GAMBARAN KADAR UREUM PADA PENDERITA DIABETES MELITUS DI PUSKESMAS TABANAN III

Maghfirah, Zulfa (2026) GAMBARAN KADAR UREUM PADA PENDERITA DIABETES MELITUS DI PUSKESMAS TABANAN III. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Teknologi Laboratorium Medis 2026.

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Abstract

DESCRIPTION OF UREA LEVELS IN DIABETES MELLITUS PATIENTS AT TABANAN III COMMUNITY HEALTH CENTER ABSTRACT Background: Diabetes mellitus is a chronic disease characterized by hyperglycemia due to impaired insulin production or function. This condition can cause microvascular complications, one of which is diabetic nephropathy which causes damage to small blood vessels in the kidneys. As a result, kidney function decreases so that the process of excretion of metabolic waste such as urea is disrupted and causes an increase in urea levels in the blood. Purpose: To determine the description of urea levels in patients with diabetes mellitus. Method: Descriptive research with purposive sampling technique conducted at Tabanan III Health Center on 42 respondents in March - April 2026. Examination of urea levels using an enzymatic method with a Clinical Chemistry Analyzer at Bhakti Rahayu Hospital. Results: Shows that most respondents have urea levels in the normal category (15 - 43 mg / dL) as many as 32 people (76.2%), low urea levels (<15 mg / dL) as many as 1 person (2.4%), high urea levels as many as 9 people (21.4%). Respondent’s urea levels ranged from 11 mg/dL to 98 mg/dL with an average of 33.55 mg/dL. High urea levels are often found in the elderly (24,1%), men (23,8%), normal BMI (28,6%) and those suffering from diabetes mellitus ≥5 years (23,1%). Conclusion: People with diabetes mellitus are advised to have their kidney function checked regularly and to maintain a healthy diet, fluid intake, and physical activity to control blood sugar levels. Keywords: diabetes mellitus, urea GAMBARAN KADAR UREUM PADA PENDERITA DIABETES MELITUS DI PUSKESMAS TABANAN III ABSTRAK Latar belakang: Diabetes melitus merupakan penyakit kronis yang ditandai dengan hiperglikemia akibat gangguan produksi atau kerja insulin. Kondisi ini dapat menimbulkan komplikasi mikrovaskular, salah satunya nefropati diabetik yang menyebabkan kerusakan pada pembuluh darah kecil di ginjal. Akibatnya, fungsi ginjal menurun sehingga proses ekskresi sisa metabolisme seperti ureum terganggu dan menyebabkan peningkatan kadar ureum dalam darah.Tujuan: Mengetahui gambaran kadar ureum pada penderita diabetes melitus. Metode: Penelitian deskriptif dengan teknik purposive sampling yang dilakukan di Puskesmas Tabanan III pada 42 responden bulan Maret - April 2026. Pemeriksaan kadar ureum menggunakan metode enzimatik dengan alat Clinical Chemistry Analyzer di RSU Bhakti Rahayu. Hasil: Menunjukkan bahwa sebagian besar responden memiliki kadar ureum dalam kategori normal (15 - 43 mg/dL) sebanyak 32 orang (76,2%), kadar ureum rendah (<15 mg/dL) sebanyak 1 orang (2,4%), kadar ureum tinggi (>43 mg/dL) sebanyak 9 orang (21,4%). Nilai kadar ureum responden berkisar antara 11 mg/dL hingga 98 mg/dL dengan rata-rata 33,55 mg/dL. Kadar Ureum tinggi banyak ditemukan pada lansia (24,1%), laki - laki (23,8%), IMT normal (28,6%) dan lama menderita diabetes melitus ≥ 5 tahun (23,1%). Simpulan: Penderita diabetes melitus disarankan melakukan pemeriksaan fungsi ginjal secara rutin serta menjaga pola makan, asupan cairan, dan aktivitas fisik untuk mengontrol kadar gula darah. Kata kunci: diabetes melitus, ureum

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