Implementing a Dual Screening Protocol for Diabetes and Frailty in a Community-Dwelling Older Adults

Authors

Laurentius Johan Ardian , Aktaruddin Arief Santoso , Hilmia Fahma , Anoraga Mona Cinta Gadis Cantika Gusyono , Satria Fudi Verbimanto

DOI:

10.29303/ujcs.v6i3.1157

Published:

2025-09-30

Issue:

Vol. 6 No. 3 (2025): September

Keywords:

Diabetes, Frailty, Elderly, Community

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Ardian, L. J., Santoso, A. A., Fahma, H., Gusyono, A. M. C. G. C., & Verbimanto, S. F. (2025). Implementing a Dual Screening Protocol for Diabetes and Frailty in a Community-Dwelling Older Adults. Unram Journal of Community Service, 6(3), 572–576. https://doi.org/10.29303/ujcs.v6i3.1157

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Abstract

Frailty, a significant geriatric syndrome, is a major complication of diabetes and is associated with adverse health outcomes. Indonesia, with its rapidly aging population, faces a substantial burden from these conditions. Community-based screening is essential for early detection and intervention. A community engagement program was conducted in Gunung Anyar District, Surabaya, involving 189 elderly participants. Simultaneous screenings for diabetes (via random blood glucose test) and frailty (using the validated FRAIL questionnaire) were performed. The study revealed a high dual burden of disease: 42.0% of participants had blood glucose levels indicative of diabetes, while 11.6% were classified as frail and 39.7% as pre-frail. About 30% of them were both unfit and poor glycemic control. This program demonstrates a high prevalence of diabetes and frailty among community-dwelling older adults in Surabaya, underscoring the urgent need for integrated geriatric care. The successful implementation of dual screening highlights the feasibility of incorporating these measures into primary care and the critical role of training community health workers to enable sustainable, early detection and management strategies.

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Author Biographies

Laurentius Johan Ardian, Universitas Pembangunan Nasional Veteran Jawa Timur

Aktaruddin Arief Santoso, Universitas Pembangunan Nasional Veteran Jawa Timur

Hilmia Fahma, Universitas Pembangunan Nasional Veteran Jawa Timur

Anoraga Mona Cinta Gadis Cantika Gusyono, Universitas Pembangunan Nasional Veteran Jawa Timur

Satria Fudi Verbimanto, Universitas Pembangunan Nasional Veteran Jawa Timur

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Copyright (c) 2025 Laurentius Johan Ardian, Aktaruddin Arief Santoso, Hilmia Fahma, Anoraga Mona Cinta Gadis Cantika Gusyono, Satria Fudi Verbimanto

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