HUBUNGAN KADAR GLUKOSA DARAH PUASA DENGAN KADAR HbA1c PADA PASIEN DIABETES MELITUS TIPE 2 DI UNIT PELAKSANA TEKNIS DAERAH PUSKESMAS NUSA PENIDA II

SUARTHININGSIH, NI KADEK DWI (2026) HUBUNGAN KADAR GLUKOSA DARAH PUASA DENGAN KADAR HbA1c PADA PASIEN DIABETES MELITUS TIPE 2 DI UNIT PELAKSANA TEKNIS DAERAH PUSKESMAS NUSA PENIDA II. Diploma thesis, Poltekkes Kemenkes Denpasar.

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Abstract

THE RELATIONSHIP BETWEEN FASTING BLOOD GLUCOSE LEVELS AND HbA1c LEVELS IN TYPE 2 DIABETES MELLITUS PATIENTS AT THE REGIONAL TECHNICAL IMPLEMENTATION UNIT NUSA PENIDA II HEALTH CENTER ABSTRACT Patients with diabetes mellitus need to maintain their blood glucose levels to prevent complications. Glycated hemoglobin (HbA1c) examination is the gold standard for assessing long-term glucose control, but fasting blood glucose (FBG) testing can serve as an easier, cheaper, and more accessible alternative in primary healthcare facilities. This study aims to analyze the relationship between fasting blood glucose levels and HbA1c levels in patients with type 2 diabetes mellitus at UPTD Puskesmas Nusa Penida II. This analytical quantitative study used a cross-sectional design and involved 55 respondents selected through purposive sampling, conducted in October 2025. Fasting blood glucose was measured using the POCT method, and HbA1c was measured using the immunoassay method. Data were analyzed using the Pearson correlation test. The results showed that fasting blood glucose levels were controlled in 23 patients (41.8%) and uncontrolled in 32 patients (58.2%), while HbA1c levels were controlled in 34 patients (61.8%) and uncontrolled in 21 patients (38.2%). A significant relationship was found between fasting blood glucose and HbA1c levels, with a p-value of 0.000 (p < 0.05) and a correlation coefficient of 0.735. It can be concluded that higher fasting blood glucose levels are associated with higher HbA1c levels. Keywords: blood glucose, HbA1c. HUBUNGAN KADAR GLUKOSA DARAH PUASA DENGAN KADAR HbA1c PADA PASIEN DIABETES MELITUS TIPE 2 DI UNIT PELAKSANA TEKNIS DAERAH PUSKESMAS NUSA PENIDA II ABSTRAK Penderita diabetes melitus perlu menjaga kadar gula darah agar terhindar dari komplikasi. Pemeriksaan hemoglobin terglikasi (HbA1c) merupakan gold standard untuk menilai kendali glukosa jangka panjang, namun pemeriksaan glukosa darah puasa (GDP) dapat menjadi alternatif yang lebih mudah, murah dan terjangkau di fasilitas kesehatan dasar. Penelitian ini bertujuan untuk menganalisis hubungan antara kadar glukosa darah puasa dengan kadar HbA1c pada pasien diabetes melitus tipe 2 di UPTD. Puskesmas Nusa Penida II. Jenis penelitian ini adalah kuantitatif analitik dengan desain penelitian cross-sectional menggunakan 55 responden dengan teknik purposive sampling. Penelitian dilakukan pada bulan Oktober 2025. Pemeriksaan gula darah puasa dilakukan dengan metode POCT dan HbA1c dengan metode immunuassay. Analisis data menggunakan uji korelasi pearson. Hasil penelitian diperoleh kadar glukosa darah puasa kategori terkontrol sebanyak 23 pasien (41,8%) dan kategori tidak terkontrol sebanyak 32 pasien (58,2%). Kadar HbA1c kategori terkontrol sebanyak 34 pasien (61,8 %), dan kategori tidak terkontrol 21 pasien (38,2 %). Terdapat hubungan yang signifikan antara kadar glukosa darah puasa dan kadar HbA1c pada pasien diabetes melitus Tipe 2 dengan nilai P = 0,000 (p value <0,05), dan nilai korelasi 0,735 yaitu kuat dengan arah hubungan positif. Kata Kunci : glukosa darah, HbA1c.

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