Changes in lifestyle from year to year increasingly experiencing developments in all fields, including influencing the type of food and consumption patterns and lifestyles. The increasing number of instant foods and drinks with high calorie, low fiber and high fat content increases the risk of developing metabolic and degenerative diseases. Coupled with a lifestyle that lacks physical activity. One of the metabolic and degenerative disorders that arise is diabetes mellitus. This type of research is a quasy experiment pre and post test one group design of 34 respondents. This research will describe the increase in knowledge, diet compliance and control of blood glucose levels in patients with diabetes mellitus at RSUP Prof. Dr. R. D. Kandou Manado. Data analysis for prior and after knowledge using the Wilcoxon test and the level of dietary compliance before and after using the Paired t-test. The results showed that the knowledge of the sample after being given nutritional counseling using food videos increased by 35.3%, from 64.7% to be better, the level of adherence to the patient's diet after being given nutritional counseling using food videos increased by 2.9% from 97.1% and sugar levels blood after being given nutritional counseling using food video media decreased from 261.8 mg / dL to 195.2 md / dL

Gout or gout is a chronic arthritis caused by swelling and usually attacks the big toe. Factors causing gout arthrits are excessive uric acid products, obesity, diabetes accompanied by high blood pressure, excessive protein consumption, sex, and alcohol. The purpose of this study was to determine the relationship between purine intake and uric acid levels in patients with gout arthritis in the Ranotana Weru Public Health Center. The method used in this study uses a cross sectional design on a total of 44 samples. The sample criteria are patients with symptoms of gout arthritis and can communicate well. Research sites in the Ranotana Weru Public Health Center in Manado in 2018. Data on age, sex, and occupation can be obtained through interviews using the informed consent form. Purine intake data can be obtained through interviews with the Semi Food Frequency Questinary (FFQ). Gout criteria are divided into two, namely normal and high bivariate data analysis using the chi square test. The results of research on patients with high uric acid levels are 73% and 27% normal, asupa purin more 68%, 21% enough and less 11%. The conclusion from this study is that there is a chi square test relationship showing that intake of purines has a significant relationship between uric acid levels with a value of p = 0,000 (p = 0.05).

Diabetes mellitus is very influential on the quality of human resources and has a significant impact on health costs. This diabetes mellitus cannot heal but can only be controlled. Patients with diabetes mellitus are not able to produce enough insulin or do not use it effectively so that there is excess glucose in the blood. One of the factors that triggers glucose is an unhealthy diet such as rarely consuming fiber, as well as consuming micronutrients, including magnesium. The general objective of this study was to determine the effect of fiber and magnesium intake with fasting blood glucose levels in type 2 diabetes mellitus patients at Pancaran Kasih General Hospital GMIM Manado. This research method using cross sectional design by purposive sampling. Data collection about the intake of fiber and magnesium using the 24-hour recall and the results of the examination of fasting blood glucose levels were taken through the medical record of the patient. Analyst data using logistic regression analysis. Based on data analysis using Fisher's Exact Test, showed P value = <0.05 / P = 0.013 means that there is a relationship between fiber intake and fasting blood glucose levels. While the results of data analysis using Fisher's Exact Test, showed P value => 0.05 / P = 0.61, meaning that there was no correlation between magnesium intake and fasting blood glucose levels. It can be concluded that there is a relationship between fiber intake and blood glucose levels. There is no relationship between magnesium intake and fasting blood glucose levels.

BACKGROUND: Papaya fruit which is a type of fruit that has high nutritional content and is rich in health benefits, one of the benefits is to increase breast milk production. Papaya is a fruit that contains galactagogue, a substance that can help increase and improve breast milk production. AIM: This study aimed to determine papaya fruit’s effect on breast milk production in nursing mothers at Teling Atas Public Health Center, Wanea Subdistrict, Manado City, Indonesia. METHODS: The research method was the pre-experimental method using a before and after intervention design to one group. The study population was all breastfeeding mothers whose babies were aged 0–6 months per June 2019 and a sample size of 14 categorized less breastfeeding, namely, babies often cry; restless baby; the color of the feces dark brown; consistency of solid feces; the baby’s mouth and eyes appear dry; dark yellow urine; and baby’s weight decreases. The intervention group, namely, getting 200 g of papaya 3 times a day, and given for 7 days (1 week). Data analysis is the Wilcoxon Test. RESULTS: Most respondents were less breastfeeding before consuming papaya, about 71.43%. Nursing mothers before and after being given papaya for 7 days increased by 4.1. The mean value before the intervention was 2.21, and after the intervention, the level of milk production increase to 6.36. There was a significant difference in the level of milk production before and after papaya intervention (p = 0.001). CONCLUSION: Consuming papaya fruit effectively enhanced breast milk production in nursing mothers.

Diabetes Mellitus is a disorder of metabolism of carbohydrates, proteins and fats resulting from an imbalance between the availability of insulin and insulin requirements. se of this study was to determine the relationship of diet adherence and physical activity with controlling blood sugar levels in patients with type II diabetes mellitus outpatient at the Manado Radiation Hospital. This study was an observational analytic study with a cross sectional design. The population in this study were all Diabetes Mellitus Type II outpatients in the hospital. Pancaran Kasih Manado The number and sample are 39 people and the sample is determined by purposive sampling. The test results between the relationship of diet adherence with blood sugar levels obtained a p-value of 0.670, meaning that there was no significant relationship between the variables of diet compliance with blood sugar levels. While physical activity with blood sugar levels get a p-value of 0.499, it means there is no significant relationship between physical activity variables with blood sugar levels.                The conclusion of this study is that there is no significant relationship between adherence to diet, physical activity with controlling blood sugar levels in patients with type 2 Diabetes Mellitus in the hospital Radiation of Love Manado.