Perbedaan kadar glukosa darah berdasarkan hasil pemeriksaan spektrofotometer dengan glukometer di UPTD Puskesmas Sukajaya Kota Sabang

Author(s): Farah Fajarna, Safridha Kemala Putri, Nelvi Indah Irayana
DOI: 10.30867/gikes.v4i1.1068

Abstract

Background: Diabetes Mellitus is a group of metabolic disorders with typical symptoms of hyperglycemia. Blood glucose examination can use a spectrophotometer and a glucometer (Point of Care Test). Although both are used to check blood glucose, these two tools have some differences when viewed from the working principle, the samples used, and their benefits. Both tools have advantages and disadvantages. The cost factor, a spectrophotometer is more expensive and requires more blood and a long time. Compared to glucometers, which are cheaper, easier to use, and have faster results. However, the level of reliability in measuring the value of fasting blood sugar levels is not yet significantly known.

Objectives: This study aims to measure the difference in fasting blood sugar levels based on a spectrophotometer examination with a glucometer examination at Sukajaya Health Center, Sabang City.

Methods: The analytical descriptive research uses a cross-sectional design. The research was conducted at the Sukajaya Health Center in Sabang City in October 2019. The object of this study was 24 patients. The examination is carried out through a Duplo process to avoid errors. The tools used to check fasting blood sugar levels are Spectrophotometer and Glucometer. Data analysis used non-parametric statistical tests, namely Kruskal Wallis, at 95% CI.

Results: The average fasting blood glucose level using a spectrophotometer with repetition twice (Duplo) is 146.83 mg/dl (minimum= 77 mg/dl and maximum= 404 mg/dl). While the average value of fasting blood glucose levels examined using a glucometer is 158,25 mg/dl (minimum = 66 mg/dl and maximum= 424 mg/dl). The results of statistical tests indicate a difference in the average fasting blood glucose levels in patients examined using a spectrophotometer with a glucometer (p= 0,019; p < 0,05) at UPTD Puskesmas Sukajaya Sabang City.

Conclusion: Using a glucometer, the results of checking blood glucose levels show a higher value than a spectrophotometer. There are differences in fasting blood sugar levels in patients examined with a spectrophotometer and glucometer.

Keywords

Diabetes mellitus; blood glucose; glucometer; spectrophotometer

Full Text:

PDF

References

Adhitya Dwi Prabowo, A. M. G. (2016). Uji Korelasi Pemeriksaan Glukosa Darah antara Rapid Tes dengan Spektrofotometer. In Kedokteran Patologi Klinik (pp. 1–11).

Balitbangkes. (2018). Laporan Nasional Riskesdas 2018. In Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Binugraheni, R., Primadevi, S., Nugroho, R. B., Kresnadipayana, D., & Budianto, G. I. (2016). Pemeriksaan Kimia Darah (Glukosa Darah, Kolesterol dan Asam Urat) Menggunakan Metode Stick Test dan Metode Spektrofotometri dari Sampel Darah Masyarakat RW 22 Kelurahan Nusukan Kecamatan Banjarsari Kota Surakarta. Journal of Health, 3(2), 114. https://doi.org/10.30590/vol3-no2-p114-117

Firgiansyah, A. (2016). Perbandingan kadar glukosa darah menggunakan spektrofotometer dan glukometer [UNIMUS]. In UNIMUS. http://lib.unimus.ac.id

Jean-Marie, E. (2018). Diagnosis and classification of diabetes mellitus. In Encyclopedia of Endocrine Diseases (pp. 105–109). https://doi.org/10.1016/B978-0-12-801238-3.65822-1

Kee, J. L. (2019). Pedoman pemeriksaan laboratorium dan diagnostik edisi 6. Jurnal Fakultas Kedokteran Universitas Andalas 1, 10(7), 6–9. http://scholar.unand.ac.id/61716/2/2. BAB 1 (Pendahuluan).pdf

Kemenkes RI. (2010). Keputusan Menteri Kesehatan Republik Indonesia Nomor 1792/Menkes/Sk/XII/2010 Tentang Pedoman Pemeriksaan Kimia Klinik.

Kemenkes RI. (2019). Peraturan Menteri Kesehatan Nomor 43 Tahun 2019 Tentang Pusat Kesehatan Masyarakat. Kementerian Kesehatan RI.

Kurniadi, A. Y. (2020). Karbohidrat, Protein dan Lipid (Vol. 1). Agi Yusup Kurniadi.

Mariady, F., Sugiarto, C., & Sadeli, L. (2013). Perbandingan Hasil Pemeriksaan Kadar Glukosa Darah Sewaktu Menggunakan Glukometer dan Spektrofotometer Pada Penderita Diabetes Melitus. Journal of Chemical Information and Modeling, 53(10), 1689–1699.

Priyatno, D. (2016). SPSS Handbook. In Yogyakarta, Mediakom.

Razaq, R. A., Mahdi, J. A., & Jawad, R. A. (2020). Information about Diabetes Mellitus. Journal of University of Babylon for Pure and Applied Sciences, 28(3), 243–252.

Saputra, R. (2019). Spektrofotometer. Journal of Chemical Information and Modeling, 53(9).

Shi, H., Zheng, J., Wang, Y., Zhu, S., Xiang, Y., Zhu, X., & Li, G. (2020). Point-of-care testing of protein biomarkers by integrating a personal glucose meter with a concatenated DNA amplifier. Sensors and Actuators B: Chemical, 322, 128659.

Stevens, V. L., Hoover, E., Wang, Y., & Zanetti, K. A. (2019). Pre-analytical factors that affect metabolite stability in human urine, plasma, and serum: a review. Metabolites, 9(8), 156.

Suryaatmadja, M. (2003). Pendidikan Berkesinambungan Patologi Klinik 2003. Jakarta: Bagian Patologi Klinik Fakultas Kedokteran Universitas Indonesia.

Taylor, S. I., Yazdi, Z. S., & Beitelshees, A. L. (2021). Pharmacological treatment of hyperglycemia in type 2 diabetes. The Journal of Clinical Investigation, 131(2).

Widyastuti, R., & Purwaningsih, N. V. (2019). Modul Praktikum Kimia Klinik 1.

Yunir, E., & Soebardi, S. (2009). Terapi non farmakologis pada diabetes melitus. In Buku Ajar Ilmu Penyakit Dalam (Issue 718, pp. 1891–1895). Jakarta: Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia.

DOI: http://dx.doi.org/10.30867/gikes.v4i1.1068

Refbacks

  • There are currently no refbacks.