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Abstrak :
Background: World Health Organization (WHO) estimates the incidence of type 2 diabetes in Indonesia would increase to 21.3 million in 2030. Diabetes has a chronic complications, including peripheral neuropathy. The degree of neuropathy was assessed through the Neuropathy Disability Score (NDS). In contrast, haemoglobin A1c is glycated haemoglobin used to monitor the glucose levels of diabetic patients in the last 2 or 3 months. The relationship between HbA1c and diabetic neuropathy carried out by electrodiagnosis showed that HbA1c and age were the main predictors of diabetic neuropathy. However, electrodiagnosis is still considered costly. Research is needed to determine the relationship between HbA1c and NDS to reduce morbidity. This study aims to determine the relationship between the severity of diabetic neuropathy as measured by NDS with HbA1c level in type 2 Diabetes. Methods: this cross-sectional study involved correlation analysis.. The collected data were analyzed with the Spearman correlation test. Results: approximately 56 diabetic patients were involved in this study. Patients were recruited from the internal medicine outpatient ward from the West Nusa Tenggara General Hospital. The mean age was 59.55 (SD 9.48) with 57.1% female; the median duration of diabetes was 5.5 years. The median NDS score is 7.5 and the median HbA1c value is 8.65. Spearman correlation analysis shows a correlation coefficient of 0.487 with a value of p = 0.000. Conclusion: there is a relationship between HbA1c level and the severity of diabetic neuropathy in Type 2 DM.

Abstrak :
Latar Belakang: Menurut data IDF, diabetes masih menjadi masalah kesehatan di seluruh dunia termasuk di Indonesia. Daerah Istimewa Yogyakarta merupakan provinsi dengan prevalensi diabetes tetinggi kedua pada tahun 2018 (2,6%). Angka tersebut lebih tinggi dari prevalensi diabetes nasional (2%). Penyakit diabetes lebih banyak diderita oleh penduduk yang berusia 45-64 tahun. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor pola konsumsi dan gaya hidup dengan kejadian diabetes melitus tipe 2 pada penduduk usia produktif (45-59) tahun di Daerah Istimewa Yogyakarta. Metode: Penelitian ini menggunakan studi cross sectional dengan analisis univariat, bivariat, dan multivariat. Hasil: Hasil analisis univariat menunjukkan bahwa prevalensi diabetes melitus tipe 2 pada penduduk usia produktif (45-59 tahun) di DIY adalah 6,1%. Berdasarkan analisis multivariat, konsumsi minuman manis berpengaruh terhadap penurunan prevalensi diabetes melitus tipe 2 (POR 0,281 95% CI 0,200 – 0,395). Sedangkan, aktivitas fisik (POR 2,006 95% CI 1,263-3,187) dan perilaku masih merokok (POR 2,018 95% CI 1,195-3,407) meningkatkan prevalensi diabetes melitus tipe 2. Kesimpulan: Terdapat hubungan signifikan secara statistik antara konsumsi minuman manis, aktivitas fisik, dan perilaku masih merokok dengan kejadian diabetes melitus tipe 2. ......Background: According to IDF data, diabetes is still a health problem in the world, as well as in Indonesia. Daerah Istimewa Yogyakarta is a province with the second highest prevalence of diabetes in 2018 (2,6%). This prevalence is higher than the national prevalence of diabetes (2%). Diabetes is mostly happened in the population aged 45-64 years old. Objective: This study aims to understand the relationship between consumption patterns and lifestyle determinants with type 2 diabetes mellitus among the productive age (45-59 years old) in Daerah Istimewa Yogyakarta. Methods: This study used cross sectional study with univariate, bivariate, and multivariate analysis. Results: Univariate analysis showed that the diabetes prevalence among the productive aged (45- 59 years old) in DIY is 6,1%. According to multivariate analysis, sweet drinks consumption (POR 0,281 95% CI 0,200-0,395) has an effect on decreasing the prevalence of type 2 diabetes mellitus. Meanwhile, physical activity (POR 2,006 95% CI 1,263-3,187) and current smoking (POR 2,018 95% CI 1,195-3,407) increased the prevalence of type 2 diabetes mellitus. Conclusions: There is statistically significant relationship between sweet drinks consumption, physical activity, and current smoking with type 2 diabetes mellitus.