EDUKASI GIZI BAGI PASIEN DIABETES MELLITUS TIPE 2 DI PUSKESMAS KAHURIPAN KOTA TASIKMALAYA

Abstract

The prevalence of DMT-2 in Indonesia is known to have increased from 1.1% in 2007 to 2.1% in 2013. One of the pillars of managing diabetes mellitus is the application of medical nutrition therapy, which consists of providing diet regulation, counseling, and behavior modification. Kahuripan Community Health Center is the first level health care facility that manages Prolanis (Chronic Disease Management Program) for patients with Diabetes Mellitus (DMT-2) and Hypertension. There were 30 DMT-2 patients who attended education on Thursday 3rd week. The number, type, and schedule (3J) of carbohydrate intake is the main determinant fot post-prandial blood glucose levels increase. Understanding and implementation of 3J in DMT-2 patients is still inadequate. Education is carried out using a media food model and a food photo book so that the description of the food portion is more appropriate. Patients and families are given knowledge about the calculation of the number of carbohydrates (carbohydrate counting basic) in order to be able to choose food ingredients according to the number and portion. Physical activity selected several activities that can be done at home, according to the age characteristics of patients who are mostly elderly. Counseling, carbohydrate counting education, and physical activity strategy can improve patient knowledge, but not all patients are willing and able to implement the results of education. There were two respondents who had pre and post counseling blood glucose levels experienced a decline, because they had started to apply 3J changes and physical activity.