Tackle Diabetes Through Comprehensive Management

Illustration of sugar and blood sugar content (Pix abay/Steve B uissinne)

batampos – Management of diabetes must be done through a comprehensive management. “This management is carried out comprehensively starting from health promotion, early detection of risk factors, emergency management, treatment management, and early detection of complications,” said
Director of Prevention and Control of Non-Communicable Diseases at the Ministry of Health, Dr. Eva Susanti, S.Kp., M.Kes, Wednesday (9/11).

Eva said the big challenge in controlling this disease is that diabetes has not been fully diagnosed in the community. As many as three out of four people with diabetes do not know they have the disease.

As a result, this disease is often found at an advanced stage or has been accompanied by complications.

“Currently, only 1 in 4 diagnosed diabetics access treatment services and only 14 percent are under control,” Eva said.

This phenomenon is worrying because diabetes can cause other diseases, such as the emergence of microvascular complications such as neuropathy, nephropathy, retinopathy, and macrovascular complications such as hypertension, heart and blood vessel disease, stroke, kidney failure, blindness and complications. various other organs.


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He explained, the Ministry of Health is committed to carrying out Health Transformation, especially in primary services and referral services in the context of comprehensive diabetes management.

Primary service transformation includes promotion and education to change lifestyle, maintain diet and perform physical activity with SMART behavior. CERDIK itself contains messages in the form of (C) routine health checks, (E) staying away from cigarette smoke, (R) being diligent in physical activity, (D) a balanced diet, (I) adequate rest and (K) stress management. >

In addition, early detection of diabetes risk factors can be carried out at Posyandu, improving primary care by developing practice guidelines so that patients who are detected early can receive standardized and controlled management and treatment.

​​”For the transformation of referral services, a national referral network program has been prepared,” he said.

Diabetes is a disease that is a burden on health in the world. World Health Organization data for 2019 shows that diabetes is one of the top 10 causes of death and disability globally.

According to data from the International Diabetes Federation in 2021, there are currently 537 million people aged 20-79 years in the world who suffer from diabetes or 10.5 percent of the total population at the same age.

This figure is expected to continue to increase to reach 643 million (11.3 percent) in 2030 and 783 million (12.2 percent) in 2045.

Indonesia is the country with the 5th highest number of people with diabetes in the world, namely 19.5 million (10.6 percent) and this figure is expected to increase to 28.6 million by 2045.

In addition, Indonesia is the only country in Southeast Asia that is included in the list of 10 countries with the highest diabetes sufferers in the world. (*)

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