Nutritional management of diabetes mellitus: A single‐case study

Elida Sinuraya, Antonij Edimarta Sitanggang, Erwin Silitonga, Jastro Situmorang, Leo Rikki Saragi

Abstract


Background: An imbalance of the body's nutritional needs is a condition in which nutrient intake is insufficient to meet the metabolic needs of the body. Diabetes mellitus is a disease caused by high levels of glucose in the blood due to the body's inability to release or use insulin adequately.

Purpose: to find out whether nursing interventions can meet the nutritional needs of the body in patients with diabetes mellitus.

Method: This descriptive research uses a case study approach. The participant is a 68-year-old man who is 3 years old with diabetes mellitus. He felt weak, dizzy, and his legs tingled. He had no appetite and to eat, he only ate half of the plate. Their current blood sugar level is 548 mg/dl and their blood pressure is 200/94 mmHg. Intervention - within 3 days, participants were assessed on vital signs, nutritional status, and favorite foods. Participants received education about oral hygiene and important nutrition for their bodies. Participants had received insulin and a 1700-calorie diet.

Results: With this intervention, participants' blood sugar levels were randomly assigned to drop from 548 mg/dl to 200 mg/dl, appetite increased, and food intake increased from half a plate to one plate. His blood pressure dropped from 200/94 mmHg to 120/80 mmHg.

Conclusion: The results of these participants provide an encouraging assessment of vital signs, nutritional status, and favorite foods, education about oral hygiene and essential nutrients for the body, and collaboration of insulin diet and diabetes patients.


Keywords


Nutritional; Management; Diabetes Mellitus

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References


Annur, C, M. (2023). Ada 41 Ribu Penderita Diabetes Tipe 1 di Indonesia pada 2022, Terbanyak di Asean, Retrieved from: https://databoks.katadata.co.id/datapublish/2023/04/18/ada-41-ribu-penderita-diabetes-tipe-1-di-indonesia-pada-2022-terbanyak-di-asean.

Arifin, Z., & Utami, K. (2022). Modul Asuhan Keperawatan pada Gangguan Sistem Endokrin (Aplikasi 3S). Penerbit NEM.

Dewi, R. (2022). Asuhan Keperawatan Pada Pasien Dengan Diabetes Mellitus. Yogyakarta: Deepublish Publisher.

Dhiya’najmi, M. (2019). Pengaruh jalan kaki 30 menit terhadap perubahan kadar gula darah pada penderita diabetes mellitus tipe 2 di wilayah kerja puskesmas sempu kabupaten banyuwangi tahun 2019 (Doctoral Dissertation, Stikes_Banyuwangi).

Gershuni, V. M., Yan, S. L., & Medici, V. (2018). Nutritional ketosis for weight management and reversal of metabolic syndrome. Current nutrition reports, 7, 97-106.

Guilloteau, P., Zabielski, R., Hammon, H. M., & Metges, C. C. (2010). Nutritional programming of gastrointestinal tract development. Is the pig a good model for man?. Nutrition research reviews, 23(1), 4-22.

Heather, H., & Shigemi, K. (2015). Diagnosis Keperawatan Definisi & Klasifikasi 2015-2017 Edisi: 10. Jakarta: EGC.

Imelda, F., Santosa, H., & Tarigan, M. (2022). Pengelolaan Asuhan Keperawatan di Komunitas dengan Kasus Diabetes Melitus, Kolestrol dan Asam Urat.

Irwanto, R., Siregar, A. F., Ginting, K. A., & Ndruru, F. (2021). Faktor-faktor yang berhubungan dengan penyakit diabetes melitus tipe 2 pada pasien di rumah sakit grandmed lubuk pakam. Jurnal Kesmas Dan Gizi (Jkg), 3(2), 172-176.

Kardiyudiani, N. K., & Susanti, B. A. D. (2019). Keperawatan Medikal Bedah 1. Yogyakarta: PT. Pustaka Baru.

Lestari, L., Zulkarnain, Z., & Sijid, A. (2021, November). Diabetes Melitus: Review etiologi, patofisiologi, gejala, penyebab, cara pemeriksaan, cara pengobatan dan cara pencegahan. In Prosiding Seminar Nasional Biologi (Vol. 7, No. 1, pp. 237-241).

Paidipati, K. K., Komaragiri, H., & Chesneau, C. (2021). Pre-emptive and non-pre-emptive goal programming problems for optimal menu planning in diet management of Indian diabetes mellitus patients. International Journal of Environmental Research and Public Health, 18(15), 7842.

Rajput, S. A., Ashraff, S., & Siddiqui, M. (2022). Diet and management of type II diabetes mellitus in the United Kingdom: a narrative review. Diabetology, 3(1), 72-78.

Ramadhini, D. F. (2022). Asuhan keperawatan gangguan kebutuhannutrisi pada pasien diabetes mellitus di ruang Camarrs Bhayangkara Polda Lampung tahun 2022 (Doctoral dissertation, Poltekkes Tanjungkarang).

Sari Mutiara Hospital. (2023). Medical Records the Sari Mutiara Hospital.

Soelistijo, S. A., Suastika, K., Lindarto, D., Decroli, E., Permana, H., Sucipto, K. W., Kusnadi, Y., Budiman, B., Ikhsan, M. R., Sasiarini, L., Sanusi, H., HS, K. H. N., & Susanto, H. (2021). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia 2019. PB PERKENI. Jakarta: PB PERKENI. Accessed from: https://pbperkeni.or.id/wp-content/uploads/2021/11/22-10-21-Website-Pedoman-Pengelolaan-dan-Pencegahan-DMT2-Ebook.pdf.

Suryati, I. (2021). Buku Keperawatan Latihan Efektif Untuk Pasien Diabetes Mellitus Berbasis Hasil Penelitian. Deepublish.

Svennersten-Sjaunja, K., & Olsson, K. (2005). Endocrinology of milk production. Domestic animal endocrinology, 29(2), 241-258.

Wanti, W. (2022). Gambaran hasil pemeriksaan keton urine pada pasien diabetes melitus di RSUD Kota Kendari (Doctoral Dissertation, Poltekkes Kemenkes Kendari).

Wulandari, F., Suandika, M., & Susanti, I. H. (2021, November). Asuhan Keperawatan Ketidakseimbangan Nutrisi Kurang dari Kebutuhan Tubuh Ny. S dengan Diabetes Mellitus Tipe II di Desa Karanganyar Banjarnegara. In Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (pp. 613-617).




DOI: https://doi.org/10.33024/minh.v6i2.10635

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