TEMPO.CO, Jakarta – Chairman of the Association of Health Services, Subuh, said it is important for diabetics and health workers to control diabetes management during the COVID-19 pandemic. “As well as implementing health-related minimum service standards diabetes melitus well, “said Subuh in the education event for health workers from the level Public health center to Hospitals regarding diabetes management during the COVID-19 pandemic by Nutrifood, BPOM and, ADINKES on November 10, 2020.
Subuh said the data obtained by ADINKES from BPJS Kesehatan, during the COVID-19 pandemic, there was a decrease in the fulfillment of the ratio of patients with controlled Chronic Disease Management Program (prolanis) including diabetes mellitus. Data between February and May 2020, the decline occurred almost 50 percent throughout Indonesia. The lack of services for chronic disease patients is due to the decrease in the number of contacts for the National Health Insurance participants to the First Level Health Facilities (FKTP) to 42 percent.
On the other hand, the majority of health facilities and health workers are quite focused on handling COVID-19 positive patients, so that the service capacity for diabetics is not as optimal as before. This plus Basic Health Research shows that about 70 percent of diabetes mellitus patients are undiagnosed, this figure is very high for future detection management. “If this is not handled properly, the health conditions of people with diabetes can continue to worsen and complications from diabetes mellitus will be higher,” he said.
Head of the Kutai Kertanegara Health Service, East Kalimantan, Martina Yulianti, explained that health workers have an important role in monitoring the health conditions of diabetes patients during this pandemic. Diabetes management that can be done by health workers can keep the blood sugar of diabetic patients under control. Diabetes management can also prevent diabetes patients from serious complications of COVID-19. “One way to do this is to check blood sugar at least once a year for the population of productive age 15-59 years, as well as for all pregnant women,” said Martina.
The examination of blood sugar is in accordance with the mandate of Permenkes No. 4 of 2019 regarding technical standards for implementing the Minimum Service Standards in the Health Sector for all targets of the minimum health service standards. “Puskesmas together with other First Level Health Facilities (FKTP) must also achieve a ratio of diabetes mellitus controlled patients of at least 5 percent of the total diabetes mellitus patients in these First Level Health Facilities. This certainly requires good management by the Puskesmas and all FKTPs. other, “said Martina.
Diabetes management also needs to be done by diabetics themselves. During the COVID-19 pandemic, the health of diabetic patients can deteriorate due to changes in lifestyle along with PSBB regulations by several local governments. Lack of physical activity, unbalanced diet, high stress levels and decreased control visits to the FKTP due to the pandemic can also worsen the health of diabetes patients which is a challenge for Puskesmas and other FKTPs to immediately improve the handling of diabetes mellitus patients.
According to the Chairman of the Indonesian Diabetes Association (Persadia) for the Jakarta, Bogor, Bekasi, Depok Region, Mardi Santoso is a patient with diabetes or diabetes mellitus.
It is recommended to undergo independent diabetes management during the COVID-19 pandemic and have to do activities and stay at home. Some of the things that patients recommend doing are as follows:
1. Prepare a doctor’s or medical team’s telephone number for regular consultations regarding the management of DM, including on medication, monitoring blood sugar, changes in food intake, physical activity, complaints and others.
2. Prepare a drug list and dosage (including vitamins and supplements).
3. Prepare fast-absorbing simple carbohydrates such as sugar, honey, sweet jam, candy to keep blood sugar levels down / hypoglycemic in people with diabetes who are at risk of dropping blood sugar due to difficulty eating. For example, in elderly patients, patients with indigestion or other diseases that cause reduced food intake.
4. Prepare enough strips for the glucometer (self-contained blood sugar checker), especially for patients with unstable fluctuating blood sugar levels.
5. Prepare a stock of diabetes medication tablets / insulin that are usually consumed or prescribed by doctors in sufficient quantities, at least for the next 2 weeks.
6. Use telehealth or telemedicine services for doctor consultations and remote drug purchases, so that people with diabetes do not have to leave the house. Unless the physical condition has deteriorated so much that it is necessary to see a doctor at the hospital.
The Head of Sub-Directorate for Certain Processed Food Standardization, Directorate of Processed Food Standardization of the Food and Drug Supervisory Agency, Yusra Egayanti, said that the deteriorating health condition of diabetics can also be linked to an unhealthy lifestyle, such as consumption of salt sugar and excess fat. One of the reasons is that they do not pay close attention to the nutritional value information on processed food labels. “To maintain normal blood sugar levels, diabetics must adopt a healthy lifestyle, including limiting the consumption of fat salt sugar, namely 50 grams of sugar per day; 5 grams of salt per day; and 67 grams of fat per day.” , diabetics must pay attention to nutritional value information before consuming processed food, so that they can consume products according to daily nutritional needs. Of course, sufficient physical activity and stress control also need to be done, “he said.
Head of Corporate Communication Nutrifood, Angelique Dewi said Nutrifood is actively collaborating with various stakeholders in order to educate #B LIMITATIONGGL and diabetes risks and how to prevent them. Nutrifood believes strategic collaboration is the key to increasing a positive impact on society. According to Angelique, it is important for people to live a healthy lifestyle to avoid diabetes. Meanwhile, people with diabetes are expected to be more vigilant during the COVID-19 pandemic. “Both people without diabetes and diabetics are encouraged to continue to maintain a healthy diet, maintain body weight, exercise regularly, eat high-fiber foods, pay attention to meal portions and times, and limit GGL as recommended by the Ministry of Health,” he said.
Angelique also reminded to prevent the risk of being infected with COVID-19, it is advisable to maintain personal hygiene including washing hands frequently with soap and running water, doing activities at home only, getting enough rest, and keeping a distance and wearing a mask when in public places.
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