Hubungan Resiko Diabetes Melitus Tipe 2 dengan Menggunakan Uji American Diabetes Association (ADA) Diabetes Risk Test pada Populasi Desa Bah Bolon Kabupaten Simalungun

Abstract

Introduction : Diabetes Melitus Type 2 has a prevalence of 6.28% or around 462 million individuals in the world. The prevalence of DM is expected to increase to 7079 per 100,000 individuals in 2030 and 7862 in 2040. 3 Meanwhile, based on Riskesdas data, Indonesia has a prevalence of DM of 2.1% in 2013, this shows an increase compared to 2007 of 1.1%. The highest prevalence was in Deli Serdang (2.9%) and followed by Medan (2.7%), Pematang Siantar (2.2%), Asahan (2.1%), Gunungsitoli (2, 1%), Simalungun (1.57%) and Mandailing Natal (0.3%).The ADA Diabetes Risk Test is a simple strategy that is used according to the ADA to be used as an additional option for screening prediabetes and diabetes in asymptomatic adults. Simalungun Regency is one of the 10 districts with a high prevalence of DM after Medan, Pematang Siantar and Asahan Districts. Bah Bolon Village is one of the villages located in Dolog Masagal District. Bah bolon village is a remote village and far from the city and health facilities covering 342 heads of families. Aim of study is to know about how much risk factor of DM type 2 in Simalungun Distric using ADA Diabetes Risk Test. Method: This study is analytical with a cross-sectional retrospective design. Data were analyzed after distribution test, then mean difference and correlation test was using the SPPS program where p <0.05 was considered statistically significant. Result: This study showed , the prevalence ratio of the ADA Diabetes Risk Test was 3.04 which indicates that there is an increased risk of DM 3 times compared to individuals who have a low risk ADA Diabetes Risk Test score. The highest prevalence ratio is a history of hypertension. A history of hypertension increases the risk of developing T2DM sixfold. A history of hypertension has a 95% CI value of 2.19-17.84 which indicates that people with hypertension have a 2.19 to 17.84 times higher risk of developing T2DM. Conclusion: The significant association DM 3 times in ADA Diabetes Risk Test between high score and low score, significant association between hypertension history with hyperglicemia.