EFEKTIFITAS PEMBERIAN BUAH APEL MANALAGI DENGAN DOSIS BERVARIASI TERHADAP PENURUNAN KADAR GLUKOSA DARAH PADA PENDERITA DIABETES MELLITUS TIPE II DI KELOMPOK PROLANIS PUSKESMAS GENUK KOTA SEMARANG

Natanya Ayuhapsari; Wiwik Wijaningsih; Mohammad Jaelani

doi:10.31983/jrg.v6i2.4298

EFEKTIFITAS PEMBERIAN BUAH APEL MANALAGI DENGAN DOSIS BERVARIASI TERHADAP PENURUNAN KADAR GLUKOSA DARAH PADA PENDERITA DIABETES MELLITUS TIPE II DI KELOMPOK PROLANIS PUSKESMAS GENUK KOTA SEMARANG

Natanya Ayuhapsari, Wiwik Wijaningsih, Mohammad Jaelani

Abstract

Background :Diabetes mellitus is a carbohydrate metabolism disorder characterized by an increased in blood glucose levels due to abnormal / decreased insulin work. Diet for people with diabetes mellitus is a food with a balanced composition between carbohydrates, protein, fat and fiber. Water soluble fiber namely pectin in apples is able to slowing the entry of glucose in the body.

Objective : To know the effectiveness of giving apple manalagi with varying dose to decrease blood glucose level in type II diabetes mellitus in prolanis group of Puskesmas Genuk Semarang.

Method: This research includes true experimental research with Randomized Pretest Posttest Control Group design and Complete Randomized Design study. Randomized sampling was 24 people for 4 treatment groups. Data collected were identity data, anthropometry, fasting blood glucose level and recall fiber intake by interview method and questionnaire. Result of analysis with One-Way ANOVA and ANOVA Repeated measure with α = 0,05.

Result:There was a difference between fasting glucose levels before and after treatment in each treatment group (p=0,000). The most effective dose in lowering blood glucose levels is 2 x 200 grams.

Conclusion: Giving of apples manalagi with a dose of 2 x 200 grams more effectively compared with a dose of 2 x 150 grams and 2 x 100 grams lowered fasting blood glucose levels in the study subjects. Apples manalagi can be used to help control blood glucose in diabetics.

Keywords

apple manalagi consumption, fasting blood glucose, diabetes mellitus type II

Full Text:

PDF

References

Mirza R, Psi M, Psikologi D. Memaksimalkan Dukungan Keluarga Guna Meningkatkan Kualitas Hidup Pasien Diabetes Mellitus. 2017;2(Dm).

Puspasari G, Dillon D. The Effect of Tempe Dietary Intake on Plasma Glucose Level in Elderly Patients with Type 2 Diabetes Mellitus. 2017;1(6):532–40.

Idris AM, Jafar N, Indriasari R. Pola Makan Dengan Kadar Gula Darah Pasien DM Tipe 2 ( Diet and Blood Sugar Levels of Type 2 DM Patient ). 2014;211–8.

Syam N, Kesehatan FI, Surakarta UM. Hubungan Tingkat Pengetahuan Diet Diabetes Mellitus Terhadap Asupan Serat Pasien Diabetes Mellitus. 2016;

Amanina A. Hubungan Asupan Karbohidrat dan Serat Dengan Kejadian Diabetes Mellitus Tipe II Di Wilayah Kerja Puskesmas Purwosari. 2015;1–12.

Sewon KP, Publikasi N. Diabetes Mellitus Tipe II di Wilayah Bantul Yogyakarta. 2011;

Setyowati I. Pengaruh Pemberian Buah Apel Romebeauty Terhadap Penurunan Kadar Gula Darah Pada Penderita Diabetes Melitus Di Wilayah Kerja Puskesmas Puri Kabupaten Mojokerto. 2014;1–10.

Fatimah RN. DIABETES MELITUS TIPE 2. 2015;4:93–101.

Alotaibi A, Perry L, Gholizadeh L, Al-ganmi A. Journal of Epidemiology and Global Health Incidence and prevalence rates of diabetes mellitus in Saudi Arabia : An overview. J Epidemiol Glob Health [Internet]. 2017;7(4):211–8. Available from: https://doi.org/10.1016/j.jegh.2017.10.001

Dwi A, Amatayakul A, Karuncharernpanit S. Predictors of diabetes self-management among type 2 diabetics in Indonesia : Application theory of the health promotion model. Int J Nurs Sci [Internet]. 2017;4(3):260–5. Available from: http://dx.doi.org/10.1016/j.ijnss.2017.06.010

Palimbunga TM, Ratag BT, Kesehatan F, Universitas M, Ratulangi S, Keluarga R. FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIABETES MELITUS TIPE 2 DI RSU GMIM PANCARAN KASIH MANADO. 2016;48–59.

Iroth GSN, Kandou GD, Malonda NSH. Hubungan Antara Umur Dan Pola Makan Dengan Kejadian Diabetes Mellitus Tipe 2 Pada Pasien Rawat Jalan Di Wilayah Kerja Puskesmas Di Sulawesi Utara. 2013;887.

Mulyadi, Rahman F, Rosadi D, Khairiyati L, Musafaah. Risk Factors for Diabetes Mellitus Type 2 in the Working Area of Public Health. 2013;(Dm):5–10.

Santangelo C, Zicari A, Mandosi E, Scazzocchio B, Mari E, Morano S, et al. Could gestational diabetes mellitus be managed through dietary bioactive compounds ? Current knowledge and future perspectives. 2017;(2016):1129–44.

Tahir AC, Adryani A. Analisis Faktor Risiko Obesitas dan Hipertensi dengan Kejadian Diabetes Melitus Tipe 2 di Rumah Sakit Umum Daerah Kota Kendari. 2017;4(April).

Soto-estrada G, Altamirano LM, García-garcía JJ, Moreno IO, Silberman M. Trends in frequency of type 2 diabetes in Mexico and its relationship to dietary patterns and contextual factors. Gac Sanit [Internet]. 2017;(xx):1–8. Available from: http://dx.doi.org/10.1016/j.gaceta.2017.08.001

Steeves JA, Murphy RA, Crainiceanu CM, Zipunnikov V, Domelen DR Van, Harris TB. Daily patterns of physical activity by type 2 diabetes de fi nition : Comparing diabetes , prediabetes , and participants with normal glucose levels in NHANES 2003 – 2006 ☆. PMEDR [Internet]. 2015;2:152–7. Available from: http://dx.doi.org/10.1016/j.pmedr.2015.02.007

Putri NE, Zakaria FR, Prangdimurti E, Triandita N. Pengaruh Intervensi Tahu Kedelai Hitam Kaya Serat Terhadap Glukosa Darah Dan Inflamasi Responden Diabetes Tipe 2[ Effect of Dietary Fiber Rich-Tofu from Black Soybean on Bloods Glucose and Inflammatory Syndrom of Type 2 Diabetes Mellitus Subjects ]. 2016;27(2):131–9.

Paquette M, Larqué ASM, Weisnagel SJ, Desjardins Y, Marois J, Pilon G, et al. Strawberry and cranberry polyphenols improve insulin sensitivity in insulin-resistant , non-diabetic adults : a parallel , double-blind , controlled and randomised clinical trial. 2017;519–31.

Alaofè H, Asaolu I, Ehiri J, Moretz H. Community Health Workers in Diabetes Prevention and Management in Developing Countries. Ann Glob Heal [Internet]. 2017;83(3–4):661–75. Available from: https://doi.org/10.1016/j.aogh.2017.10.009

Fujii H, Iwase M, Ohkuma T, Ogata-kaizu S, Ide H, Kikuchi Y, et al. Impact of dietary fiber intake on glycemic control , cardiovascular risk factors and chronic kidney disease in Japanese patients with type 2 diabetes mellitus : the Fukuoka Diabetes Registry. 2013;1–8.

Barreira E, Novo A, Vaz JA, Pereira AMG. Atención Primaria Dietary program and physical activity impact on biochemical markers in patients with type 2 diabetes : A systematic review. Atención Primaria [Internet]. 2017;(xx). Available from: http://dx.doi.org/10.1016/j.aprim.2017.06.012

Castro-acosta ML, Stone SG, Mok JE, Mhajan RK, Fu C, Lenihan-geels GN, et al. Apple and blackcurrant polyphenol-rich drinks decrease postprandial glucose , insulin and incretin response to a high-carbohydrate meal in healthy men and women ☆ , ☆☆. J Nutr Biochem [Internet]. 2017;49:53–62. Available from: https://doi.org/10.1016/j.jnutbio.2017.07.013

Grosso G, Stepaniak U, Micek A, Kozela M, Ste D, Bobak M, et al. Dietary polyphenol intake and risk of type 2 diabetes in the Polish arm of the Health , Alcohol and Psychosocial factors in Eastern Europe ( HAPIEE ) study. 2017;60–8.

Dhaheri AS Al, Henry CJK, Mohamad MN, Ohuma EO, Ismail LC, Meqbaali FT Al, et al. Glycaemic index and glycaemic load values of commonly consumed foods in the United Arab Emirates. 2017;1110–7.

Post RE, Iii AGM, King DE, Simpson KN. Dietary Fiber for the Treatment of Type 2 Diabetes Mellitus : A Meta-Analysis. 2012;25(1).

Bolsinger J, Landstrom M, Pronczuk A, Auerbach A, Hayes KC. ScienceDirect Low glycemic load diets protect against metabolic syndrome and Type 2 diabetes mellitus in the male Nile rat. J Nutr Biochem [Internet]. 2017;42:134–48. Available from: http://dx.doi.org/10.1016/j.jnutbio.2017.01.007.

DOI: https://doi.org/10.31983/jrg.v6i2.4298