COMPLICATIONS OF DISEASES AND SERUM CREATININE LEVELS IN DIABETIC PATIENTS

Rizal Rizal, Syawal Alfikry Kaimudin, Wulan Panduwi Melasari

Abstract


Diabetes mellitus, a metabolic disease, is a predisposing factor for diabetic nephropathy. This condition is defined by renal damage and hypercreatininemia in individuals with diabetes. Diabetic nephropathy is a multifactorial condition, with comorbidities playing a significant role in its pathogenesis. The purpose of this study was to determine the association between complicatin of diseases and serum creatinine levels among Diabetes Mellitus patients at the Nania Community Health Center, Ambon. The study adopted a cross-sectional design. A simple random sample was drawn for the study. The measurement of serum creatinine concentration is carried out using the Jaffé Reaction (Kinetic Method) at the Laboratory of the Maluku Province Special Regional Hospital. Chi-Square test was used to statistically analyze the data. A total of 30 patients were included in this study. Of these, 17 patients (56.7%) had complicatin, 10 patients (33.3%) had abnormal creatinine levels, and 7 patients (23.3%) had normal creatinine levels. Furthermore, 13 patients (43.3%) without complication had normal creatinine levels. The results of the Chi-Square test demonstrated a statistically significant association (p = 0.001) was found between complication and serum creatinine levels in Diabetes Mellitus patients. The results of statistical analysis demonstrated a statistically significant association (p = 0.001) between complication of diseases and serum creatinine concentration in patients with Diabetes Mellitus. This suggests that the presence of complication increases the likelihood of abnormal serum creatinine, consequently raising the possibility of diabetic nephropathy.


Keywords


Complication, Diabetes Mellitus, Serum Creatinin

Full Text:

PDF

References


Harreiter J, Roden M. Diabetes melittus – Definition, Classification, Diagnosis, Screening und Prevention (Update 2019). Wiener Klinische Wochenschrift. 2019;(Update).

IDF. IDF Diabetes Atlas 10th Editiion. International Diabetes Federation; 2021.

RISKESDAS T. Laporan Riset Kesehatan Dasar (RISKESDAS) 2018 Provinsi Maluku. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2018.

Mahara ND. Hubungan Kadar Kreatinin Serum Dengan Kadar Gula Darah Puasa Pada Pasien Diabetes Melitus Tipe 2 Di RSUD Dr. Sayidiman Kabupaten Magetan. (Doctoral dissertation, Universitas Muhammadiyah Surakarta). 2016;

Saputri RD. Komplikasi Sistemik Pada Pasien Diabetes Melitus Tipe 2. Jurnal Ilmiah Kesehatan Sandi Husada. 2020;11(1):230–6.

Satria H, Decroli E, Afriwardi A. Faktor Risiko Pasien Nefropati Diabetik Yang Dirawat Di Bagian Penyakit Dalam Rsup Dr. M. Djamil Padang. Jurnal Kesehatan Andalas. 2018;7(2):149.

Karinda T, Sugeng C, Moeis E. Gambaran Komplikasi Penyakit Ginjal Kronik Non Dialisis di Poliklinik Ginjal-Hipertensi RSUP Prof . Dr . R . D . Kandou Periode Januari 2017-Desember 2018. e-Clinic (eCl). 2019;7(2):169–75.

Sholikhah AI, Prawirohardjono W. Gambaran Pola Penggunaan Metformin Terhadap Kadar Kreatinin Serum Pada Pasien Diabetes Melitus Tipe 2 Di Rumah Sakit “X” Description Patterns of Metformin Use in Creatins Leves Serum for Patients With Diabetes Melitus Type 2 At the “X” Hospital. Social Clinical Pharmacy Indonesia Journal. 2019;4(2):66–74.

Ningsih SA, Rusmini H, Purwaningrum R, Zulfian Z. Hubungan Kadar Kreatinin dengan Durasi Pengobatan HD pada Penderita Gagal Ginjal Kronik. Jurnal Ilmiah Kesehatan Sandi Husada. 2021;10(1):202–7.

Suharjito D. Pengantar Metodologi Penelitian. 1st ed. Bogor: IPB Press; 2013.

Irawan QP, Utami KD, Reski S, Saraheni. Hubungan Indeks Massa Tubuh (IMT) dengan Kadar HbA1c pada Penderita Diabetes Mellitus Tipe II di Rumah Sakit Abdoel Wahab Sjahranie. Formosa Journal of Science and Technology. 2022;1(5):459–68.

Hestiana DW. Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Dalam Pengelolaan Diet Pada Pasien Rawat Jalan Diabetes Mellitus Tipe 2 Di Kota Semarang. Journal of Laboratory Medicine. 2018;42(3):73–9.

Farihah I, Saptarina N, Estikomah SA. Analisis Kepatuhan Penggunaan Obat Antidiabetes Oral Pada Pasien Geriatri Di Rumah Sakit Tentara Dr. Soedjono Magelang Tahun 2018. Pharmaceutical Journal of Islamic Pharmacy. 2020;4(1):1–10.

Al-Hadi H, Zurriyani Z, Saida SA. Prevalensi Diabetes Melitus Tipe 2 Dengan Kejadian Hipertensi Di Poliklinik Penyakit Dalam Rs Pertamedika Ummi Rosnati. Jurnal Medika Malahayati. 2020;4(4):291–7.

Kriswiastiny R, Sena KY, Hadiarto R, Prasetia T. Hubungan Lama Menderita Diabetes Melitus dan Kadar Gula Darah dengan Kadar Kreatinin Pasien Diabetes Melitus Tipe 2. Medula. 2022;12(3):413–20.

Rizal, Hariawan H. Analisis Faktor yang Mempengaruhi Kepatuhan Penggunaan Obat Diabetes Mellitus pada Masyarakat Daerah Pesisir. PREPOTIF : Jurnal Kesehatan Masyarakat. 2024;8(1).

Zaininda E, Utama D. Hubungan antara Kadar HBA1C dan Kadar Serum Kreatinin dengan Kejadian Hipertensi pada Pasien Diabetes Melitus Tipe 2 di Rumah Sakit Umum Darmayu Ponorogo. 2023;15(2):1–11.

Alfarisi S, Basuki W, Susantiningsih T. Perbedaan Kadar Kreatinin Serum Pasien Diabetes Melitus Tipe 2 Yang Terkontrol Dengan Yang Tidak Terkontrol Di Rsud Dr . H . Abdul Moeloek Bandar Lampung Tahun 2012. 2012;129–36.

Arsono S. Diabetes Melitus Sebagai Faktor Risiko Kejadian Gagal Ginjal Terminal. Vol. 9. Universitas Diponegoro; 2005.




DOI: https://doi.org/10.52447/scpij.v10i1.8605

Refbacks

  • There are currently no refbacks.