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Diabetes Melitus adalah penyakit metabolik yang disebabkan karena defisiensi insulin atau resistensi insulin. Gejala DM ditandai dengan poliuria, polidipsi, polifagi dan penurunan berat badan. Karena tubuh tidak dapat menggunakan glukosa sebagai sumber energi, tubuh akan mencari sumber energi lain seperti lemak. Penggunaan lemak yang berlebih dapat meningkatan benda keton yang menyebabkan ketoasidosis. Pemeriksaan yang dipercaya untuk memonitor pengontrolan gula darah secara objektif adalah HbA1c pengendalian Diabetes Melitus yang buruk ditunjukan dengan nilai HbA1c >8%. Tujuan penelitian ini untuk mengetahui hasil pemeriksaan keton darah dan HbA1c pada penderita diabetes melitus di RSUD Budhi Asih.
Karya tulis ini disusun berdasarkan data sekunder yang diperoleh di RSUD Budhi Asih Jakarta. Data diperoleh penderita diabetes yang melakukan pemeriksaan keton darah dan HbA1C periode Januari Maret 2021sebanyak 50 orang.
Penderita DM pada laki laki didapat sebanyak 38%, sedangkan penderita DM pada perempuan didapat sebanyak 62%. Penderita DM dengan usia 11 19 tahun sebanyak 4%, pada usia 20 60 tahun sebanyak 72% dan pada usia >60 tahun sebanyak 24%. Penderita DM dengan kadar GDS >200mg/dL yang memiliki kadar keton darah normal sebanyak 64% dan yang memiliki kadar keton darah abnormal (ketosis) sebanyak 36% Penderita DM dengan kadar GDS >200mg/dL yang memiliki kadar HbA1c dengan glukosa darah terkontrol sebanyak 22%, sedangkan pasien dengan glukosa darah terkontrol buruk sebanyak 78%. Terdapat hubungan antara glukosa darah sewaktu dengan keton darah dengan nilai korelasi Spearmans 0,354 dan glukosa darah sewaktu dengan HbA1c dengan nilai korelasi Spearmans 0,662.

Diabetes Mellitus is a metabolic disease caused by insulin deficiency or insulin resistance. This disease can cause hyperglycemia and is characterized by symptoms such as polyuria, polydipsia, polyphagia and weight loss. Since the body cannot use glucose as an energy source, other sources of energy such as fat will be used. The use of excess fat can increase the ketone bodies that cause ketoacidosis. The test that is believed to monitor blood sugar objectively is HbA1c poor control of Diabetes Mellitus as indicated by an HbA1c value >8%. This study aims to determine the results of the examination of blood ketones and HbA1c in patients with diabetes mellitus at Budhi Asih Hospital
His paper was compiled based on secondary data obtained at Budhi Asih Hospital, Jakarta. Data were obtained from 50 patiens with diabetes who checked blood ketones and HbA1C for the period January - March 2021.
Patients with DM in men got as much as 38%, while patients with DM in women got as much as 62%. DM patients aged 11-19 years were 4%, at the age of 20-60 years were 72% and those aged >60 years were 24%. DM patients with blood glucose levels > 200mg/dL who have normal blood ketone levels as much as 64% and who have abnormal blood ketone levels (ketosis) as much as 36% DM patients with blood glucose levels > 200mg/dL who have HbA1c levels with controlled blood glucose as much as 22 %, while patients with poorly controlled blood glucose were 78%. Based on the Spearman's correlation test, it was concluded that there was an association between blood glucose and blood ketones with a Spearman's correlation value of 0.354 and blood glucose with HbA1c with a Spearman's correlation value of 0.662.