Case Report: Type 2 Diabetes Mellitus for The Elderly with Less Family Support

https://doi.org/10.22146/rpcpe.67181

Fitria Saftarina(1*)

(1) University Lampung
(*) Corresponding Author

Abstract


Mrs. R, 65 years old came to Puskesmas B with complaints of fatigue during activities accompanied by weakness since 1 week ago. The patient has been diagnosed with Diabetes Mellitus since 2 years ago, but the patient admitted that she sometimes went to the health center once every 2 or 3 months depending on her complaints. According to the patient's acknowledgment, initially complaints of fatigue were felt rarely but gradually became more frequent and appeared during light activities and felt continuously. Complaints are not accompanied by blurred vision or numbness.

The patient admitted that if the medicine from the Puskesmas ran out, complaints in the form of frequent thirst, frequent urination, hunger, and fatigue were felt again which indicated that the patient's blood sugar was rising, and the patient admitted that the highest blood sugar reached 600 mg/dL. During Mrs. R's treatment, she not only went to the health center for treatment but also frequently went to midwives and paramedics near the house.

Mrs. R took the drugs metformin and glimepiride if she had just gone to a health professional when she had a complaint. Additionally, Mrs. R admitted that because of the complaint of feeling weak, Mrs. R often consumed date juice 3 X 1 spoon every day. Mrs. R is often given explanations by health workers to maintain her diet, but according to her she still cannot regulate her diet properly. Mrs. R still can be active and currently the patient is active as a housewife. Every Saturday, Mrs. R follows the exercise program from the village, namely elderly gymnastics, while on other days Mrs. R does not do sports, and only does home activities. Mrs. R denied smoking history, denied drinking alcohol, and denied taking drugs. Mrs. R currently lives with her husband and one grandson.


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References

  1. Ishak NH, Yusoff SSM, Rahman RA, Kadir AA. Diabetes self-care and its associated factors among elderly diabetes in primary care. J Taibah Univ Med Sci. 2017;12(6):504–11. doi:10.1016/j.jtumed.2017.03.008.
  2. Leung E, Wongrakpanich S, Munshi MN. Diabetes management in elderly. Diabetes Spectrum. 2018;31(3):245– 53.
  3. Gómez-Huelgas R, Peralta FG, Mañas LR, Formiga F, Domingo MP, Bravo JJM, et al. Treatment of type 2 diabetes mellitus in elderly patients. Rev Clín Esp. 2018;218(2):74–88.
  4. Mordarska K, Godziejewska-Zawada M. Diabetes in the elderly. Menopause Rev. 2017;16(2):38–43.
  5. Asiimwe D, Mauti GO, Kiconco R. Prevalence and risk factors associated with type 2 diabetes in elderly patients aged 45-80 years at Kanungu District. J Diabetes Res. 2020:1-5.
  6. Chen F, Wei G, Wang Y, Liu T, Huang T, Wei Q, et al. Risk factors for depression in elderly diabetic patients and the effect of metformin on the condition. BMC Public Health. 2019;19(1063):1–9.
  7. Nor NM, Shukri NAM, Yassin NQAM, Sidek S, Azahari N. Barriers and enablers to make lifestyle changes among type 2 diabetes patients: a review. Sains Malaysiana. 2019;48(7):1491–502.
  8. Mikhael EM, Hassali MA, Hussain SA. Effectiveness of diabetes self-management educational programs for type 2 diabetes mellitus patients in middle east countries: a systematic review. Diabetes, Metab Syndr Obes Targets Ther. 2020;13:117–38.
  9. Gomes LC, Coelho ACM, dos Santos Gomides D, Foss-Freitas MC, Foss MC, Pace AE. Contribution of family social support to the metabolic control of people with diabetes mellitus: A randomized controlled clinical trial. Appl Nurs Res. 2017;36:68–76.
  10. Pamungkas RA, Chamroonsawasdi K, Vatanasomboon P. A systematic review: Family support integrated with diabetes self-management among uncontrolled type II diabetes mellitus patients. Behav Sci. 2017;7(62):1–17.
  11. Souza GP, Duarte MCS, Vieira PKS, Albuquerque KF, Evangelista CB, Silva MSS, et al. Family assessment of elderly patients with liver disease. J Nurs UFPE online. Recife 2018;12(10):2690-702.
  12. Larasati TA, Lipoeto NI, Mudjiran, Masrul, Hardisman, Sutomo AH. “GENOGRAM physician involvement model” new approach for Indonesian physician involvement with family. Korean J Fam Med. 2020;41:325–31.
  13. Zhuang QS, Shen L, Ji HF. Quantitative assessment of the bidirectional relationships between diabetes and depression. Oncotarget. 2017;8(14):23389–400.
  14. Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4):120–9.
  15. Zurita-Cruz JN, Manuel-Apolinar L, Arellano-Flores ML, Gutierrez-Gonzalez A, Najera-Ahumada AG, Cisneros- González N. Health and quality of life outcomes impairment of quality of life in type 2 diabetes mellitus: a cross-sectional study. Health Qual Life Outcomes. 2018;16(94):1–7.



DOI: https://doi.org/10.22146/rpcpe.67181

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