scholarly journals Efek Hipoglikemik Kecambah Beras Merah pada Tikus yang Diinduksi STZ-NA dengan Parameter Kadar Insulin, Indeks HOMA-IR dan HOMA β (Hypoglycemic Effect of Red Rice Germ on Insulin Levels, HOMA-IR, and HOMA β Index of STZ-NA Induced Rats)

2017 ◽  
Vol 36 (4) ◽  
pp. 433
Author(s):  
Nurhidajah Nurhidajah ◽  
Nurrahman Nurrahman

The process of germination of grains such as rice, could increase some nutritional values of  amino acids and dietary fiber. Red rice and its sprouts are believed to be able to decrease blood glucose in patients with diabetes mellitus (DM). The aim of this study was to evaluate the hypoglycemic effect of red rice sprouts in STZ-NA induced diabetic rats on blood glucose level, insulin level, and HOMA-IR and HOMA-β index. This experimental study was conducted based on randomized post test only control group design using 24 male Wistar rats aged 2.5 months. Rats were divided into 4 groups, one group without induction of STZ-NA fed with a standard diet (control) and three groups of STZ- NA induced with a standard diet, red rice and red rice germ. Experiments were conducted for 6 weeks. The results showed that sprouted red rice lowered blood glucose levels by 61.88 % and the value of HOMA-IR (insulin resistance parameters) by 56.82%. Insulin level increased by 16.35 % and HOMA-β by 763.6 %. This study showed that red rice germ was able to decrease blood glucose levels and increase insulin resistance of DM rats and the strength of the pancreatic beta cells. ABSTRAKProses perkecambahan biji-bijian seperti beras, dapat meningkatkan beberapa nilai gizi seperti asam amino dan serat pangan. Beras merah dan kecambahnya diyakini mampu menurunkan glukosa darah pada penderita diabetes melitus (DM). Tujuan penelitian ini adalah mengevaluasi efek hipoglikemik kecambah beras merah pada tikus diabetes yang diinduksi STZ-NA terhadap kadar glukosa darah, insulin, serta indeks HOMA-IR dan HOMA β. Penelitian ini bersifat eksperimental in vivo pada hewan coba tikus Wistar jantan usia 2,5 bulan sebanyak 24 ekor dengan desain penelitian randomized post test only control group. Tikus dibagi menjadi 4 kelompok, masing-masing 1 kelompok tanpa induksi STZ-NA dengan diet standar dan 3 kelompok diinduksi STZ-NA dengan diet standar, beras merah dan kecambah beras merah. Percobaan dilakukan selama 6 minggu. Hasil penelitian menunjukkan kecambah beras merah mampu menurunkan kadar glukosa darah sebesar 61,88 % dan nilai HOMA-IR (parameter resistensi insulin) 56,82 %. Kadar insulin meningkat 16,35 % dan HOMA β 763,6 %. Disimpulkan, kecambah beras merah mampu menurunkan kadar glukosa darah dan memperbaiki kondisi resistensi insulin tikus DM, dan kekuatan sel beta pankreas.

2015 ◽  
Vol 6 (4) ◽  
pp. 505-512 ◽  
Author(s):  
M. Yakovlieva ◽  
T. Tacheva ◽  
S. Mihaylova ◽  
R. Tropcheva ◽  
K. Trifonova ◽  
...  

In recent years, many authors have investigated the possible antidiabetic effect of lactic acid bacteria. Lactobacillus species constitute a major part of the lactic acid bacteria group and have been found to exhibit beneficial effects on the development of diabetes and its complications. In the current study, we investigated the effects of newly characterised Bulgarian Lactobacillus strains, Lactobacillus brevis 15 and Lactobacillus plantarum 13, on blood glucose levels and body weight of rats fed a fructose-enriched diet. An experiment was conducted over a period of 8 weeks with 24 2-month-old Wistar rats randomly assigned to receive a standard diet (Con, control group), fructose-enriched diet (Fr group), standard diet with probiotics given twice a week (Pro group), and fructose-enriched diet with probiotics given twice a week (Pro+Fr group). At the end of the experimental period, a statistically significant increase in body weight was observed in all experimental groups (P<0.0001). The highest rise was seen in the fructose group (Fr, 169±19 g), followed by the Pro+Fr group (153±15 g), Pro group (149±13 g), and Con group (141±5 g). Moreover, the final blood glucose levels had risen significantly in the groups receiving fructose either without (Fr; P<0.0001) or with lactobacilli (Pro+Fr; P=0.002), while the rise was insignificant in the group of rats given probiotic supplementation only (Pro, P=0.071) and inexistent in the Con group (P=0.999). The highest elevation of blood glucose levels was observed in the Fr group (3.18 mmol/l), followed by the Pro+Fr group (2.00 mmol/l) whereas the Pro group showed the lowest levels (0.60 mmol/l). The results of our study suggest that the newly characterised Bulgarian Lactobacillus strains, L. brevis 15 and L. plantarum 13, could be considered as possible probiotics and might be able to prevent some metabolic disturbances.


2017 ◽  
Vol 4 (2) ◽  
pp. 24
Author(s):  
Fatifa Asmarani ◽  
Bambang Wirjatmadi ◽  
Merryana Adriani

Background: Diabetes mellitus (DM) is metabolic disorder syndrome characterized by hyperglycemia due to deficiency of insulin secretion. Patients of diabetic patients increases each year, so it needs proper handling. Corn flour is a source of carbohydrates with a low glycemic index to help reduce the rise in blood sugar levels. In addition, supplementation with tempeh flour containing isoflavones act to protect cells from free radical thereby inhibiting damage cells. Fiber in tempeh affect blood glucose levels because it slows the absorption of glucose.Objective: To determine the effect supplementation of corn flour with tempeh flour on blood sugar levels in diabetes mellitus Wistar rats.Methods: The study was true experimental design with Pre-posttest control group design, samples were 20 male Wistar rats aged 2-3 months were then divided into 4 groups (T0, T1, T2, T3.) T0 was injected with alloxan as 30 mg / 150 grams of BB rats are subsequently treated with standard diet; T1 was dministered by standard diet 50% + 50% corn flour; T2 was administered by standard diet 50% + 30% + corn flour tempeh flour 20%; and T3 was administered by standard diet of corn flour 50% + 15% + 35% tempeh flour for 2 weeks. Blood glucose levels were measured with a glucose kit (GOD FS). Research data were analyzed by One Way ANOVA followed by Tukey's Post Hoc test p-value <0.05.Results: There were significant differences on blood sugar levels in all groups (p = 0.000): control group (only dietary standards), T1 (administered by standard diet 50% + corn flour 50%), T2 (administered by a standard diet 50% + cornstarch 30% tempeh flour + 20%) and T3 (administered by standard diet of corn flour 50% + 15% + 35% tempeh flour).Conclusion: corn flour with tempeh flour supplementation effect on decresing of blood sugar levels.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Niken Yuliwati ◽  
Riezky Faisal Nugroho

Strawberries (Fragaria x ananassa) and Rome beauty apples (Malus sylvestris) contain high antioxidants to reduce oxidative stress and improve the glycemic response with diabetes mellitus (DM) type II. This study aimed to analyze the effect of strawberries, Rome beauty apples, and their combination to decrease fasting blood glucose levels of type II DM patients. This experimental research used a randomized pre-post-test with a control group design. Subjects were 44 patients divided into four groups: K (control, not given the fruit), P1 (strawberries 200 g/day), P2 (apples 300 g/day), and P3 (the combination strawberries 100 g/day, apples 150 g/day) for 14 days in February–March 2019 in Surakarta. The inclusion criteria were DM patients aged 40–55 years who received oral antidiabetic drug therapy. Exclusion criteria were type II DM patients who, based on the doctor's diagnosis, had complications such as gastritis, hypertension, chronic renal failure, heart disease, liver disease, stroke, cancer, patients with consumption of antioxidant supplements. Mean of blood glucose level on K (149.82±39.125), P1 (141.00±38.079), P2 (128.73±31.841), and P3 (177.73±50.176). Analysis paired t test results showed a significant difference between before and after treatment (p=0.045). To find out which group was the most meaningful, the Bonferroni post hoc test. Decrease of fasting blood glucose levels with group K (−10.55, p>0.05), P1 (−30.18, p<0.05), P2 (40.27, p<0.05), and P3 (−32.91, p<0.05). ANOVA test was used to analyze, and the post hoc Bonferroni test with a control comparison was performed, resulting in p=0.028, in P2 and p>0.05 in P1 and P3. In conclusion, strawberries, Rome beauty apples, and their combination significantly decreased fasting blood glucose levels of type II DM patients, with the highest and most significant decrease in Rome beauty apples. POTENSI STROBERI, APEL ROME BEAUTY, DAN KOMBINASI BARU TERHADAP GULA DARAH PUASA SEBAGAI PENUNJANG TERAPI DIET PADA PASIEN DIABETES MELITUS TIPE IIStroberi (Fragaria x ananassa) dan apel Rome beauty (Malus sylvestris) mengandung antioksidan tinggi untuk mengurangi stres oksidatif dan memperbaiki respons glikemik pada diabetes melitus (DM) tipe II. Tujuan penelitian adalah menganalisis pengaruh buah stroberi, apel Rome beauty, dan kombinasinya terhadap penurunan kadar glukosa darah puasa pasien DM tipe II. Jenis penelitian eksperimen dengan rancangan randomized pre-post-test dengan control group design. Subjek penelitian 44 pasien yang dibagi empat kelompok, yaitu K (kontrol tidak diberi buah), P1 (stroberi 200 g/hari), P2 (apel Rome beauty 300 g/hari) dan P3 (kombinasi stroberi 100 g/hari dan apel 150 g/hari) selama 14 hari pada bulan Februari–Maret 2020 di Surakarta. Kriteria inklusi adalah pasien DM usia 40–55 tahun yang mendapat terapi obat antidiabetik oral. Kriteria eksklusi adalah pasien DM tipe II yang berdasar atas diagnosis dokter mengalami komplikasi seperti mag, hipertensi, gagal ginjal kronik, penyakit jantung, penyakit hati, strok, kanker, dan pasien dengan konsumsi suplemen antioksidan. Kadar glukosa darah rerata pada K (149,82±39,125), P1 (141,00±38,079), P2 (128,73±31,841), dan P3 (177,73±50,176). Hasil analisis paired t test menunjukkan terdapat perbedaan yang signifikan antara sebelum dan sesudah perlakuan (p=0,045). Untuk mengetahui kelompok mana yang paling bermakna, dilakukan Uji Post Hoc Bonferroni. Penurunan kadar glukosa darah puasa pada K (−10,55; p>0,05), P1 (−30,18; p<0,05), P2 (−40,27; p<0,05), dan P3 (−32,91; p<0,05). Analisis dilakukan dengan uji ANOVA dan Uji Post Hoc Bonferroni dengan perbandingan kontrol menghasilkan p=0,028 pada P2 serta p>0,05 pada P1 dan P3. Simpulan, pemberian stroberi, apel Rome beauty, dan kombinasinya signifikan menurunkan kadar glukosa darah puasa pasien DM tipe II dengan penurunan tertinggi dan bermakna pada apel Rome beauty.


2021 ◽  
Vol 4 (4) ◽  
pp. 277
Author(s):  
Khoirul Rista Abidin ◽  
Eka Riana

A protein diet is an alternative to control hyperglycemia and hyperlipidemia conditions in diabetic patients. However, for the program to run optimally, the implementation of technology in the form of TeleHealth is needed to help educate patients on a regular and flexible basis. The purpose of this study was to analyze the effectiveness of implementing TeleHealth using the SKEDIt application for protein diet education in diabetic patients. Methods: This research is a quasi-experimental study, pre and post-test with a control group. The subjects involved were 20 diabetic patients, divided into 2 groups (intervention and control). Parameters analyzed were lipid profile and blood glucose levels. There was no difference in lipid profile and blood glucose levels between the intervention and control groups (p > 0.05). However, there was a difference between the pre and post-test on cholesterol parameters in the lipid profile examination of the control group: p=0.031 and LDL p=0.021 (p <0.05). Implementation of TeleHealth using SKEDit may be an effective recommendation to support health education methods but needs to be supported by good patient compliance.


2019 ◽  
Vol 5 (2) ◽  
pp. 57
Author(s):  
Yesi Warisman ◽  
Arinda Lironika Suryana ◽  
Zora Olivia

Diabetes mellitus is a metabolic disease with special characteristic which increased blood glucose level (hiperglicemic), its happens because of the abnormality of insulin secretion, insulin mechanisme or both of them. Belimbing wuluh and red guava extract can become alternative functional drink that contain rich of vitamin C to help controlling blood glucose level. The aimed of this study was to determined the effect of belimbing wuluh and red guava extract on blood glucose levels of Rattus novergicus strain Wistar diabetic model. This research was an true experimental study with a randomized post-test control group design. Twentyfour (24) male wistar strain rats weighing 200-250 grams, aged 2-3 months, were divided into 4 groups. The control group (K-) non-diabetic rats, the control group (K+) diabetic rats given standard diet, and the treatment group diabetic rats given standard diet and belimbing wuluh and red guava extract intervetion doses 10,7 ml/day (P1) and 21ml/day (P2). Measurement of pretest posttest fasting blood glucose levels was carried out using biolyzer. The data were analyzed by One Way Anova test. The results showed that there were significant differences in delta pretest and posttest fasting blood glucose levels between all groups. Blood glucose levels decreased at 55.6%. In conclusion, belimbing wuluh and red guava extract 21ml/day most effectively decreased fasting blood glucose levels in diabetic wistar rats moldel.   Keywords: belimbing wuluh, blood glucose level, diabetes mellitus, red guava


2019 ◽  
Vol 4 (2) ◽  
pp. 114
Author(s):  
Tutut Zikra Anjani ◽  
Suhaema Suhaema ◽  
Fifi Lutfiah ◽  
Ni Ketut Sri Sulendri

Indonesia is currently the fourth country with the largest number of DM patients in the world. Functional food is beneficial for the health of DM patients, for example bananas and soybeans. Kepok bananas contain dietary fiber inulin and antioxidants (β carotene). Soybeans contain isoflavones, fiber, and proteins in the form of amino acids arginine and glycine. This study aims to look at the effect of giving functional drinks a mixture of soybean and banana milk on decreasing fasting blood glucose levels in type II DM patients. Type of Quasy-experimental research with pre test and post test with control group design. Subjects were taken using the Simple Random Sampling method and the subjects involved until the end of the study were 26 people. The intervention was carried out for 14 days and given as much as 330 ml. The equality of the subject characteristics of the two groups was analyzed using the chy squere test, and the effect of giving intervention materials on decreasing blood glucose levels was tested by independent t test. The results of the study were characteristics (84.6%) aged 50-60 years, (53.8%) female gender, (57.1%) having a family history of disease, 58.4% using glibenclamide anti-hyperglycemic drugs and BMI average in the risk category. . Result Δ It is known that there is an effect of giving functional drinks on decreasing fasting blood glucose levels where the average change is 11.5 mg / dl (p = 0.03). 


2015 ◽  
Vol 1 (01) ◽  
Author(s):  
Marta Lina Limbong ◽  
Ridha Darma Jaya ◽  
Yesi Ariani

Abstract Patients with type 2 diabetes relative insulin deficiency so that blood glucose regulation becomes screwed, eventually causing hyperglycemia. When it is left untreated can lead to complications. Complications in diabetic patients undergoing indicate hospitalization for management of blood glucose levels. Such conditions often make the patient stress and anxiety experiencing great that ultimately may increase blood glucose levels. Autogenic relaxation is the relaxation that comes from yourself form of words or short sentences or thoughts that can make the mind peaceful. Autogenic relaxation response can divert our bodies consciously by the command of yourself, it can help fight the harmful effects of stress. Autogenic relaxation could be expected to control blood glucose levels. The purpose of this study was to determine the effect of autogenic relaxation on blood glucose levels in patients with Type 2 Diabetes. Research design was quasi-experimental with pre and post with control group, for each sample group consisted of 31 people with consecutive sampling technique. Data were analyzed using univariate and bivariate. The statistical test used the Wilcoxon Sign-Range Test and Mann Whitney U . Analysis showed there is effect of autogenic relaxation to decrease blood glucose levels (p = 0.001). The conclusion of study, there are significant autogenic relaxation to decrease blood glucose levels in patients with diabetes mellitus type 2. Results of this study can be input for nursing services to make the autogenic relaxation womanly one independent nursing interventions in providing nursing care to patients with DM Type 2 Keywords: Autogenic relaxation, blood glucose levels, type 2 diabetes   Abstrak Pasien diabetes melitus tipe 2 relatif mengalami kekurangan insulin sehingga pengaturan kadar glukosa darah menjadi tidak terkontrol, pada akhirnya menyebabkan hiperglikemia. Bilamana hal ini tidak ditangani dapat menyebabkan komplikasi. Komplikasi pada diabetes mengindikasikan pasien menjalani perawatan di rumah sakit untuk pengelolaan kadar glukosa darah. Kondisi seperti ini sering membuat pasien stres dan mengalami kecemasan yang hebat sehingga dapat meningkatkan kadar glukosa darah. Relaksasi autogenik merupakan relaksasi yang bersumber dari diri sendiri berupa kata-kata atau kalimat pendek atau pikiran yang dapat membuat pikiran tentram. Relaksasi autogenik dapat mengalihkan respon tubuh kita secara sadar berdasarkan perintah dari diri sendiri, maka dapat membantu melawan efek stres yang berbahaya. Relaksasi autogenik diduga dapat mengontrol kadar glukosa darah. Tujuan penelitian ini untuk mengetahui pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah pada pasien DM Tipe 2. Desain penelitian ini kuasi eksperimen dengan pre and post with control group, untuk masing-masing kelompok terdiri 31 orang sampel dengan tehnik  consecutive sampling. Data dianalisis secara univariat dan bivariat. Uji statistik yang digunakan Wilcoxon Sign Range Test dan Mann Whitney U. Hasil analisis menunjukkan ada pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah (p=0,001). Kesimpulan penelitian ini, ada pengaruh relaksasi autogenik terhadap penurunan kadar glukosa darah pada pasien diabetes melitus tipe 2. Hasil penelitian ini dapat menjadi masukan bagi pelayanan keperawatan untuk menjadikan relaksasi autogenik menjasi salah satu intervensi keperawatan mandiri dalam memberikan asuhan keperawatan pada pasien DM Tipe 2. Kata kunci : Relaksasi autogenik, Kadar glukosa darah, diabetes melitus tipe 2 Full printable version: PDF


2020 ◽  
Vol 10 (1) ◽  
pp. 41-47
Author(s):  
Sitti Fatimah M. Arsad ◽  
Erna Rochmawati ◽  
Arianti Arianti

Abstract Diabetes mellitus is a chronic disease with metabolic disorders in the form of increased blood glucose levels caused by disruption of insulin secretion or insulin efficacy. Management of diabetes can be done by pharmacology or nonphamacology therapy. One of the nonpharmacological therapies is dhikr therapy. The study design used quasy experiment with the control group pre-post test design. The collected samples are 40 diabetes patients with simple random technique. The research sample was divided into 2 groups,control and intervention group, each of which was 20 respondents. Data analysis uses independent t-test. The results showed that dzikir therapy of sentences thayibah, asmaul husna and prayers performed every day for 2 weeks could significantly reduce patients blood glucose levels (p = 0.000) or p <0.05. Key Words : Dhikr Therapy, Blood Glucose Level, Type 2 Diabetes Melitus


2016 ◽  
Vol 40 (1) ◽  
Author(s):  
Cut Khairunnisa ◽  
M. Fikri Fadli

<strong>Abstrak: </strong><em>Cupping therapy</em> sudah lama dipakai oleh sebagian umat muslim dan menempati kedudukan populer di antara berbagai metode terapi alternatif lain. Bukti-bukti penelitian medis modern juga menguatkan manfaat terapi yang dianjurkan oleh Nabi. Banyak ahli pengobatan yang mengetahui khasiat <em>cupping therapy</em> dalam mengobati penyakit. Menurut <em>International Diabetes Federation</em> (IDF), pada tahun 2013 Indonesia menempati peringkat ketujuh penderita diabetes. Penelitian ini bertujuan untuk mengetahui pengaruh <em>cupping therapy </em>terhadap kadar glukosa darah pada pasien Klinik Sehat dr. Abdurrahman Medan tahun 2014. Penelitian ini menggunakan metode pra-eksperimental dengan satu kelompok <em>pre-test</em> dan <em>post-test</em> tanpa kelompok kontrol dan sampel diperoleh melalui random dengan sampel 32 orang. Berdasarkan uji Wilcoxon dengan á=0,05 didapatkan <em>p-value</em>=0,021 yang berarti terdapat perbedaan yang signifikan antara rerata kadar glukosa darah sebelum dan setelah <em>cupping therapy</em> (<em>p-value </em>&lt; á)<em>.</em><br /> <br /><strong>Abstract: The Role of Islamic Treatment Method “Cupping Therapy” to Decrease Blood Glucose Levels</strong>. Cupping therapy has long been used by most Muslims and it has occupied as prominent position among therapeutic approaches.The proof of medical modern research lately have been supports expediency therapy which recommended by the prophet. Nowdays,many medical experts who know the benefits of cupping therapy in treating diseases. Diabetes melitus is a disease that is directly related to blood glucose levels. According to the International Diabetes Federation (IDF) in 2013, there were 382 million people suffer from diabetes melitus worldwide and Indonesia as seventh ranks in the world. This study aims to determine the effect of cupping therapy on blood glucose levels in patients of Klinik Sehat dr. Abdurrahmân Medan in 2014. The Study used pre-experimental method with one group pre-test and post-test without a control group and sample took by randomization with a sample of 32 people. Based on the Wilcoxon test with á = 0.05 obtained  p-value = 0.021 that means there were a significant differences in mean blood glucose levels before and after cupping therapy (p-value &lt; á).<br /> <br /><strong>Kata Kunci:</strong> pengobatan Islam, <em>cupping therapy</em>, kadar gula darah


2020 ◽  
Vol 8 (T2) ◽  
pp. 98-103
Author(s):  
Syarifuddin Syarifuddin ◽  
Veny Hadju ◽  
Rahayu Inriasari

BACKGROUND: In addition to Moringa one of the food products that are often used as supplements is honey. Honey contains carbohydrates and content of antioxidants and other active substances needed during pregnancy. AIM: This study aimed to look at the effect of the intervention on the blood glucose levels of normal white pregnant Wistar strain of Moringa honey, honey plus Moringa or natural honey interventions. METHODS: This research method uses a quantitative research with experimental lab research type. With a completely randomized pre-test-post-test controlled completely randomized research design. The samples in this study were 24 white Wistar pregnant rats, divided into four groups, the control group, the honey group, the honey plus Moringa group, and the Moringa honey group, each consisting of six animals. The intervention was carried out for 20 days with initial BB measurements pregnancy (pre) and end of pregnancy (post). Data analysis used paired t-test and one-way ANOVA test. RESULTS: GD levels showed a significant decrease in GD levels in all groups at the end of pregnancy with a p < 0.05, but a decrease in GD levels between groups did not show a significant difference at the end of the study, the control group (82.33 ± 8.98), honey (83.83 ± 6.67), plus honey (73.17 ± 10.92), and Moringa honey (73.00 ± 6.45) with a p = 0.065 > 0.05. CONCLUSION: It shows that honey variation has the effect of controlling blood glucose levels during pregnancy.


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