Asupan karbohidrat, serat, dan vitamin D dengan kadar glukosa darah pada pasien rawat inap diabetes mellitus

https://doi.org/10.22146/ijcn.83275

Farida Farah Zakiyah(1*), Veni Indrawati(2), Siti Sulandjari(3), Satwika Arya Pratama(4)

(1) Program Studi S1 Gizi, Jurusan Pendidikan Kesejahteraan Keluarga, Fakultas Teknik, Universitas Negeri Surabaya, Surabaya, Jawa Timur
(2) Program Studi S1 Gizi, Jurusan Pendidikan Kesejahteraan Keluarga, Fakultas Teknik, Universitas Negeri Surabaya, Surabaya, Jawa Timur
(3) Program Studi S1 Gizi, Jurusan Pendidikan Kesejahteraan Keluarga, Fakultas Teknik, Universitas Negeri Surabaya, Surabaya, Jawa Timur
(4) Program Studi S1 Gizi, Jurusan Pendidikan Kesejahteraan Keluarga, Fakultas Teknik, Universitas Negeri Surabaya, Surabaya, Jawa Timur
(*) Corresponding Author

Abstract


The relationship between the blood glucose levels of diabetes mellitus patients and intake of carbohydrates, fiber, and vitamin D

Background: Diabetes Mellitus (DM) is a non-communicable disease with a combination of symptoms that appear in a person due to an increase in blood glucose levels (hyperglycemia) above average values. Good intake by following the guidelines for persons with diabetes, a nutritious diet that contains carbs, fiber, and vitamin D can help keep blood glucose levels within acceptable ranges. 

Objective: This study aims to the relationship between the blood glucose levels of patients at RSI Siti Hajar Sidoarjo and their intake of carbohydrates, fiber, and vitamin D. 

Methods: The method in this study was a quantitative study with a cross-sectional approach, the population in this study were DM patients who were hospitalized at RSI Siti Hajar Sidoarjo. The number of samples was estimated using the cross-sectional sample size calculation and the purposive sampling technique with 60 respondents. The patient's intake was measured using a 3x24 hour food recall questionnaire. Data were analyzed using the Chi-Square test. 

Results: The result showed that there was a relationship between carbohydrate intake and blood glucose levels (p=0.000) and fiber intake and blood glucose levels (p=0.003), but there was no significant relationship between vitamin D intake and blood glucose levels (p=1.00). 

Conclusion: Carbohydrate and fiber intake significantly correlated with the patient's blood glucose levels but not vitamin D intake.


Keywords


blood glucose; carbohydrate; fiber; vitamin D; DM

Full Text:

PDF


References

  1. Hadi NAS, Sarbini D. Hubungan asupan vitamin D dengan kadar glukosa darah puasa pada penderita diabetes mellitus tipe 2 di Puskesmas Tawangsari [Skripsi]. Sukoharjo Jawa Tengah: Universitas Muhammadiyah Surakarta; 2020.

  2. Nuraini HY, Supriatna R. Hubungan pola makan, aktivitas fisik dan riwayat penyakit keluarga terhadap diabetes melitus tipe 2. Jurnal Ilmu Kesehatan Masyarakat. 2016;5(1):5-14. doi: 10.33221/jikm.v5i1.14

  3. Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019;157:107843. doi: 10.1016/j.diabres.2019.107843

  4. Dinas Kesehatan Provinsi Jawa Timur. Profil kesehatan Provinsi Jawa Timur tahun 2018. Surabaya: Dinkes Provinsi Jatim; 2019.

  5. Purwandari H, Susanti SN. Hubungan kepatuhan diet dengan kualitas hidup pada penderita DM di Poli Penyakit Dalam RSUD Kertosono. STRADA Jurnal Ilmiah Kesehatan. 2017;6(2):16-21. doi: 10.30994/sjik.v6i2.3

  6. American Diabetes Association Professional Practice Committee. Diabetes care in the hospital: standards of medical care in diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S244-53. doi: 10.2337/dc22-S016

  7. Immawati FR, Wirawanni Y. Hubungan konsumsi karbohidrat, konsumsi total energi, konsumsi serat, beban glikemik dan latihan jasmani dengan kadar glukosa darah pada pasien diabetes mellitus tipe 2. Journal of Nutrition and Health. 2014;2(3):1-27.

  8. Astawan M, Wresdiyati T. Diet sehat dengan makanan berserat. Solo: Tiga Serangkai Pustaka Mandiri; 2004

  9. Limanto S, Julianti E, Lubis Z. Karakteristik kimia biskuit dari tepung dan serat ubi jalar ungu. Jurnal Teknologi dan Industri Pertanian Indonesia. 2019;11(2):64-8. doi: 10.17969/jtipi.v11i2.14854

  10. Chandalia M, Garg A, Lutjohann D, von Bergmann K, Grundy SM, Brinkley LJ. Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Eng J Med. 2000;342(19):1392-8. doi: 10.1056/NEJM200005113421903

  11. Pinzon RT, Gelgel PC. The correlation between vitamin D deficiency and the severity of painful diabetic neuropathy in patients with type 2 diabetes mellitus (T2DM). Jurnal Gizi Klinik Indonesia. 2020;17(1):9-14. doi: 10.22146/ijcn.53924

  12. Mitri J, Pittas AG. Vitamin D and diabetes. Endocrinol Metabo Clin North Am. 2014;43(1):205-32. doi: 10.1016/j.ecl.2013.09.010

  13. Sari PR, Pravita A, Haya M, Krisnasary A, Kriswati K. Hubungan asupan karbohidrat, serat, dan vitamin D dengan kadar glukosa darah pada lansia di wilayah kerja Puskesmas Sukamerindu Kota Bengkulu [Skripsi]. Bengkulu: Poltekkes Kemenkes Bengkulu; 2020.

  14. Romeo GR, Lee J, Shoelson SE. Metabolic syndrome, insulin resistance, and roles of inflammation–mechanisms and therapeutic targets. Arterioscler Thromb Vasc Biol. 2012;32(8):1771-6. doi: 10.1161/ATVBAHA.111.241869

  15. Arafat ES, Taha IM, Kattan SW, Babteen NA, Fawzy I. Associations between vitamin D and type 2 diabetes mellitus: the role of vitamin D receptor and binding protein. Journal of Diabetes Mellitus. 2020;10(4):222-35. doi: 10.4236/jdm.2020.104018

  16. Shillo P, Selvarajah D, Greig M, Gandhi R, Rao G, Tesfaye S, et al. Reduced vitamin D levels in painful diabetic peripheral neuropathy. Diabet Med. 2019;36(1):44-51. doi: 10.1111/dme.13798

  17. Bintanah S, Handarsari E. Asupan serat dengan kadar gula darah, kadar kolesterol total dan status gizi pada pasien diabetus mellitus tipe 2 di Rumah Sakit Roemani Semarang. Prosiding Seminar Nasional dan Internasional; 2012; 1(1). Semarang: LPPM Unimus; 2012.

  18. Perkumpulan Endokrinologi Indonesia. Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia. Jakarta: PB PERKENI; 2021.

  19. Tigauw JH, Kapantow NH, Sondakh RC. Hubungan antara jenis kelamin dengan kadar adiponektin pada penderita diabetes melitus tipe 2 di Kota Manado [Skripsi]. Manado: FKM Universitas Sam Ratulangi; 2014.

  20. Reswan H, Alioes Y, Rita RS. Gambaran glukosa darah pada lansia di Panti Sosial Tresna Werdha Sabai Nan Aluih Sicincin. Jurnal Kesehatan Andalas. 2018;6(3):673-8. doi: 10.25077/jka.v6i3.756

  21. Fletcher J. How many carbs per day for a person with diabetes?.[series online] 2020 [cited 2023 Jan 18]. Available from: URL: https://www.medicalnewstoday.com/articles/how-many-carbs-per-day-for-a-diabetic

  22. Nurgajayanti C, Kurdanti W, Setiyobroto I. Hubungan antara status gizi, asupan karbohidrat, serat dan aktivitas fisik dengan kadar glukosa darah pada pasien rawat jalan diabetes melitus tipe 2 di Puskesmas Jetis Kota Yogyakarta [Skripsi]. Yogyakarta: Poltekkes Kemenkes Yogyakarta; 2017.

  23. Rochmah N, Probosari E, Dieny FF. Hubungan asupan vitamin D dan kalsium dengan kadar glukosa darah puasa wanita obesitas usia 45-55 tahun. Journal of Nutrition College. 2017;6(4):285-92. doi: 10.14710/jnc.v6i4.18663

  24. Kirii K, Mizoue T, Iso H, Takahashi Y, Kato M, Japan Public Health Center-based Prospective Study Group, et al. Calcium, vitamin D and dairy intake in relation to type 2 diabetes risk in a Japanese cohort. Diabetologia. 2009;52(12):2542-50. doi: 10.1007/s00125-009-1554-x

  25. Nugraha IBA, Ngoerah IGNG. Mengenal vitamin D dan hubungannya dengan kejadian DMT2, Fokus pada beberapa studi dan penelitian tentang Vitamin D dengan DMT2 - series 02. [series online] 2022 [cited 2023 Jan 14]. Available from: URL: https://yankes.kemkes.go.id/view_artikel/1025/mengenal-vitamin-d-dan-hubungannya-dengan-kejadian-dmt2-fokus-pada-beberapa-studi-dan-penelitian-tentang-vitamin-d-dengan-dmt2--series-02



DOI: https://doi.org/10.22146/ijcn.83275

Article Metrics

Abstract views : 3353 | views : 8394

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2023 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats