STANDARDIZED NUTRITION CARE PROCESS IN TUBERCULOSIS 
                           PATIENTS WITH DIABETES MELLITUS TYPE II 
                                                
                                             1        2            3  
                           Devi Waryan Kurniawati , Isti Suryani , Idi Setiyobroto
                    Department of Nutrition Health Polytechnic Yogyakarta, St. Tata Bumi No.3 
                                Banyuraden, Gamping Sleman, Yogyakarta 
                                   (Email: waryankurnia@gmail.com) 
                    
                                          ABSTRACT 
                                                
                   Background  :  Tuberculosis  (TB)  is  a  disease  caused  by  the  bacteria 
                   Mycobacterium tuberculosis, which affects the lungs. Diabetes mellitus (DM) 
                   is a risk factor for TB and can affect the presence of disease and response to 
                   treatment. DM is defined as a chronic metabolic disorder with multi etiology 
                   characterized  by  high  levels  of  blood  sugar  accompanied  by  impaired 
                   carbohydrate,  lipid  and  protein  metabolism  as  a  result  of  insulin  function 
                   insufficiency. In Dr. Moewardi Hospital at the laboratory examination service 
                   there were 310 cases of TB and DM, becoming the top 10 diseases that were 
                   hospitalized. Management of appropriate nutritional care is needed to maintain 
                   optimal nutritional status, prevent disease severity and accelerated healing. 
                   Objective : To describe the implementation of PAGT in Tuberculosis patients 
                   with Diabetes Mellitus Type II 
                   Method : Case study. The location of the study at Dr. Moewardi Surakarta 
                   Hospital.  Research  subjects  were  one  patients  with  criteria.  Primary  data 
                   obtained from measurements and interviews with respondents, while secondary 
                   data obtained from medical records. 
                   Results  :  Nutritional  assessment  of  anthropometric  data  of  patients  has 
                   underweight  (malnutrition)  status.  Biochemical  data  obtained  high  blood 
                   glucose and low Hb, physical/clinical data obtained by normal blood pressure 
                   and dietary history are known that patients has bad eating habits. Nutritional 
                   diagnosis  includes  the  domain  of  intake,  clinical  and  behavior,  nutritional 
                   interventions applied based on nutritional diagnosis problems, monitoring and 
                   evaluation  related  to  biochemical  data,  physical/clinical  and  patients  food 
                   intake. 
                   Conclusion : From the results of the study it can be seen that patients has 
                   malnutrition  status,  high  blood  glucose  and  low  Hb,  based  on  the 
                   implementation  of  evaluation  monitoring,  the  patients`s  food  intake  has 
                   increased. 
                   Keywords: Tuberculosis, Diabetes Mellitus, Nutrition Care 
                    
                   1: Nutrition Department Student  of Nutrition Health Polytechnic Yogyakarta 
                   2: Lecturer Department of Nutrition Health Polytechnic Yogyakarta 
                   3: Lecturer Department of Nutrition Health Polytechnic Yogyakarta 
                                                
                                              xii   Poltekkes Kemenkes Yogyakarta  
                    
                                                                                                                           
                                
                                         PROSES ASUHAN GIZI TERSTANDAR PADA PASIEN 
                                      TUBERKULOSIS DENGAN DIABETES MELLITUS TYPE II 
                                                                              
                                                                        1               2                    3  
                                            Devi Waryan Kurniawati , Isti Suryani , Idi Setiyobroto
                               Jurusan Gizi Poltekkes Kemenkes Yogyakarta, Jl. Tata Bumi No.3 Banyuraden, 
                                                         Gamping Sleman, Yogyakarta 
                                                        (Email : waryankurnia@gmail.com) 
                                                                                        
                                                                      ABSTRAK 
                                                                              
                               Latar Belakang : Tuberkulosis (TB) adalah penyakit yang disebabkan oleh 
                               bakteri Mycobacterium tuberculosis, yang mempengaruhi paru-paru. Diabetes 
                               mellitus  (DM)  merupakan  faktor  resiko  TB  dan  dapat  mempengaruhi 
                               keberadaan  penyakit  serta  respon  terhadap  pengobatan.  DM  didefinisikan 
                               sebagai  gangguan  metabolisme  kronis  dengan  multi  etiologi  yang  ditandai 
                               dengan  tingginya  kadar  gula  darah  disertai  dengan  gangguan  metabolisme 
                               karbohidrat, lipid dan protein sebagai akibat dari insufisiensi fungsi insulin. Di 
                               RSUD Dr. Moewardi pada pelayanan pemeriksaan laboratorium terdapat 310 
                               kasus  TB  dan  DM  menjadi  10  besar  penyakit  yang  mejalani  rawat  inap. 
                               Penatalaksanaan asuhan gizi yang tepat diperlukan guna mempertahakan status 
                               gizi   yang  optimal,  mencegah  keparahan  penyakit  dan  mempercepat 
                               penyembuhan. 
                               Tujuan  :  Mendekripsikan  pelaksanaan  PAGT    pada  pasien  Tuberkulosis 
                               dengan Diabetes Mellitus Type II 
                               Metode : Studi kasus. Lokasi penelitian di RSUD Dr. Moewardi Surakarta. 
                               Subyek  penelitian  satu  pasien  dengan  kriteria.  Data  primer  diperoleh  dari 
                               pengukuran  dan  wawancara  dengan  responden,  sedangkan  data  sekunder 
                               diperoleh dari rekam medis.  
                               Hasil : Assessment gizi data antropometri pasien memiliki status gizi buruk. 
                               Data biokimia diperoleh glukosa darah tinggi dan Hb rendah, data fisik/klinis 
                               diperoleh  tekanan  darah  normal  dan  riwayat  makan  diketahui  memiliki 
                               kebiasaan makan kurang baik. Diagnosis gizi meliputi domain asupan, klinis 
                               dan behavior, intervensi gizi diterapkan berdasarkan permasalahan diagnosis 
                               gizi, monitoring dan evaluasi berkaitan dengan data biokimia, fisik/klinis dan 
                               asupan makan pasien.  
                               Kesimpulan : Dari hasil penelitian dapat diketahui pasien memiliki status gizi 
                               buruk,  glukosa  darah  tinggi  serta  Hb  rendah,  berdasarkan  pelaksanaan 
                               monitoring evaluasi, asupan makanan pasien mengalami peningkatan.  
                               Kata kunci : Tuberkulosis, Diabetes Mellitus, Asuhan Gizi 
                                
                               1 
                                : Mahasiswa Jurusan Gizi Poltekkes Kemenkes Yogyakarta  
                               2 
                                : Dosen Jurusan Gizi Poltekkes Kemenkes Yogyakarta 
                               3 
                                : Dosen Jurusan Gizi Poltekkes Kemenkes Yogyakarta 
                                
                                                                           xiii     Poltekkes Kemenkes Yogyakarta