Hubungan pola makan dengan pengendalian kadar glukosa darah pengidap diabetes melitus tipe 2 rawat jalan di RSU Gunung Jati Cirebon
Juleka Juleka(1*), Ahmad Husain Asdie(2), Susetyowati Susetyowati(3)
(1) RSU Meuraka Banda Aceh
(2) Bagian Penyakit Dalam RSUP Dr. Sardjito Yogyakarta/Fakultas Kedokteran Universitas Gadjah Mada
(3) Program Studi Ilmu Gizi Kesehatan Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Background: Diabetes Mellitus (DM) is a chronic disease which has increasing prevalence today. The result of epidemiological study in Indonesia showed that DM prevalence was 1,5-2,3% to population aging over 15 years. DM disease cannot be cured but can be controlled to slow down the complications. Consumption planning is a major component in DM management. there are 3 main principles applied in the supply of food to diabetics, i. e. number of calories, type of food and meal schedule. Observation result shows that over 50% of diabetics do not follow the suggested consumption planning.
Objective: The purpose of the study was to investigate the relationship between eating pattern and control of glucose to type 2 diabetics patients.
Methods: The study was an analytic observational type using cross sectional design. Purposively taken samples were diabetic type 2 inpatients at Gunung Jati Hospital, Cirebon. Glucose of type 2 diabetics was determined through examination of glucose during fasting and 2 hours post prandial using enzymatic method gained from medical assessment data, and eating pattern gained from 24 hours recall method for 4 days. To know the relationship between eating pattern and control of glucose to type 2 diabetics, chi square, odds ratio (OR) signifi cance and logistic regression were tested.
Results: There was relationship between energy (OR=31.6,CI=5.00-199.76), carbohydrate (OR=12.7,CI=1.30-124.3) and fat (OR=5.20, CI=1.08-24.89) intake with glucose control of type 2 diabetics, there was relationship between sugar consumption and process result (OR=13.1, CI= 2.59-66.2) of vegetables (OR=31.6, CI=3.74-267.6) and fruits (OR=5.16, CI=1.41-18.91) with glucose control, there was no relationship between protein intake and meal schedule with glucose control of type 2 diabetics.
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Perkumpulan Endokrinologi Indonesia (PERKENI). Konsensus Pengelolaan Diabetes Melitus di Indonesia. 2002.
Soegondo S, Pradona S, Gatut S, Suharko S. The Status of Diabetes Control in Indonesia: a National Edit of Patients with Type 2 Diabetes Mellitus in the Year 2001. Majalah Kedokteran Indonesia 2003;53(6):283-89.
Suminarti W, Purba M, Handayani ND, Wiyono P. Perubahan Berat Badan dan Kadar Gula
Darah pada Kelompok Senam Diabetes Persadia Cabang RS DR Sardjito Yogyakarta. Naskah Lengkap Kongres Nasional Persagi; 2002; Jakarta; Indonesia.
Suyono S. Kecenderungan Peningkatan Jumlah Pasien Diabetes Mellitus. Cetakan Pertama. Jakarta: Pusat Diabetes & Lipid RSUP Nasional Dr. Cipto Mangunkusumo-FKUI; 1999.
RSU Gunung Jati. Laporan Tahunan Rumah Sakit Umum Gunung Jati Cirebon. Cirebon: RSU Gunung Jati; 2004.
Syahbudin S. Diabetes Melitus dan Pengelolaannya. Cetakan Kedua. Jakarta: Pusat Diabetes & Lipid RSUP Nasional Dr. Cipto Mangunkusumo-FKUI; 2002.
Asdie AH. Patogenesis dan Terapi Diabetes Mellitus Tipe 2. Edisi Pertama, Cetakan Pertama. Yogyakarta: Medika Fakultas Kedokteran UGM; 2000.
Salman. The Role of Standart in Controling Blood Glucose Level ini Patient with Diabetes Mellitus Type 2 at Manado General Hospital. Majalah Kedokteran Indonesia 2003;53(11):398-403.
Edgren AR. Diabetes Mellitus, Health Sites, Inc.653 West 23rd Street #287, Panama City, FL 32405, 31 Agustus 2004,
Almatsier S. Prinsip dasar ilmu gizi. Jakarta: PT Gramedia Pustaka Utama; 2003.
Djojosoebagio S, Piliang WG. Fisiologi nutrisi. Edisi Kedua. Jakarta: Penerbit Universitas Indonesia (UI-Pres); 1996.
Heilbronn LK, Noakes M, Clifton PM. The Effect of High and Low Glycemic Index Energy Restricted Diet on Plasma Lipid and Glucose Profile in Type 2 Diabetic Subject with Varying Glycemic Control. J Am Coll Nutr 2002:21(2);120-27.
Soegondo S, Sukardji K. Sukrosa dan Diabetes Melitus. Cetakan Kedua. Jakarta: Pusat Diabetes & Lipid RSUP Nasional Dr. Cipto Mangunkusumo-FKUI; 2002.
Stark A, Madar Z. Dietary Fibre. In: Goldberg. 1st ed. Functional Foods: Designer Foods, Pharmafoods, and Nutraceuticals. New York: Chapman & Hall; 1994. p.183-201.
Southgate DAT. Dietary Fibre Analysis. Norwich:
The Royal Society of Chemistry. 1995.
Posted GJ. Makalah Falsafah Sains. Institut Pertanian Bogor; Mei 2002.
Linder MC. 1985. Nutritional Biochemistry and Metabolism. (Terjemahan) Parakkasi A. Jakarta: Universitas Indonesia (UI-Press); 1992.
Harland BF, Oberleas D. Effects of Dietary Fiber and Phytate on the Homeostasis and Bioavailability of Minerals. Boca Raton: CRC Press; 2001.
Waspadji S, Suyono S, Sukardji K, Moenarko M. Indeks Glikemik berbagai Makanan Indonesia. Jakarta: Fakultas Kedokteran Universitas Indonesia;
Infokes. Penderita Diabetes perlu Makan Teratur, 31 Agustus 2004 09:25:41
Campbell LV, Marmot PE, Dyer JA, et al . The Highmonounsaturated Fat Diet as a Practical Alternative for NIDDM. The Science Behind Atkins /index.html>; 19 Agustus 2004
Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomom CG, Willett WC. Diet, Lifestyle, and the Risk of type 2 Diabetes Mellitus in Women, Original Article 2001:345;790-97.
Suyono S. Pengaturan Makan dan Pengendalian Glukosa Darah. Cetakan Kedua. Jakarta: Pusat Diabetes & Lipid RSUP Nasional Dr. Cipto Mangunkusumo-FKUI; 2002.
DOI: https://doi.org/10.22146/ijcn.17348
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