Ende Diabetes Study: diabetes and its characteristics in rural area of East Nusa Tenggara

  • Sarwono Waspadji
  • Pradana Soewondo
  • Imam Subekti
  • Suharko Soebardi
  • Dante S. Harbuwono
  • Laurentius A. Pramono
  • Taniawati Supali
Keywords: Diabetes mellitus, Ende Diabetes Study, prevalence, rural Indonesia
Abstract viewed: 1902 times
PDF downloaded: 756 times

Abstract

Background: There are only few studies about diabetes in rural area in Indonesia. Epidemiological study are needed to formulate health policy of disease management in specific area. The aim of this study was to find the prevalence of diabetes and knowledge of diabetes among the community in Nangapanda Village, Ende District, East Nusa Tenggara.

Methods: A cross-sectional study “Ende Diabetes Study” was conducted in Nangapanda Village. This study use cluster random sampling method to a total number of 19756 residents in Nangapanda village. From the sampling frame of 1800 adult subjects who underwent screening with glucometer in 2008 and 2009, 125 subjects have been diagnosed as diabetes or impaired fasting glucose (IFG). All of the subjects who were diagnosed as diabetes or IFG from the previous screening and 218 subjects from control (normal subjects in the 2008 and 2009 screening) were included in the present study. Each subject underwent general anamnesis, nutritional interview, complete physical examinations, and laboratory test (blood and urine). The data were analyzed using SPSS 13.0.

Ressult: There were 343 subjects in this study. The prevalence of diabetes in Nangapanda using blood glucose criteria (using fasting and post-glucose load values) was 2%; using post glucose load criteria, the prevalence of DM was 1.56%; while with HbA1c criteria, the prevalence was 2.83%. The prevalence of impaired glucose tolerance (IGT) was 2.2%, and IFG was 6.2%. A number of 71.1% Nangapanda residents have sufficient knowledge about diabetes.

Conclusion: Prevalence of diabetes in Nangapanda (using fasting and post-glucose load criteria) was 2% and 1.56% (using post-glucose load values). As much as 71.1% of Nangapanda residents have sufficient knowledge about diabetes. (Med J Indones. 2013;22:30-8)

Keywords: Diabetes mellitus, Ende Diabetes Study, prevalence, rural Indonesia

References

  1. Wild S, Roglic G, Green A, et al. Global prevalence of diabetes. Diabetes Care. 2004;27:1047-53.

  2. International Diabetes Federation. IDF Diabetes Atlas. 4th ed. Brussels; IDF, 2009.

  3. Zimmet P. Asia – the epicenter of the global diabetes epidemic: its history, progression, and prevention. Abstract Book of 8th International Diabetes Federation – Western Pacific Region Congress (IDF WPR Congress), Busan, Korea; 2010.

  4. Mohan V, Mathur P, Deepa R, et al. Urban rural differences in prevalence of self-reported diabetes in India – the WHO-ICMR Indian NCD risk factor surveillance. Diab Res Clin Pract. 2008;80:159-68.

  5. Al-Nozha M, Al-Maatouq M, Al-Mazrou YY, et al. Diabetes mellitus in Saudi Arabia. Saudi Med J. 2004;25:1603-10.

  6. Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar 2007. Departemen Kesehatan Republik Indonesia; 2008. Indonesian.

  7. Yunir E. Prevalensi diabetes pada lima wilayah perkotaan di Jakarta. Buku Hasil Penelitian Penyakit-penyakit Perkotaan di Jakarta. Jakarta: Pusat Penerbit Ilmu Penyakit Dalam; 2006. Indonesian.

  8. Waspadji S. Diabetes Melitus di Kelurahan Koja Utara, Tanjung Priok [thesis]. Mount Pleasant (MI): Universitas Indonesia; 1984. Indonesian.

  9. Waspadji S, Suyono S, Sukardji K, et al. Pengkajian status gizi – studi epidemiologi penelitian di Kayu Putih, Pulo Gadung. Jakarta: Balai Penerbit FKUI; 2003. Indonesian.

  10. Perkumpulan Endokrinologi Indonesia. Konsensus pengelolaan diabetes melitus di Indonesia. Jakarta: PB PERKENI; 2006. Indonesian.

  11. Yunir E, Waspadji S, Rahajeng E. The pre-diabetic epidemiological study in Depok, West Java. Acta Med Indones- Indones J Intern Med. 2009;41:181-5.

  12. Rusli RMA. Diabetes melitus di Singaparna, Kabupaten Bandung, Jawa Barat [dissertation]. Mount Pleasant (MI): Universitas Padjajaran; 1995. Indonesian.

  13. Suastika K. Diabetes melitus di Desa Sangsit, Singaraja, Bali. Unpublished data; 2002. Indonesian.

  14. Adam J. Diabetes melitus di Tana Toraja, Sulawesi Selatan. Unpublished data; 2001. Indonesian.

  15. West K. Epidemiology of diabetes s andit’s vascular lesions. New York: Elsevier; 1978.

  16. International Diabetes Federation. Global guideline for type 2 diabetes. Brussels: IDF; 2005.

  17. Engelgau MM, Thompson TJ, Herman WH, et al. Comparison of fasting and 2-hour glucose and HbA1c levels for diagnosing diabetes; diagnostic criteria and performance revisited. Diabetes Care. 1997;20:785-91.

  18. Syeed MA, Mahtab HM, Khanam PA, et al. Diabetes and impaired fasting glycemia in a rural population of Bangladesh. Diabetes Care. 2003;26:1034-9.

  19. Balagopal P, Kamalamma N, Patel TG, et al. A community-based diabetes prevention and management education program in a rural village in India. Diabetes Care. 2008;31:1097-106.

  20. Motala AA, Esterhuizen T, Gouws E, et al. Diabetes and other disorders of glycemia in a rural South African community. Diabetes Care. 2008;31:1783-8.

  21. Pramono LA, Halim L, Ratuanak J, et al. Pasien diabetes di Saumlaki, Kabupaten Maluku Tenggara Barat: karakteristik, gaya hidup, pengetahuan, dan aspek pengobatannya. Unpublished data; 2010. Indonesian.

  22. Majumdar SR, Guirguis LM, Toth EL, et al. Controlled trial of a multifaced intervention for improving quality of care for rual patients with type 2 diabetes. Diabetes Care. 2003;26:3061-6.

  23. Johnson JA, Eurich DT, Toth EL, et al. Generazability and persistence of a multifaceted intervention for improving quality of care for rual patients with type 2 diabetes. Diabetes Care. 2005;28:783-8.

  24. Porterfield DS, Kinsinger L. Quality of care for uninsured patients with diabetes in a rural area. Diabetes Care. 2002;25:319-23.

  25. Mihardja L, Delima, Siswoyo H, et al. Prevalence and determinants of diabetes mellitus and impaired glucose tolerance in Indonesia. Acta Med Indones. 2007;41:169-74.

  26. Dewapura N. Diabetes melitus in Samoa: an epidemiological and quality of care review. Samoa Med J. 2009;1:24-7.

  27. Melidonis A, Tournis S, Kompoti MG, et al. Increased prevalence of diabetes mellitus in a rural Greek population. Rural and Remote Health. 2006;6:1-8.

  28. Dabney B, Gosschalk A. Diabetes in rural America: a literature review. Rural Healthy People. 2010;57-72.

  29. Aspray TJ, Mugusi F, Rashid S, et al. Rural and urban differences in diabetes prevalence in Tanzania: the role of obesity, physical inactivity, and urban living. Trans Soc Trop Med Hygiene. 2000;94:637-44.

Published
2013-02-01
How to Cite
1.
Waspadji S, Soewondo P, Subekti I, Soebardi S, Harbuwono DS, Pramono LA, Supali T. Ende Diabetes Study: diabetes and its characteristics in rural area of East Nusa Tenggara. Med J Indones [Internet]. 2013Feb.1 [cited 2024Apr.19];22(1):30-8. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/517
Section
Community Research

Most read articles by the same author(s)

1 2 3 > >>