetes Mellitustype 2, GDS>150, and people in mild-moderate group or severe group ofdepression based on Beck?s Depression Inventory. This research consist of 6sessions and 1 session for assessment. Cognitive behavior therapy was used in thisresearch. Result Based on before and after intervention measurement, participantshowed decrease of depression and change negative thoughts. It can be seen bydecrease of scores Beck?s Depression Inventory and participant?s reports.Conclusion This research has proven that cognitive behavioral therapy effectiveto decrease depression and change negative thoughts Diabetes Mellitus type 2patients."

"ABSTRAKDiabetes Mellitus (DM) merupakan salah satu penyakit yang paling sering muncul di dunia. Banyaknya regimen yang harus dipatuhi penderita DM, adanya risiko komplikasi, dan lain sebagainya merupakan faktor yang dapat memengaruhi munculnya diabetes-related distress pada penderita DM. Melalui berbagai penelitian yang telah dilakukan, diketahui bahwa diabetes-related distress memberikan pengaruh negatif terhadap kondisi fisik ataupun psikologis penderita DM. Pengaruh negatif tersebut juga dialami oleh penderita DM, yang juga diperburuk oleh karakteristik lanjut usia.Melihat pengaruh negatif dari diabetes-related distress pada penderita DM yang tergolong lanjut usia (lansia) tersebut, peneliti tertarik untuk memberikan intervensi untuk mengurangi diabetes-related distress dengan menggunakan pendekatan Cognitive Behavior Therapy. Penelitian dilakukan kepada dua orang lansia yang mengalami diabetes-related distress. Kedua partisipan yang menjalani intervensi Cognitive Behavior Therapy mengalami penurunan tingkat diabetes-related distress. Hal tersebut didapatkan melalui wawancara dan observasi, serta pengukuran menggunakan alat ukur PAID (Problem Areas In Diabetes). Setelah intervensi selesai diberikan, para partisipan sudah mampu mempraktikkan teknik-teknik intervensi yang diberikan dalam rangkaian intervensi. Para partisipan juga memahami bahwa keberhasilan intervensi ditentukan oleh kemandirian dan niat mereka untuk menjalankan teknik-teknik tersebut dalam kehidupan sehari-hari.

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ABSTRACT

Diabetes Mellitus (DM) is one of the most frequent diseases to appear globally. Too many regimens to adhere, complication risks, and so on can endorse diabetes-related distress in DM patients. Many studies have found that the presence of diabetes-related distress gives negative impacts to patients, physically and psychologically. In older DM patients, those negative impacts is worsen by the characteristics of older adults.

Knowing those negative impacts to older DM patients, I decided to conduct a study that consists of delivering intervention with cognitive behavior therapy approach to lessen diabetes-related distress for older adults with DM. There are two participants in this study, both are older adults with high level of diabetes-related distress. All participants experienced decreased level of diabetes-related distress from their participation in this intervention, as shown in interview, observation, and an assessment using PAID (Problem Areas In Diabetes). After all the intervention sessions have been delivered, all participants are able to practice the interventions techniques that were given. All participants also understand that the therapeutic success is determined by their independence and their willingness to change by practicing the techniques in daily life."

"ABSTRAKLatar belakang Diabetes melitus tipe 2 adalah penyakit kronis yang perawatannya sangat bergantung kepada kemampuan penderitanya untuk mematuhi regimen medis berupa pengaturan pola makan, berolahraga, pengecekan kadar glukosa darah, dan meminum obat sesuai anjuran. Ketidakpatuhan terhadap regimen medis dapat mengakibatkan kontrol glukosa darah memburuk dan memperbesar resiko komplikasi penyakit, seperti gangguan mata dan hipertensi. Pada lansia dengan diabetes melitus tipe 2, kepatuhan medis menjadi suatu isu yang lebih kompleks, karena semakin bertambah usia seseorang maka regimen medis yang dimiliki juga akan menjadi lebih kompleks, sedangkan kemampuan kognitif dan memori mengalami penurunan. Oleh karena itu, peneliti mencoba menjawab permasalahan tersebut dengan memberikan Cognitive Behavioral Therapy kepada 2 (dua) orang lansia dengan diabetes melitus tipe 2 yang bermasalah dengan kepatuhan medis. Desain penelitian ini menggunakan single subject design. Pengukuran dilakukan saat pra-intervensi, pertengahan intervensi, dan pasca-intervensi. Hasil pengukuran intervensi melalui pengisian 8-Item Morisky Medication Adherence Scale (MMAS-8), wawancara dan observasi, serta pengukuran kadar glukosa darah, menunjukkan kenaikan tingkat kepatuhan medis dari rendah menjadi menengah pada kedua partisipan. Kesimpulan penelitian ini membuktikan bahwa Cognitive Behavioral Therapy efektif untuk meningkatkan kepatuhan medis pada para lansia dengan penyakit diabetes melitus tipe 2. Partisipan juga merasa mendapatkan manfaat dari teknik-teknik yang diajarkan dalam terapi ini dan memahami bahwa untuk mempertahankan kepatuhan medis yang mereka miliki, partisipan perlu untuk selalu menerapkan teknik-teknik tersebut dalam keseharian mereka.

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ABSTRACT

Background Type 2 diabetes mellitus is a chronic disease which its treatment heavily depend on patients ability to adhere to their medical regimens. Type 2 diabetes mellitus medical regimen consists of healthy diets, frequent exercises, blood glucose level control, and regular taking of medications. Non-adherence to medical regimen could lead to worse blood glucose control and result in the increase of another disease complication, such as glaucoma and hypertension. In older adults with type 2 diabetes mellitus, medical adherence becomes a more complex issue, because as people grow old, their medical regimen will become more complex. Meanwhile, their cognitive and memory ability decrease. In this research, the researcher will provide Cognitive Behavioral Therapy for 2 (two) older adults with type 2 diabetes mellitus and have problems with their medical adherence. Research design use single subject design. There are three assessments that were taken, pre-intervention, mid-intervention, and post-intervention. Result assessments through 8-Item Morisky Medication Adherence Scale (MMAS-8), interview, observation, and blood glucose control showed increase in medical adherence levels, from low medical adherence to medium medical adherence in both participants. Conclusion this research proved that Cognitive Behavioral Therapy is effective to increase medical adherence in older adults with type 2 diabetes mellitus. All participants also experienced the benefits from techniques that were given during therapy and understood that to maintain the medical adherence they achieved; they need to keep applied those techniques into their daily life."

"Latar Belakang: Insidensi dan prevalensi diabetes melitus tipe 2 (DMT2) terus meningkat. Penurunan imunitas yang terjadi pada DMT2 dapat meningkatkan risiko infeksi. Kontrol gula darah yang baik bermanfaat dalam pengendalian infeksi dan pencegahan komplikasi makro dan mikrovaskuler tetapi penelitian yang melibatkan pasien DMT2 usia lanjut masih belum konklusif. Serial kasus ini dilakukan untuk melihat efektivitas kontrol gula darah terhadap kesintasan pasien DMT2 yang dirawat di rumah sakit, dan untuk implementasi tatalaksana nutrisi sesuai kebutuhan dan kondisi klinis pasien. Metode: Pasien pada serial kasus ini berusia antara 47 ? 65 tahun. Penyulit infeksi pada keempat pasien ini yaitu gangren diabetikum, selulitis, dan sepsis dengan infeksi paru dan infeksi saluran kemih. Tatalaksana nutrisi pasien dilakukan sesuai dengan rekomendasi American Diabetes Association dan Therapeutic Lifestyle Changes disesuaikan dengan kondisi klinis dan toleransi pasien. Perhitungan kebutuhan nutrisi menggunakan rekomendasi untuk perawatan pasien sakit kritis bagi pasien yang dirawat di intensive care unit (ICU), dan menggunakan perhitungan dengan formula Harris-Benedict bagi yang dirawat di ruangan dengan faktor stres sesuai derajat hipermetabolisme pasien. Pasien dipantau selama 7 ? 11 hari. Edukasi diberikan kepada pasien dan keluarga selama perawatan dan saat akan pulang. Hasil: Dalam pemantauan, tiga pasien menunjukkan perbaikan klinis, toleransi asupan, dan laboratorium, dan dapat dipulangkan, sedangkan satu pasien meninggal dunia. Kesimpulan: Kontrol gula darah, asupan nutrisi yang adekuat, dan edukasi yang sesuai, dapat meningkatkan kesintasan pasien DMT2 dengan penyulit infeksi yang dirawat di rumah sakit.

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Background: The incidence and prevalence of type 2 diabetes mellitus (T2DM) is increasing. Immune disfunction in T2DM patient may increase the risk of infection. The appropriate blood glucose control has a benefit in infection control and macro and microvascular complication prevention. The Studies of glycaemic control included older patients did not find convincing evidence. The aim of this case series is to assess the association between glycaemic control and clinical outcome of hospitalized T2DM patient with comorbid infection, and to provide appropriate nutrition therapy based on individual nutrition needs.

Method: Patients in this case series were between 47 - 65 years old. There of those patients were diagnosed T2DM with comorbid gangrenous diabeticum, cellulitis, and sepsis with lung infection and urinary tract infection. Two patients need intensive care in ICU, and another patients in the ward. Two patients received nutrition therapy as critically ill condition, and the rest as American Diabetic Association recommendation, with basal calorie requirement were calculated using Harris-Benedict formula and stress factor suitable for metabolic changes. Monitoring was done for 7 - 11 days. Education was done for the patient and family during hospitalization and discharge planning.

Results: Three patients showed the improvement of clinical conditions, intake tolerance, and laboratory results, whatever one patient was pass away.

Conclusion: Glycaemic control, adequate nutrition intake, and intensive education, may improve survival rate in hospitalized T2DM patient with infection as comorbid."

"Sambiloto (Andrographis paniculata Nees.) secara empiris telah digunakan sebagai obat alternatif untuk berbagai penyakit termasuk diabetes mellitus. Penelitian ini dilakukan untuk menganalisis efek hipoglikemik kapsul sambiloto sebagai terapi tambahan pada penyandang diabetes melitus tipe 2. Double-blind randomized controlled trial cross-over desain pada 34 subyek dibagi menjadi dua kelompok. Kelompok pertama sambiloto mendapat 2 kali 2 kapsul sehari selama 14 hari, dan kelompok kedua mendapat plasebo selama 14 hari. Kedua kelompok tetap menggunakan metformin sebagai terapi standar kemudian dievaluasi kadar glukosa darah pasca terapi 14 hari. Pada pemberian kapsul sambiloto selama 14 hari tampak penurunan kadar glukosa darah puasa lebih besar dibandingkan plasebo, tetapi tidak bermakna. Kapsul sambiloto bermakna menurunkan kadar glukosa darah 2 jam setelah makan. Kesimpulan: Kapsul sambiloto dapat menurunkan kadar glukosa darah namun bermakna secara statistik hanya 2 jam setelah makan.

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Sambiloto (Andrographis paniculata Nees.) is empirically used as an alternative medicine for various diseases including diabetes mellitus, but the scientific evident for treatment in humans is still limited. This study analyze the effects of hypoglycemic sambiloto capsules as additional therapy in patients with type 2 diabetes mellitus. Double-blind randomized controlled trial, cross-over design in 34 subjects who were divided into two groups. The first groups sambiloto received 2 capsules 2 times daily for 14 days, and the second groups received placebo for 14 days. Both groups kept taking metformin as standard therapy with an the evaluation of blood glucose levels on day 14. The results showed that administration of sambiloto capsules for 14 days, the blood glucose levels is greater compared to placebo but not significantly. Sambiloto capsules significantly reduced blood glucose 2 hours after eating. Conclusions: sambiloto capsules shown to reduced blood glucose levels, but statistically significant only in 2 hours after eating."

"Komplikasi kronis pada diabetes melitus berupa ulkus kaki diabetik dapat dicegah dengan melakukan perawatan kaki mandiri. Salah satu faktor yang berperan dalam perilaku perawatan kaki adalah efikasi diri.Tujuan penelitian ini adalah untuk mengetahui hubungan efikasi diri dengan perilaku perawatan kaki pada individu dengan diabetes melitus tipe 2 (DMT2).Penelitian ini menggunakan metode kuantitatif observasional analitik dengan pendekatan crossectional, melibatkan 74 individu dengan DMT2. Alat ukur yang digunakan berupa kuesioner karakteristik demografi, Foot Care Confidence Scale, Nottingham Assessment of Functional Footcare, dan pengetahuan perawatan kaki.Hasil penelitian menunjukkan terdapat hubungan positif yang bermakna antara efikasi diri dengan perilaku perawatan kaki (r = 0.303; p = 0.009). Hasil analisis multivariat didapatkan efikasi diri menjadi prediktor terhadap perilaku perawatan kaki setelah dikontrol oleh pengetahuan dan tingkat pendidikan.Kesimpulan dari penelitian ini adalah perlunya upaya untuk memperbaiki perilaku perawatan kaki pada individu dengan DMT2 dengan meningkatkan efikasi diri menggunakan sumber-sumber efikasi diri yang ada.

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Chronic complications of type 2 diabetes mellitus such as diabetes foot ulcer could be prevented by performing foot self care. Self efficacy is the most important role in foot care.

This study aims to investigate the relationship between self efficacy and foot care behavior.

This study was observational analytic with cross-sectional approach, recruited 74 people with type 2 diabetes mellitus using consecutive sampling method. Data collection was done using demographic questionnaire, Foot Care Confidence Scale, Nottingham Assessment of Functional Foot-care and diabetic foot self care knowledge.

The result showed that there was a positive relationship between self efficacy and foot care behavior (r = 0.303; p = 0.009). Multivariate analysis showed that self efficacy became a strong predictor of foot self care behavior along with knowledge and educational level.

In conclusion, it is needed to improve foot self care in people with type 2 diabetes mellitus through increasing self efficacy."

"Obat antidiabetes yang paling banyak diresepkan di Puskesmas Indonesia adalah metformin atau kombinasi metformin dan sulfonilurea. Studi tentang metformin telah menunjukkan berbagai dampak penurunan kognitif pada pasien dengan diabetes mellitus tipe 2, sedangkan sulfonilurea telah terbukti mengurangi dampak ini. Penelitian ini bertujuan untuk membandingkan dampak metformin dan metformin-sulfonilurea pada fungsi kognitif dan menentukan faktor apa yang mempengaruhinya. Studi potong lintang ini dilakukan di Puskesmas Pasar Minggu dengan melibatkan 142 pasien diabetes melitus tipe 2 yang mengonsumsi metformin atau metformin-sulfonilurea selama >6 bulan dan usia >36 tahun. Fungsi kognitif dinilai menggunakan kuesioner Montreal Cognitive Assessment versi bahasa Indonesia. Efek dari metformin dan metformin-sulfonylurea pada penurunan kognitif tidak menunjukkan perbedaan yang signifikan, bahkan setelah mengontrol kovariat (aOR = 1,096; 95% CI =  13.008px;">0,523–2,297; nilai-p = 0,808). Analisis multivariat menunjukkan usia (OR = 4,131; 95% CI = 1,271–13,428; nilai-p = 0,018) dan pendidikan (OR = 2,746; 95% CI = 1.196–6.305; nilai-p = 0,017) mempengaruhi fungsi kognitif. Pendidikan yang lebih rendah dan usia yang lebih tua cenderung menyebabkan penurunan kognitif, tenaga kesehatan didorong untuk bekerja sama dengan ahli kesehatan masyarakat untuk mengatasi faktor risiko fungsi kognitif ini.

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The most prescribed antidiabetic drugs in Indonesian primary health care are metformin or a combination of metformin and sulfonylurea. Studies on metformin have shown various impacts on cognitive decline in patients with type 2 diabetes mellitus, whereas sulfonylurea has been shown to reduce this impact. This study aimed to compare the impacts of metformin and metformin-sulfonylurea on cognitive function and determine what factors affected it. This crosssectional study was conducted at Pasar Minggu Primary Health Care involving 142 type 2 diabetes mellitus patients taking metformin or metformin-sulfonylurea for >6 months and aged >36 years. Cognitive function was assessed using the validated Montreal Cognitive Assessment Indonesian version. The effects of metformin and metformin-sulfonylurea on cognitive decline showed no significant difference, even after controlling for covariates (aOR = 1.096; 95% CI = 0.523–2.297; p-value = 0.808). Multivariate analysis showed age (OR = 4.131; 95% CI = 1.271–13.428; p-value = 0.018) and education (OR = 2.746; 95% CI = 1.196–6.305; p-value = 0.017) affected cognitive function. Since a lower education and older age are likely to cause cognitive decline, health professionals are encouraged to work with public health experts to address these risk factors for cognitive function."

"Masyarakat perkotaan memiliki pola hidup yang mengutamakan kemudahan dalam banyak kegiatan. Pola hidup yang mencerminkan hal tersebut seperti dalam pengkonsumsian makanan atau minuman cepat saji dan aktifitas fisik yang rendah. Pola hidup seperti yang telah dijelaskan dapat memicu terjadinya peningkatan faktor risiko penyebab diabetes mellitus tipe 2. Lamanya proses perawatan pada klien yang telah mengalami komplikasi, dapat memicu terjadinya masalah psikososial seperti ketidakberdayaan. Ketidakberdayaan merupakan persepsi seseorang tentang kegiatannya atau tindakan yang dilakukan tidak akan mempengaruhi apapun. Intervensi yang dapat dilakukan pada klien dengan ketidakberdayaan seperti menanamkan pikiran positif, dan melatih afirmasi positif. Intervensi yang dilakukan pada klien dapat mengontrol ketidakberdayaan yang dialami.

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Urban people have a lifestyle that focuses on ease, such as the consumption of fast food or drinks high carbohydrate and low physical activity. This life style can lead to an increase in risk factors associated with type 2 diabetes mellitus. The length of the treatment process in clients with complications can lead to psychosocial problems such as powerlessness. Powerlessness is one's perception of its activities or actions do not affect anything. Interventions that can be performed on the client with the powerlessness such as practice of positive thinking and positive affirmations. Interventions were performed on the client can control the powerlessness experienced."

"Type 2 diabetes mellitus (T2DM) is strongly associated with lower performance on multiple domains of cognitive function and with structural abnormalities of the brain. With the growing epidemic of diabetes and aging population, neural complications of diabetes are expected to rise and becoming a challenge for future health implications. Understanding pathophysiology, factors associated with this complication, manifestation of cognitive impairment and various metabolic and neuroradiologic markers suggestive of this pathologic condition is crucial for proper management of this potentially debilitating complication of T2DM. This review will discuss briefly important aspects of cognitive impairment in T2DM."

"ABSTRAK Latar Belakang. Prevalensi disfungsi tiroid lebih tinggi pada pasien diabetes dibandingkan populasiumum. Hipotiroidisme memperburuk komplikasi, morbiditas, mortalitas, dan kualitas hidup pasiendiabetes melitus tipe 2 (DM tipe 2). Faktor risiko hipotiroidisme pada pasien DM tipe 2 selama ini masihkontradiktif dan belum dikaji secara lengkap. Keberadaan sistem skor hipotiroidisme pada pasien DMtipe 2 diperlukan untuk membantu diagnosis dan menapis pasien DM tipe 2 yang memerlukanpemeriksaan laboratorium fungsi tiroid sebagai baku emas diagnosis hipotiroidisme.Tujuan. Mengetahui prevalensi dan determinan hipotiroidisme pada pasien DM tipe 2.Metode. Penelitian dengan desain potong lintang dilakukan di Poliklinik Divisi Metabolik Endokrin(Poliklinik Diabetes) RSCM pada Juli sampai September 2015 dengan metode sampling konsekutif.Subjek menjalani anamnesis, pemeriksaan fisis, dan pemeriksaan laboratorium (TSH dan fT4). Analisisdata dilakukan dengan program statistik SPSS Statistics 17.0 untuk analisis univariat, bivariat,multivariat, dan Receiving Characteristics Operator (ROC) dan SPSS Statistics 20.0 untuk analisisbootstrapping pada Kalibrasi Hosmer-Lemeshow.Hasil. Sebanyak 303 subjek dianalisis untuk mendapatkan proporsi disfungsi tiroid dan 299 subjekdianalisis untuk mendapatkan determinan hipotiroidisme. Sebanyak 23 subjek (7,59%) terdiagnosishipotiroidisme, terdiri dari 43,5% subjek hipotiroid klinis dan 56,5% subjek hipotiroid subklinisberdasarkan Indeks Zulewski dan/atau Indeks Billewicz, dengan 16,7% hipotiroid klinis dan 83,3%hipotiroid subklinis berdasarkan hasil pemeriksaan fT4. Determinan hipotiroidisme pada pasien DMtipe 2 adalah riwayat penyakit tiroid di keluarga dengan OR sebesar 4,719 (95% IntervalKepercayaan/IK 1,07-20,8, p = 0,04), keberadaan goiter dengan OR sebesar 20,679 (95% IK 3,49122,66, p = 0,001),kontrol glikemik yang buruk dengan OR sebesar 3,460 (95%IK 1,075-11,14, p = 0,037), dan adanya sindrom metabolikOR sebesar 25,718 (95% IK 2,21-299,99, p = 0,01). Simpulan. Proporsi hipotiroidisme pada pasien DM tipe 2 adalah 7,59%. Determinan diagnosis dan komponen sistem skor hipotiroidisme pada pasien DM tipe 2 adalah riwayat penyakit tiroid di keluarga, keberadaan goiter, kontrol glikemik yang buruk, dan adanya sindrom metabolik. Sistem skor yang diberi nama Skor Hipotiroid RSCM ini diharapkan menjadi alat bantu diagnosis hipotiroidisme pada pasienDM tipe 2. ABSTRACT Background. Prevalence of thyroid dysfunction is greater in diabetes patients compared to generalpopulation. Hypothyroidism is worsening complications, morbidity, mortality, and quality of life in type2 diabetes mellitus (T2DM) patients. Risk factors of hypothyroidism in T2DM patients are stillcontradictive and not assessed completely. Presence of scoring system to estimate hypothyroidism inT2DM patients are needed to help diagnosing and screening of T2DM patients who need to undergothyroid function test as a gold standard diagnostic for hypothyroidism.Aim. To identify prevalence and estimators of hypothyroidism in T2DM patients.Methods. A cross-sectional study was conducted in Metabolic Endocrine (Diabetes) Outpatient ClinicCipto Mangunkusumo Hospital from July-September 2015 with consecutive sampling method. Allsubjects underwent interview, physical examination, and laboratory testing (TSH and fT4). Analysiswas done by using SPSS Statistics 17.0 for univariate, bivariate, multivariate, and ROC (ReceivingOperator Characteristics) analysis and SPSS Statistics 20.0 for bootstrapping analysis in HosmerLemeshowCalibration. Results. 303 subjects included for proportion study of thyroid dysfunction and 299subjects included for analysis of hypothyroidism determinants. 23 subjects (7,59%) are diagnosed as havinghypothyroidism, consisted of 43,5% clinical hypothyroidism and 56,5% subclinical hypothyroidismbased on clinical scoring index by Zulewski and Billewicz, and 16,7% subjects as having clinicalhypothyroidism and 83,3% subjects as having subclinical hypothyroidism based on fT4 examination.Determinants for hypothyroidism in T2DM patients are family history of thyroid disease with OR 4,719(95% Confident Interval/CI 1,07-20,8, p = 0,04), having goiter or difus struma with OR 20,679 (95%CI 3,49-122,66, p = 0,001), poor glycemic control with OR 3,460 (95% CI 1,075-11,14, p = 0,037), and metabolic syndrome with OR 25,718 (95% CI 2,21-299,99, p = 0,01). Conclusion. Proportion of hypothyroidism in T2DM patients is 7,59%. Determinants and componentsof scoring system of hypothyroidism in T2DM patients consist of family history of thyroid disease,having goiter or difus struma, poor glycemic control, and metabolic syndrome. Scoring system which iscalled RSCM Hypothyroid Score is expected to be a tool for helping diagnosis of hypothyroidism inT2DM patients.;Background. Prevalence of thyroid dysfunction is greater in diabetes patients compared to generalpopulation. Hypothyroidism is worsening complications, morbidity, mortality, and quality of life in type2 diabetes mellitus (T2DM) patients. Risk factors of hypothyroidism in T2DM patients are stillcontradictive and not assessed completely. Presence of scoring system to estimate hypothyroidism inT2DM patients are needed to help diagnosing and screening of T2DM patients who need to undergothyroid function test as a gold standard diagnostic for hypothyroidism.Aim. To identify prevalence and estimators of hypothyroidism in T2DM patients.Methods. A cross-sectional study was conducted in Metabolic Endocrine (Diabetes) Outpatient ClinicCipto Mangunkusumo Hospital from July-September 2015 with consecutive sampling method. Allsubjects underwent interview, physical examination, and laboratory testing (TSH and fT4). Analysiswas done by using SPSS Statistics 17.0 for univariate, bivariate, multivariate, and ROC (ReceivingOperator Characteristics) analysis and SPSS Statistics 20.0 for bootstrapping analysis in HosmerLemeshowCalibration. Results.303subjectsincludedforproportionstudyofthyroiddysfunctionand299subjectsincludedforanalysis of hypothyroidism determinants. 23 subjects (7,59%) are diagnosed as havinghypothyroidism, consisted of 43,5% clinical hypothyroidism and 56,5% subclinical hypothyroidismbased on clinical scoring index by Zulewski and Billewicz, and 16,7% subjects as having clinicalhypothyroidism and 83,3% subjects as having subclinical hypothyroidism based on fT4 examination.Determinants for hypothyroidism in T2DM patients are family history of thyroid disease with OR 4,719(95% Confident Interval/CI 1,07-20,8, p = 0,04), having goiter or difus struma with OR 20,679 (95%CI 3,49-122,66, p = 0,001), poor glycemic control with OR 3,460 (95% CI 1,075-11,14, p = 0,037), and metabolic syndrome with OR 25,718 (95% CI 2,21-299,99, p = 0,01).Conclusion. Proportion of hypothyroidism in T2DM patients is 7,59%. Determinants and componentsof scoring system of hypothyroidism in T2DM patients consist of family history of thyroid disease,having goiter or difus struma, poor glycemic control, and metabolic syndrome. Scoring system which iscalled RSCM Hypothyroid Score is expected to be a tool for helping diagnosis of hypothyroidism inT2DM patients.;Background. Prevalence of thyroid dysfunction is greater in diabetes patients compared to generalpopulation. Hypothyroidism is worsening complications, morbidity, mortality, and quality of life in type2 diabetes mellitus (T2DM) patients. Risk factors of hypothyroidism in T2DM patients are stillcontradictive and not assessed completely. Presence of scoring system to estimate hypothyroidism inT2DM patients are needed to help diagnosing and screening of T2DM patients who need to undergothyroid function test as a gold standard diagnostic for hypothyroidism.Aim. To identify prevalence and estimators of hypothyroidism in T2DM patients.Methods. A cross-sectional study was conducted in Metabolic Endocrine (Diabetes) Outpatient ClinicCipto Mangunkusumo Hospital from July-September 2015 with consecutive sampling method. Allsubjects underwent interview, physical examination, and laboratory testing (TSH and fT4). Analysiswas done by using SPSS Statistics 17.0 for univariate, bivariate, multivariate, and ROC (ReceivingOperator Characteristics) analysis and SPSS Statistics 20.0 for bootstrapping analysis in HosmerLemeshowCalibration. Results.303subjectsincludedforproportionstudyofthyroiddysfunctionand299subjectsincludedforanalysis of hypothyroidism determinants. 23 subjects (7,59%) are diagnosed as havinghypothyroidism, consisted of 43,5% clinical hypothyroidism and 56,5% subclinical hypothyroidismbased on clinical scoring index by Zulewski and Billewicz, and 16,7% subjects as having clinicalhypothyroidism and 83,3% subjects as having subclinical hypothyroidism based on fT4 examination.Determinants for hypothyroidism in T2DM patients are family history of thyroid disease with OR 4,719(95% Confident Interval/CI 1,07-20,8, p = 0,04), having goiter or difus struma with OR 20,679 (95%CI 3,49-122,66, p = 0,001), poor glycemic control with OR 3,460 (95% CI 1,075-11,14, p = 0,037), and metabolic syndrome with OR 25,718 (95% CI 2,21-299,99, p = 0,01).Conclusion. Proportion of hypothyroidism in T2DM patients is 7,59%. Determinants and componentsof scoring system of hypothyroidism in T2DM patients consist of family history of thyroid disease,having goiter or difus struma, poor glycemic control, and metabolic syndrome. Scoring system which iscalled RSCM Hypothyroid Score is expected to be a tool for helping diagnosis of hypothyroidism inT2DM patients."