Pengendalian status gizi, kadar glukosa darah, dan tekanan darah melalui terapi gizi medis pada pasien diabetes mellitus (DM) tipe 2 rawat jalan di RSU Mataram NTB

Abstract

Background: The prevalence of diabetes mellitus (DM) is increasing globally, including in Indonesia. Studies by Diabetes Control and Complication Trial (DCCT) and U.K. Prospective Diabetes Study Group (UKPDS) prove the benefit of medical nutrition therapy (MNT) to glycemic control. Similar studies have not been done much in Indonesia.Objective: To identify the effects of MNT to nutrient intake, control of nutrition status, blood glucose and blood pressure of type 2 DM outpatients.Method: This was a randomized controlled trial. Subject of the study consisted of 60 people. The experiment group got MNT; whereas the control group got conventional nutrition counseling. Data were processed using computer, nutrients were analyzed using nutrisurvey. Statistical t-test was done to identify the effect of intervention.Result: Intake of energy, fat and carbohydrate of the experiment group decreased signifcantly close to the necessity at subsequent decrease as much as -14.05 (p= 0. 009), -35.64 (p=0.019) and -19.14 (p=0.035). Body mass index In the experiment group decreased -0.41kg/m and waist circumference -0.24cm, where as the control group -0.23 kg/m and -014cm. Blood glucose level during fasting decreased -23.6 mg/dl in the experiment group and -14.03 mg/dl in the control group (p=0.036). Systolic and dyastolic blood pressure of the experiment group decreased -3.33 mmHg (p=0.035) and 2 2 -1.67 mmgHg (p=0.895), whereas the control group + 0.5 mmHg and -1.33 mmHg; the change was insignificant.Conclusion: Intake of nutrient, nutrition status, blood glucose level and blood pressure of type 2 DM patients that got MNT was more controllable than of those that got conventional nutrition counseling.

Hypoglycemic Effect Pigeon Pea (Cajanus cajan) in Diabetes Mellitus

“…The study showed that giving pigeon pea tempeh with a 75% formulation could reduce blood glucose levels to the highest by 44.08% compared to giving tempeh pigeon peas formulations of 25% and 50%. In line with the results of the study (Yusasrini & Duniaji, 2019), which found a decrease in blood glucose levels in rats after being given pigeon pea tempeh, from 323.68 mg/dl to 200.37 mg/dl Research on giving pigeon pea tempeh milk mixed with ginger to people with diabetes was reported (Suhaema & Cahyaningrum, 2017), with the result that there was a significant decrease in fasting blood glucose levels, namely from 207.3 mg/dL and 186.6 mg/dL ( p = 0.026. Likewise, subsequent studies which gave a drink from a mixture of pigeon pea powder, ginger, and cinnamon resulted that fasting blood glucose levels decreasing from 227.3 mg/dl to 167.7 mg/dl after 14 days of intervention (Suhaema & Abdi, 2018).…”