Literature Review: The Relationship Between Dietary Patterns, Physical Activity, And Medication Compliance With The Increase In Blood Sugar Levels In Diabetes Mellitus Patients
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Abstract
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia due to impaired insulin secretion or action. Blood glucose control in patients with type 2 diabetes mellitus is influenced by various factors, including dietary patterns, physical activity, medication adherence, as well as psychosocial factors such as stress and family support. This study used a literature review method by searching scientific articles through Google Scholar, PubMed, and ScienceDirect within the publication period of 2022–2026. Selected articles focused on the relationship between diet, physical activity, and medication adherence with blood glucose levels in patients with type 2 diabetes mellitus. The review findings indicate that most studies show a significant relationship between dietary patterns, physical activity, and medication adherence with blood glucose levels. Physical activity and dietary adherence contribute to better glycemic control, while medication adherence shows inconsistent results. Other factors such as family support, stress levels, and smoking habits also influence blood glucose stability. Blood glucose control in diabetes mellitus is multifactorial. Proper diet and regular physical activity improve insulin sensitivity and glucose metabolism. Medication adherence is important, but not always directly associated with glycemic control due to the influence of individual and lifestyle factors. Dietary patterns, physical activity, and medication adherence play important roles in controlling blood glucose levels in patients with type 2 diabetes mellitus, although results are not always consistent. Diabetes management requires a comprehensive approach including lifestyle modification and psychosocial support.
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References
Adelaide Bulu, Tavip Dwi Wahyuni, A. S. (2019). Hubungan Antara Tingkat Kepatuhan Minum Obat Dengan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe II. Nursing News, 4.
Andrik Hermanto, Masroni, D. N. S. (2025). Treatment Adherence And Its Impact On Glycemic Control In Patients With Diabetes Mellitus Type 2 In Working Area Of Klatak Health Center Banyuwangi 2024. International Journal of Health and Social Behavior, 2(1), 12–22. https://doi.org/10.62951/ijhsb.v2i1.232
Arvida Bar, Dea Adna Afriani, D. M. (2025). Hubungan Dukungan Keluarga Dan Keteraturan Kontrol Kadar Gula Darah Dengan Kepatuhan Minum Obat Pada Penderita Diabetes Melitus Arvida. Jurnal NERS Prodi Sarjana Keperawatan & Profesi Ners FIK UP 2025, 9(51), 1253–1258.
Asmaul Husna, Nurhaedar Jafar, Healthy Hidayanti, Djunaidi M. Dachlan, A. S. (2022). Hubungan Kepatuhan Minum Obat Dengan Gula Darah Pasien DM Tipe II di Puskesmas Tamalanrea Makassar. JGMI : The Journal of Indonesian Community Nutrition, 11, 20–26.
Astam Nihullohti, S. A. (2023). Hubungan Aktivitas Fisik Dan Kepatuhan Diet Dengan Kadar Glukosa Darah Pada Pasien Diabetes Melitus Tipe 2 Di RS Mary Cileungsi Hijau Bulan November 2022. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 9(NOVEMBER 2022).
Augusto Pereira Guteres, Dewi Laelatul Badriah, Dwi Nastiti Iswarawanti, E. F. (2026). Analisis Faktor-Faktor yang Berhubungan dengan Kadar Gula Darah pada Pasien Diabetes Melitus Usia Produktif di Puskesmas Comoro Kabupaten Dili Timor Leste 2025. Jurnal Mitra Indonesia : Jurnal Pendidikan, Sosial, Humaniora, Dan Kesehatan V, 5.
Ayunda, Wayunah, T. H. (2023). Hubungan Self Care Management Dengan Kadar Glukosa Darah Pada Penderita Diabetes Melitus. MEJORA : Medical Journal Awatara, 1(1), 8–16.
Gunarti Yahya, R. R. K. and R. R. K. (2022). Lifestyle Management: Differences in Knowledge, Physical Activity and Diet Compliance with Diabetes Self-management Education (DSME) Principles. International Conference on Social Determinants of Health Table, Icsdh 2021, 120–124. https://doi.org/10.5220/0010760600003235
Hamdrayani, Syamsuddin Fadli, Y. P. (2022). Hubungan Kepatuhan Minum Obat , Diet dan Olahraga Dengan Kadar Glukosa Darah Pasien Diabetes Melitus di Klinik Polda Gorontalo. Jurnal Zaitun Jurusan Keperawatan, 1–10.
Inda Mujisari, Mansur Sididi, S. (2021). Hubungan Penerapan Empat Pilar Pengendalian Diabetes Melitus Tipe 2 Dengan Rerata Kadar Gula Darah Di Puskesmas Banabungi Sulawesi Tenggara. Window of Public Health Journal, 2(3), 486–494.
Khulwatunnisa. (2025). Hubungan Kepatuhan Diet, Aktivitas Fisik, dan Dukungan Keluarga Dengan Kadar Glukosa Darah Pada Pasien Diabetes Melitus.
Lorita Doru, Rosita, Yulta Kadang, H. K. (2023). Hubungan Pola Makan dan Aktivitas Fisik dengan Kejadian Diabetes Melitus di Wilayah Kerja UPTD Puskesmas Birobuli Kota Palu. Jurnal Kolaboratif Sains (JKS), 6(2), 112–122.
Made Rismawan, Ni Made Tisna Handayani, I. G. A. R. R. (2023). Hubungan Kepatuhan Minum Obat Terhadap Kadar Gula Darah Sewaktu Pada Penderita Diabetes Mellitus Tipe II. Jurnal Riset Media Keperawatan, 6(1), 23–30.
Made Sri Rahayuningsih, I Wayan Juniarsana, N. K. W. (2023). Hubungan Aktivitas Fisik dan Kepatuhan Diet dengan Kadar Glukosa Darah Pasien DM Tipe 2. Jurnal Ilmu Gizi: Journal of Nutrition Science, 12(3), 155–165. http://ejournal.poltekkes-denpasar.ac.id/index.php/JIG/article/view/jig2122%0AHubungan
Medhat A Khalil, Ayman M Elbadawy, Rasha O Abdelmoniem, Mohammed S Saleh, Fawzia F Asfour, W. M. I. (2024). Adherence of Diabetic Patients to Healthy Lifestyle and Medication and Its Impact on Glycemic Control , Complications of Diabetes and Quality of Life : A Hospital Based Cross-Section Study in Benha City , Egypt. The Egyptian Journal of Hospital Medicine (January, 94(January), 1063–1072.
Ocviskah, Sasteri Yulianti, M. (2026). Hubungan Tingkat Stres , Olahraga , Dan Kepatuhan Minum Obat Dengan Peningkatan Kadar Gula Darah Pada Pasien DiabHetes Melitus Tipe 2 Di Poli Penyakit Dalam Rs Siti Aisyah Lubuklinggau Tahun 2025. Jurnal Multi Disiplin Dehasen (MUDE), 5(1), 399–410.
Regina Marintan Sinaga, I. A. A. (2025). Affecting Medication Adherence among Patients with Type 2 Diabetes: A Review. International Journal of Biotechnology and Biomedicine, 2(April), 1–14. https://doi.org/https://doi.org/10.31674/ijbb.2025.v02i01.001
Shela Permata Sari, Mokhtar Jamil, D. P. P. (2025). The Relationship Between Physical Activity and Blood Sugar Levels in Type II. Jurnal Keperawatan Florence Nightingale (JKFN), 8(2), 212–218. https://doi.org/10.52774/jkfn.v8i2.422
Tania Nascimento, Amanda Andrade, Ezequiel Pinto, Catarina Cabrita Sandra Pais, R. de la P. (2025). Medication Adherence and Glycemic Control in Older Adults with Type 2 Diabetes : A Cross-Sectional Study in a Community Setting. Diabetology, 6(33), 1–15. https://doi.org/https://doi.org/10.3390/diabetology6050033
Vineeta Shukla, Baisakhi Maji, Ankita Mishra, S. C. (2025). Medication adherence, physical activity, and dietary habits among patients attending a diabetes clinic of a Government Hospital in Kolkata, West Bengal, India. MGM Journal of Medical Sciences, 12(1), 45–51. https://doi.org/10.4103/mgmj.mgmj