Diabetes Mellitus Management Model in Bojonegoro District: A Literature Review

Abstract

Diabetes Mellitus (DM) is a non-communicable disease with a steadily increasing prevalence in Indonesia, including in Bojonegoro Regency. DM management requires a comprehensive and sustainable model to prevent complications and improve patients' quality of life. To analyze the Diabetes Mellitus management model in Bojonegoro Regency based on existing literature and policies, and to identify factors influencing its effectiveness. This literature review used a systematic approach by analyzing scientific publications, government reports, and policy documents from 2020-2025. The literature search focused on DM management models at the community health center (Puskesmas), hospital, and community levels. The DM management model in Bojonegoro Regency adopts a five-pillar diabetes approach, encompassing education, dietary management, exercise, stress management, and drug therapy. The Chronic Disease Management Program (PROLANIS) serves as the backbone of DM management at the community health center level, with support from Sosodoro Djatikoesoemo Regional General Hospital (RSUD) as the referral hospital. The DM management model in Bojonegoro Regency shows integration between primary and secondary services with an emphasis on community empowerment, although it still faces challenges in terms of patient compliance and service accessibility.