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ABSTRACT

Diabetes mellitus is a chronic metabolical disease caused by the inability


of cells to use glucose due to lack of production or inadequacy of insulin in
pancreas beta cells, as indicated by hyperglicemia, which refers to abnormally
high blood sugar levels.
Diabetes has become the fourth biggest cause of death in the records of
world health. Every year, 3.2 millions of deaths caused by diabetes are noted.
This number means that one person dies per second, or 6 persons die per minute.
According to WHOs records, patients with DM reached 8.4 million people
(1.9%) in Indonesia. This rate will likely increase, with the prediction of 21.3
million people (2.8 %) suffering from DM in the year 2030.
The tendency of Diabetes Mellitus to affect complications of other
diseases such as heart attack, respiratory disorders, eye diseases, stroke, chronic
kidney disease, foot wounds that cannot be cured easily, and impotence, has
become a big problem to threaten the lives and productivity of patients and surely
takes a high amount of health expenses.
This study aims at finding out the correlation between patients obedience
to control risk factors of DM and occurence of DM complications. For the
population, this study took outpatients of DM at West Nusa Tenggara Public
Hospital in October 2008. As noted, there were 75 of 568 patients of DM who
sought medical treatments at Internal Medicine Policlinic who experienced
complications.
In order to know the level of significance of the correlation between
dietary patterns, disobedience in doing physical activities, disobedience to take
intensive treatments on one side and DM complications on the other side, Chi
Square test was conducted. Meanwhile, Odd Ratio (OR) was used to value the
rate of risk of DM complication occurence due to disobedience in controlling
dietary patterns, physical activities, and taking intensive treatments.
The results of the study reveal that there is a significant correlation
between the obedience to control dietary habit and DM complications (p = 0.005,
with p < 0.05),between the obedience to control physical activities and DM
complications (p = 0.010, with p < 0.05), and between the obedience to take
intensive treatments and DM complications (p = 0.026, with p < 0.05). Thus, it
can be concluded that there is a meaningful correlation between obedience to
control risk factors of occurrence of DM complications and the occurrence of
complications.

Key word : dietary, physical activity, intensive treatment, DM complications.

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Here, the obedience to control dietary patters served as the highest risk factor that
caused the occurrence of DM complications.

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