The Behavior of TB-DM Patients in Controlling Blood Sugar Concentration in Medan City Community Health Center

Evawany Yunita Aritonang, Sori Muda Sarumpaet, - Syarifah


North Sumatra is the region with the highest prevalence of pulmonary tuberculosis in Indonesia, 759 per 100,000 population aged > 15 years. The male group had a higher prevalence of TB than women (1,083 versus 461). The incidence of pulmonary tuberculosis in Medan is still high (129 per 100,000 population). This showed that the burden of TB in Indonesia is still high. Patients with type 2 diabetes are more susceptible to pulmonary TB than non-DM, even though they get good nutrition and were established socio-economically. This is because microorganisms grow well in high blood glucose concentrations when the body is weak and DM complications. Pulmonary infection worsens DM and increases blood sugar concentration (BSC). This study aims to analyze the behavior of TB-DM patients in all Community Health Centers in Kota Medan in controlling the BSC. The design of this study was a cross-sectional study with a population of all TB-DM patients who took medication at the Medan City Community Health Center. The sampling technique used accidental sampling for two months with a sample size of 68 respondents. Data collection was done by interviewing the TB-DM patients. The results showed that people aged ≥40 years and most were men with low education. Respondents' knowledge about DM was low, respondents' knowledge about TB-DM was high, while respondents' attitudes and behavior were good. The chi-square analysis test showed no relationship between knowledge about DM and the behavior of TB-DM patients. There was no relationship between knowledge about TB-DM and the behavior of TB-DM patients, but there was a relationship between the attitudes and behavior of TB-DM patients.


Knowledge; attitudes; behavior; patient with TB-DM.

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C. Zheng, M. Hu, and F. Gao, “Diabetes and pulmonary tuberculosis: a global overview with special focus on the situation in Asian countries with high TB-DM burden,” Glob. Health Action, vol. 10, no. 1, 2017, doi: 10.1080/16549716.2016.1264702.

B. I. Restrepo, “Diabetes and tuberculosis,” Underst. Host Immune Response Against Mycobacterium Tuberc. Infect., vol. 4, no. 6, pp. 1–21, 2018, doi: 10.1007/978-3-319-97367-8_1.

M. D. Susilawati and N. Muljati, “Hubungan Antara Intoleransi Glukosa dan Diabetes Melitus dengan Riwayat Tuberkulosis Paru Dewasa di Indonesia (Analisis Lanjut Riskesdas 2013),” Media Penelit. dan Pengemb. Kesehat., vol. 26, no. 2, pp. 71–76, 2016, doi: 10.22435/mpk.v26i2.5443.71-76.

L. W. Green, J. M. Ottoson, C. García, R. A. Hiatt, and M. L. Roditis, “Diffusion theory and knowledge dissemination, utilization and integration.,” Front. public Heal. Serv. Syst. Res., vol. 3, no. 1, p. 3, 2014, [Online]. Available:

A. M. Fauziah, DF., Masrul B, “Incidence of Pulmonary Tuberculosis in Diabetes Mellitus Tip 2 Patients in Internal Medicine Inpatients Dr. M. Djamil Padang,” J. Kesehat. Andala, vol. Vol.5 No.2, 2016.

G. Segafredo et al., “Integrating TB and non-communicable diseases services: Pilot experience of screening for diabetes and hypertension in patients with Tuberculosis in Luanda, Angola,” PLoS One, vol. 14, no. 7, 2019, doi: 10.1371/journal.pone.0218052.

P. N. Fitri and M. A. Isfandiari, “The Association of Socioeconomic and Nutritional with Risk of Tuberculosis in DM Type 2 Patient,” J. Berk. Epidemiol., vol. 5, no. 2, 2017, doi: 10.20473/jbe.v5i22017.185-194.

World Health Organization (2018). Tuberculosis in women, from

F. Panjaitan, “Characteristics of Adult Pulmonary Tuberculosis Patients in the General Hospital Dr. Soedarso Pontianak Period September - November 2010.,” 2013.

A. Y. & M. K. Harso, AD., Armaji KS, Dona A, Retna MI, Aris Y, “Differences of Sociodemography Factors and Nutrition Status of Tuberculosis Patients with and Without Diabetes Based on Tuberculosis-Diabetes Mellitus Registry 2014,” J. Media Litbang, vol. Vol. 27 No, 2017.

S. K. Singh, G. C. Kashyap, and P. Puri, “Potential effect of household environment on prevalence of tuberculosis in India: Evidence from the recent round of a cross-sectional survey,” BMC Pulm. Med., vol. 18, no. 1, 2018, doi: 10.1186/s12890-018-0627-3.

I. Selviana., Hernawan, Andri., Khitama, “Spatial Analysis of Case and Environmental Distribution Potential for Lung Tuberculosis Transmission,” J. Vokasi Kesehatan., vol. Vol 2 No., 2016.

H. Ricardo, F., Heriyani, F., & Khatimah, “Incidence Lung TB in the Kelayan Timur Health Center Area,” Period. Bull. Med., vol. Vol. 12 No, 2016.

N. & N. G. Sulung, “Relationship Between Nutritional Status, Ventilation, Smoking Habits And The Role Of Health Workers With Pulmonary Tuberculosis,” J. Pembang. Negeri, vol. Vol. 3 No., 2017.

F. Nurmalini, “Knowledge Description of Type 2 DM Patients Against Disease and Management of Type 2 DM in H. Adam Malik General Hospital Medan July - August 2010. (Student Paper),” Medan, 2010.

Z. Ermawati, “Description of Knowledge and Attitudes About Disease Management in Patients with Diabetes Mellitus in Panembahan Senopati District General Hospital Bantul,” Yogyakarta, 2011.

I. Susanti, L, “Relationship Between Physical Conditions of the House and Behavior with the Occurrence of Pulmonary Tuberculosis in the Work Area of the Sangkrah Community Health Center, Surakarta City,” Surakarta, 2016.

O. & N. H, “Overview of Knowledge, Attitudes and Beliefs Against Diet of DM Patients in RSUD Kota Bandung,” J. Nurs., vol. Vol. 4 No., 2016.

V. E. Patimah, Wasisto U, “Relationship of Knowledge About Diabetes Mellitus Complications with Behavior in Preventing Disease Complications in Patients with Diabetes Mellitus,” J. Nurs. Univ. Riau, 2018.

D. Budi, I. S., Ardilah, Y., Sari, I. P., & Septiawati, “Risk Factor Analysis of Tuberculosis Occurrence for Slum Communities in Palembang City,” J. Kesehat. Lingkung. Indones., vol. 17(2), pp. 87–94, 2018, doi: 10.14710/jkli.17.2.87-94.

Khazrai YM, Defeudis G, Pozzilli P. Effect of diet on type 2 diabetes mellitus: a review. Diabetes Metab Res Rev. 2014 Mar;30 Suppl 1:24-33. doi: 10.1002/dmrr.2515. PMID: 24352832.

A. Susiani and R. Magfiroh, “Pengaruh Pelaksanaan Kegiatan Prolanis Terhadap Kekambuhan Hipertensi,” J. Kesehat., vol. 11, no. 1, pp. 1386–1395, Jun. 2020, doi: 10.38165/jk.v11i1.191.

A. M. J. December, “Level of Knowledge about Tuberculosis among Type 2 Diabetes Mellitus Patients at the Endocrine Clinic Dr . Hasan Sadikin General Hospital Bandung,” vol. 4, no. December, pp. 512–517, 2017.

U. Perdana, A. A., Ichsa, B,. Rosyidah, D, “The Relationship Between Knowledge Levels of DM Disease and Control of Blood Glucose Levels in Type II DM Patients in PKU Muhammadiyah Hospital Surakarta,” 2013.

Karuniawati, Hidayah, Arifah Sri Wahyuni, and Heni Mirawati. "Pengetahuan dan perilaku pasien tuberkulosis terhadap penyakit dan pengobatannya." In Prosiding Seminar Nasional & Internasional. 2015.

M. Rizana, N., Tahlil, T, “Knowledge, Attitudes and Family Behavior in Prevention of Lung Tuberculosis Transmission,” 2016.

A. Suradnyana, I, G, M,. Rahem, A, “The Effect of Patient Decision Aid on the Level of Knowledge, Attitudes, Behaviors and Clinical Results of Treatment of Type 2 Diabetes Mellitus Patients,” 2018.

B. Ariani, N, W,. Rattu, A, J., Ratag, “Factors Associated with Regularity of Taking Drugs for Patients with Pulmonary Tuberculosis in the Modayag Community Health Center Area, East Bolaang Mongondow Regency,” 2015.



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