Nutrition consultation services

Oct 13, 2025 by wbrum.org 39 views

The Influence of Assistance; Nutrition Consultation on Control of Blood Sugar Levels in Elderly Patients with Diabetes Mellitus at Padang Bulan Puskesmas Medan

Introduction

Diabetes mellitus is a chronic metabolic disease characterized by high blood sugar levels (hyperglycemia). Patients with diabetes mellitus often have difficulty in managing their blood sugar levels, mainly due to lack of information about the right diet and non-compliance in carrying out the recommended diet. One approach that can help is to provide nutritional assistance and consultation, which serves to increase knowledge, attitudes, and behavior in overcoming nutritional problems through proper eating patterns. Nutrition consultation is a crucial aspect of diabetes management, as it helps patients understand the importance of diet in controlling blood sugar levels.

Background of the Study

Diabetes mellitus is a significant public health concern worldwide, with a growing number of elderly patients affected by this disease. In Indonesia, diabetes mellitus is a major cause of morbidity and mortality, particularly among the elderly. The Padang Bulan Health Center in Medan is one of the primary healthcare facilities that provide services to the community, including diabetes management. However, the effectiveness of diabetes management at this health center is limited by the lack of nutritional assistance and consultation services. This study aims to evaluate the effect of assistance and nutritional consultation on controlling blood sugar levels in the elderly with diabetes mellitus in Padang Bulan Health Center, Medan.

Methodology

This study uses a quasi-experimental design with the One Group Pretest-Posttest method. In this study, respondents totaling 22 people received treatment in the form of nutrition consultations, and their blood sugar levels were measured before and after the treatment. Data obtained through examination of blood sugar levels and questionnaires that evaluate the diet of respondents. Data analysis was carried out using the univariate and bivariate methods, as well as the paired sample t-test test, which showed significant results with the value of P = 0,000 (p <0.05). These results indicate that there is a significant effect between nutrition consultation assistance on controlling blood sugar levels in the elderly with diabetes mellitus.

Results

Before the action was carried out, only 59.1% of respondents followed the eating pattern correctly. However, after nutritional assistance and consultation, this percentage increased to 86.4%. This confirms how important the role of medical personnel is, especially nurses, in providing correct and accurate information to patients. Through nutritional assistance and consultation, patients can be taught how to adjust the right diet, which in turn can help them in managing their blood sugar levels better.

Discussion

The results of this study indicate that nutrition consultation assistance has a significant effect on controlling blood sugar levels in the elderly with diabetes mellitus. This is consistent with previous studies that have shown the importance of nutrition consultation in diabetes management. The increase in the percentage of respondents who followed the eating pattern correctly after nutritional assistance and consultation suggests that this approach can be effective in improving diabetes management.

Conclusion

This study emphasizes the importance of nutrition consultation as one of the effective methods to increase patient knowledge and skills, so that it can regulate the right diet. This is very important in the effort to control diabetes mellitus, especially for the elderly who are more vulnerable to complications caused by this disease. Continuing the education and nutritional assistance program at the Puskesmas is the right step to improve the quality of life of diabetes mellitus patients in the region.

Recommendations

Based on the results of this study, the following recommendations are made:

Nutrition consultation services should be integrated into the diabetes management program at the Padang Bulan Health Center, Medan.
Education and training should be provided to medical personnel, especially nurses, on the importance of nutrition consultation in diabetes management.
Continuing education and nutritional assistance program should be continued at the Puskesmas to improve the quality of life of diabetes mellitus patients in the region.

Limitations of the Study

This study has several limitations, including:

Small sample size: The sample size of this study is relatively small, which may limit the generalizability of the results.
Limited duration: The duration of this study is relatively short, which may not capture the long-term effects of nutrition consultation assistance on controlling blood sugar levels.

Future Research Directions

Future research should focus on:

Long-term effects of nutrition consultation assistance on controlling blood sugar levels.
Comparison of different nutrition consultation approaches to determine the most effective approach.
Evaluation of the cost-effectiveness of nutrition consultation assistance in diabetes management.
Frequently Asked Questions (FAQs) about Nutrition Consultation Assistance for Diabetes Management

Q: What is nutrition consultation assistance?

A: Nutrition consultation assistance is a service provided by healthcare professionals, such as nurses or dietitians, to help patients with diabetes mellitus understand the importance of diet in controlling blood sugar levels. This service involves educating patients on how to make healthy food choices and develop a personalized meal plan to manage their diabetes.

Q: Why is nutrition consultation assistance important for diabetes management?

A: Nutrition consultation assistance is crucial for diabetes management because it helps patients understand the importance of diet in controlling blood sugar levels. By making healthy food choices, patients can reduce their risk of developing complications associated with diabetes, such as heart disease, kidney disease, and nerve damage.

Q: What are the benefits of nutrition consultation assistance for diabetes management?

A: The benefits of nutrition consultation assistance for diabetes management include:

Improved blood sugar control
Reduced risk of complications associated with diabetes
Increased knowledge and skills in managing diabetes
Improved quality of life
Reduced healthcare costs

Q: Who can benefit from nutrition consultation assistance?

A: Anyone with diabetes mellitus can benefit from nutrition consultation assistance, including:

Patients with type 1 diabetes
Patients with type 2 diabetes
Patients with gestational diabetes
Patients with prediabetes

Q: How often should patients with diabetes mellitus receive nutrition consultation assistance?

A: Patients with diabetes mellitus should receive nutrition consultation assistance at least once a year, or as recommended by their healthcare provider. However, some patients may require more frequent consultations, such as those with a history of poor blood sugar control or those who are taking medications that affect blood sugar levels.

Q: What are some common mistakes patients with diabetes mellitus make when it comes to nutrition?

A: Some common mistakes patients with diabetes mellitus make when it comes to nutrition include:

Eating too much sugar
Eating too much refined carbohydrates
Not eating enough fiber
Not drinking enough water
Not monitoring their blood sugar levels regularly

Q: How can patients with diabetes mellitus get started with nutrition consultation assistance?

A: Patients with diabetes mellitus can get started with nutrition consultation assistance by:

Scheduling an appointment with a registered dietitian or a healthcare provider
Asking their healthcare provider for a referral to a registered dietitian
Contacting a local diabetes education program or a nutrition counseling service
Searching online for nutrition resources and support groups

Q: What are some resources available for patients with diabetes mellitus who need nutrition consultation assistance?

A: Some resources available for patients with diabetes mellitus who need nutrition consultation assistance include:

The American Diabetes Association (ADA)
The Academy of Nutrition and Dietetics (AND)
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Local diabetes education programs and nutrition counseling services
Online nutrition resources and support groups

Q: How can patients with diabetes mellitus stay motivated to make healthy food choices?

A: Patients with diabetes mellitus can stay motivated to make healthy food choices by:

Setting realistic goals and tracking progress
Finding healthy recipes and meal ideas
Cooking at home and preparing meals in advance
Eating with family and friends who support healthy eating
Rewarding themselves for making healthy choices

Q: What are some tips for patients with diabetes mellitus who are trying to manage their blood sugar levels through nutrition?

A: Some tips for patients with diabetes mellitus who are trying to manage their blood sugar levels through nutrition include:

Eating a balanced diet that includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats
Monitoring blood sugar levels regularly and adjusting diet accordingly
Avoiding sugary drinks and foods high in added sugars
Choosing whole grains over refined carbohydrates
Drinking plenty of water and limiting sugary drinks.