MANAJEMEN KETIDAKSTABILAN KADAR GLUKOSA DARAH DENGAN KOMBINASI LATIHAN FISIK (WALKING EXERCISE)PADA LANSIADIABETES MELITUS DI WILAYAH KERJA UPTD PUSKESMAS SEKARJAYA TAHUN 2025

Latar Belakang: Lansia dengan Diabetes Melitus berisiko mengalami
ketidakstabilan kadar glukosa darah yang dapat menurunkan kualitas hidup dan
memicu komplikasi. Salah satu pendekatan non-farmakologis yang dapat
diterapkan di rumah adalah walking exercise yang disesuaikan dengan kondisi
fisik lansia.
Tujuan: Mendeskripsikan penerapan manajemen ketidakstabilan kadar glukosa
darah melalui kombinasi latihan fisik (walking exercise) pada lansia dengan
Diabetes Melitus.
Metode: Penelitian ini menggunakan pendekatan studi kasus deskriptif pada dua
lansia dengan kadar glukosa darah tidak stabil. Intervensi dilakukan melalui
proses asuhan keperawatan dan walking exercise 10–30 menit selama tiga kali
seminggu. Data dikumpulkan melalui observasi dan pengukuran GDS.
Hasil: Setelah dilakukan walking exercise, kedua klien menunjukkan penurunan
kadar glukosa darah. Rata-rata penurunan GDS pada klien I sebesar 20,4 mg/dL
dan pada klien II sebesar 18,75 mg/dL. Keluhan subjektif seperti lelah dan pusing
juga berkurang, serta terdapat peningkatan motivasi dalam aktivitas harian.
Kesimpulan dan Saran:Walking exercise dapat diterapkan sebagai bagian dari
manajemen keperawatan lansia dengan Diabetes Melitus untuk membantu
menjaga kestabilan kadar glukosa darah. Diperlukan pemantauan rutin dan
edukasi keluarga untuk mendukung keteraturan latihan di rumah.

Background: Elderly individuals with Diabetes Mellitus are at risk of
experiencing blood glucose instability, which may reduce their quality of life and
increase the risk of complications. One home-based non-pharmacological
approach that can be applied is walking exercise adjusted to the client’s physical
condition.
Objective: To describe the implementation of blood glucose instability
management through walking exercise among elderly individuals with Diabetes
Mellitus.
Method: This study used a descriptive case study approach involving two elderly
clients with unstable blood glucose levels. Nursing care was provided using the
nursing process, and walking exercise was conducted for 10–30 minutes, three
times per week. Data were collected through observation and blood glucose level
measurements.
Results: After the walking exercise intervention, both clients experienced a
decrease in blood glucose levels. The average decrease in blood glucose was 20.4
mg/dL for Client I and 18.75 mg/dL for Client II. Subjective complaints such as
fatigue and dizziness decreased, and clients showed increased motivation to carry
out daily activities.
Conclusion and Suggestion: Walking exercise can be applied as part of nursing
care management for elderly individuals with Diabetes Mellitus to help maintain
blood glucose stability at home. Regular monitoring and family education are
necessary to support consistency in exercise practices.