Hubungan antara Kadar HbA1c dengan Dislipidemia pada Pasien Diabetes Melitus Tipe II di RSUD Sanjiwani Gianyar

  • Kadek Kelnerin Pretty Sudirga
  • Anak Agung Gede Budhitresna Universitas Warmadewa
  • Sri Ratna Dewi Universitas Warmadewa
Keywords: Diabetes Mellitus, Type 2 Diabetes Mellitus, HbA1c, Dyslipidemia

Abstract

Type 2 diabetes mellitus can cause complications including dyslipidemia. This study was conducted to determine the relationship between HbA1c levels and dyslipidemia in Type 2 Diabetes Mellitus Patients at Sanjiwani Gianyar Hospital. Cross sectional analytic research method was used using secondary data. A total of 81 patients who sought treatment at the Internal Medicine Polyclinic of Sanjiwani Hospital for the period 1 January 2021 - 31 December 2023 were sampled. The results of the analysis using the spearman test with a correlation coefficient value of 0.668 with p = 0.000 (p <0.05) have a strong relationship. The correlation coefficient is positive so that the relationship is unidirectional in both variables, so that if people with Type 2 Diabetes Mellitus have high HbA1c levels, the incidence rate of dyslipidaemia will increase. Based on these results, DM patients are advised to check their lipid profile to prevent dyslipidaemia which can increase the risk of cardiovascular complications and worsen overall health conditions.

References

American Diabetes Association. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020 Jan;43(1):14–31.

World Health Organization. Global Report on Diabetes: Executive Summary. 2016.

Dinas Kesehatan Provinsi Bali. Profil Kesehatan Provinsi Bali Tahun 2017. Bali: Dinas Kesehatan Provinsi Bali; 2017.

Kementerian Kesehatan Republik Indoneisa. Profil Kesehatan Indonesia 2019. Jakarta: Kementerian Kesehatan Republik Indoneisa; 2020.

International Diabetes Federation. IDF Diabetes Atlas 8th edition. International Diabetes Federation; 2017.

Al-Lawati JA, Barakat MN, Al-Maskari M, Elsayed MK, Al-Lawati AM, Mohammed AJ. HbA1c Levels among Primary Healthcare Patients with Type 2 Diabetes Mellitus in Oman. Oman Med J. 2012 Nov;27(6):465–70.

Sharahili AY, Mir SA, ALDosari S, Manzar MD, Alshehri B, Al Othaim A, et al. Correlation of HbA1c Level with Lipid Profile in Type 2 Diabetes Mellitus Patients Visiting a Primary Healthcare Center in Jeddah City, Saudi Arabia: A Retrospective Cross-Sectional Study. Diseases. 2023 Oct 31;11(4):154.

Sartika F, Hestiani N. Kadar HbA1c pada Pasien Wanita Penderita Diabetes Mellitus Tipe 2 di Rsud Dr. Doris Sylvanus Palangka Raya. Borneo Journal of Medical Laboratory Technology. 2019 Oct 31;2(1):97–100.

PERKENI. Pedoman Pengelolaan Dislipidemia di Indonesia 2019. Pb Perkeni; 2019.

Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar 2018. 2018.

Ahmmed MS, Shuvo S Das, Paul DK, Karim MR, Kamruzzaman M, Mahmud N, et al. Prevalence of dyslipidemia and associated risk factors among newly diagnosed Type-2 Diabetes Mellitus (T2DM) patients in Kushtia, Bangladesh. PLOS global public health. 2021;1(12):e0000003.

Prawitasari DS. Diabetes Melitus dan Antioksidan. KELUWIH: Jurnal Kesehatan dan Kedokteran. 2019 Dec 17;1(1):48–52.

Nisa K. Gambaran Kadar HbA1C dan Karakteristik Pasien Diabetes Melitus Tipe 2 di Bagian Penyakit Dalam RSUD Cut Meutia Aceh Utara Tahun 2023 [Skripsi]. [Aceh]: Universitas Malikussaleh; 2024.

Purwandari CAA, Wirjatmadi RB, Mahmudino T. Faktor Risiko Terjadinya Komplikasi Kronis Diabetes Melitus Tipe 2 pada Pra Lansia. Amerta Nutrition. 2022;6(3):262–71.

Gunawan S, Rahmawati R. Hubungan Usia, Jenis Kelamin dan Hipertensi dengan Kejadian Diabetes Mellitus Tipe 2 di Puskesmas Tugu Kecamatan Cimanggis Kota Depok Tahun 2019. ARKESMAS (Arsip Kesehatan Masyarakat). 2021 Jun 30;6(1):15–22.

American Diabetes Association. Standards of Medical Care in Diabetes. Diabetes Care. 2011 Jan;34 Suppl 1(Suppl 1):11–61.

Nainggolan OH, Wulanjani HA. Correlation Between The Ratio Triglyceride/HDL-C and HbA1c in Type 2 Diabetes Mellitus Patient. Medica Hospitalia. 2018;5(1):36–40.

Loei GSC, Pandelaki K, Mandang V. Hubungan Kadar HbA1c Dengan Kadar Profil Lipid Pada Pasien Diabetes Mellitus Tipe 2 di Poliklinik Endokrin & Metabolik RSUP Prof. Dr. R. D. Kandou Manado. E-CliniC. 2014;2(1):1–8.

Julianto E, Andriana Silitonga H, Martiar Siahaan J. Correlation between Hba1c and Lipid Profile in Patients with Type 2 Diabetes Mellitus at Pirngadi Hospital, Medan, North Sumatera. In: Revitalizing Family Planning Program and Women’s Empowerment for the Improvement of Population Well-being and Economic Development. Masters Programme in Public Health, Universitas Sebelas Maret; 2018. p. 244–244.

Alami H El, Haddou I, Benaadi G, Lkhider M, Wakrim L, Allali M, et al. Prevalence of dyslipidemia and the relationship between HbA1C and lipid profile in Moroccan patients with T2DM: a cross-sectional study. Pan Afr Med J. 2022;43:86.

Riaz F, Nimesh A. Correlation between HbA1c and lipid profile in diabetes: a primary health concern in Aseer, Saudi Arabia. Epidemiology and Society Health Review (ESHR). 2023 Jul 29;5(2):60–8.

Supit VD, Tjipto C, Christopher C, Timothy RA. Hubungan HbA1c dengan Profil Lipid pada Pasien Prolanis Diabetes Melitus Tipe 2 di Puskesmas Berbek, Nganjuk, Jawa Timur. Prominentia Medical Journal. 2022:3(1):15–27.

Jena D, Sahoo J, Barman A, Behera KK, Bhattacharjee S, Kumar S. Type 2 Diabetes Mellitus, Physical Activity, and Neuromusculoskeletal Complications. J Neurosci Rural Pract. 2022;13(4):705–10.

Published
2024-10-31
Section
Articles
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