PERBEDAAN TINGKAT ASUPAN ENERGI SERTA GLUKOSA DARAH SEBELUM DAN SESUDAH PROSES ASUHAN GIZI TERSTANDAR PADA PASIEN DIABETES MELITUS TIPE 2
Difference of Energy Intake and Blood Glucose Level Before and After Providing Standardized Nutrition Care Process in Type 2 Diabetes Mellitus Patients

Arizta Primadiyanti, Novilla Anindya Permata, Andina Devi Arvita, Rosidah Inayati, Dian Handayani

= http://dx.doi.org/10.20473/mgi.v15i2.135-142
Abstract views = 1673 times | downloads = 3478 times

Abstract


The provision of nutrition care process (NCP) in diabetes mellitus (DM) patients is very important in determining the patient's diet to control blood glucose and to prevent complications. This study aimed to determine the diff erences in levels of intake and blood glucose levels before and after the implementation of NCP for type 2 DM (T2DM) inpatients of RSUD Dr. Saiful Anwar Malang. The design of this study was cross sectional, using secondary data sources from 32 patient medical records consisting of data on age, gender, nutritional status, complications of disease, nutritional diagnosis, nutritional intervention, energy intake, and blood glucose level. The analysis test used was the T-test dependent test on the normal data distribution and the Wilxocon test on the abnormal data distribution. The results of this study indicate a diff erence in the level of after and before intake (p = 0.020) with an increase in the average intake of 65.75 ± 18.23% to 75.50 ± 17.69% of the total energy needs. The analysis of blood glucose before and after showed p = 0.023, which means that there were diff erences in blood glucose before and after the NCP implementation. Blood glucose results showed an average decrease of 205 ± 93.85 mg/dl to 155.9 ± 50.53 mg/dl. The results of this study showed that there were diff erences in levels of energy intake and blood glucose levels before and after the provision of NCP by dietitians/nutritionists.

Keywords


NCP; energy intake; blood glucose level; diabetes mellitus

Full Text:

PDF

References


American Diabetes Association. (2017). Lifestyle management. Diabetes Care. 40 Supplemen 1: S33–S43. https://doi.org/10.2337/dc17-S007

Arnetz, L., Ekberg, N. R., & Alvarsson, M. (2014). Sex differences in type 2 diabetes: focus on disease course and outcomes. Diabetes, metabolic syndrome and obesity: targets and therapy,7, 409–420. https://doi.org/10.2147/DMSO.S51301

Aula, L. E. (2011). Faktor-faktor yang berhubungan dengan terjadinya sisa makanan pada pasien rawat inap di Rumah Sakit Haji Jakarta. Skripsi. Universitas Islam Negeri Syarif Hidayatullah Jakarta.

Fowler, M. (2011). Microvascular and macrovascular complications of diabetes. Clinical Diabetes.Volume 29, Number 3:116-122. https://doi.org/10.2337/diaclin.29.3.116

Handayani, D., Astutik,. P., Nurwati, Y., dan Mahar, M.A., (2018). Efektifi tas penatalaksanaan proses asuhan gizi terstandar terhadap perbaikan asupan pasien sindrom metabolik di RSUD Sidoarjo. Jurnal Gizi Universitas Muhammadiyah Semarang. Vol. 7, No.1, ISSN: 2302-7908.

Huang, D., Refaat, M., Mohammedi, K., Jayyousi, A., Suwaidi, A., J., dan Khalil, C.,I., (2017). Macrovasculer complications in patients with diabetes and prediabetes. Hindawi BioMed Research International. Volume 2017, Article ID 7839101, 9 pages https://doi.org/10.1155/2017/7839101

Kautzky-Willer A, Harreiter J, Sex PG. (2016). Gender diff erences in risk, pathophysiology and complications of type 2 diabetes mellitus. Endocrine Reviews.37(3):278–316. doi: 10.1210/er.2015-1137

Kementrian Kesehatan Republik Indonesia. (2014). Pusat Data dan Informasi Situasi dan Analisis Diabetes. Jakarta: Kemenkes RI.

Kementrian Kesehatan Republik Indonesia. (2016). Hasil Riset Kesehatan Dasar. Jakarta: Kemenkes RI.

Kementrian Kesehatan Republik Indonesia. (2018). Hasil Riset Kesehatan Dasar. Jakarta: Kemenkes RI.

Kim, J. H., Kim, D., J., Jang., H.,C., and Choi, S.,H., (2013). Epidemiology of micro- and macrovascular complications of type 2 diabetes in Korea. Diabetes Metab J. 35; 571-577. http://dx.doi.org/10.4093/dmj.2011.35.6.571 pISSN 2233-6079 · eISSN 2233-6087

Kumboyono and Vina. 2013. Indikator pemenuhan kebutuhan nutrisi oleh pasien rawat inap rumah sakit tentara dr. Soepraoen Malang. Jurnal Ners; 8(2): 183 – 189

Moller, G., Andersen., H., Snorgaard., O. (2017). A systematic review and meta-analysis of nutrition therapy compared with dietary advice in patients with type 2 diabetes . The American Journal of Clinical Nutrition, 106(6):1394–400. https://doi.org/10.3945/ajcn.116.139626

Perkumpulan Endokrinologi Indonesia (Perkeni). (2015). Konsensus Pengelolaan Dan Pencegahan Diabetes Melitus Tipe 2 Di Indonesia 2015. PB PERKENI

Puruhita, N., Hagnyonowati, Adianto, S., Murbawani, E., A., Ardiaria, M., (2014). Gambaran sisa makanan dan mutu makanan yang disediakan instalasi gizi Rumah Sakit Umum Pusat Dr. Kariadi Semarang. Journal of Nutrition and Health, 2(3). https://doi.org/10.14710/jnh.1.1.2013.%p

Raucoules, M. (2010). Feeding the. Malnourished Diabetic. Paper presented at the 32nd ESPEN Congress. Retrieved from http://www.espen.org/presfi le/Raucoules_2010.pdf

Rosén, L., Silva, L., Andersson, U., Holm, C., Östman, E., & Björck, I. (2009). Endosperm and whole grain rye breads are characterized by low post-prandial insulin response and a benefi cial blood glucose profi le. Nutrition Journal, 8 (1). doi: 10.1186/1475-2891-8-42

Shaw, J. L. V. (2016). Practical challenges related to point of care testing. Practical Laboratory Medicine, 4, 22–29. https://doi.org/10.1016/j.plabm.2015.12.002

Scottish Intercollegiate Guidelines Network (SIGN). (2010). Management of diabetes: a national clinical guideline. Edinburgh (Scotland): Scottish Intercollegiate Guidelines Network (SIGN)

Sutiawati, M., Jafar, N., Dan Yustini. (2013). Pengaruh edukasi gizi terhadap pengetahuan, pola makan dan kadar glukosa darah pasien diabetes melitus tipe 2 RSUD Lanto’ dengan pasewang jeneponto. Media Gizi Masyarakat Indonesia, 2(2), 78-84

Tappenden, K., Quatrara, B., Parkhurst, M., Malone, A., Fanjiang, G., & Ziegler, T. (2013). Critical role of nutrition in improving quality of care. Journal of Parenteral and Enteral Nutrition, 37(4), 482-497. doi: 10.1177/0148607113484066

Wijayanti, T., & Puruhita, N., (2013). Studi kualitatif proses asuhan gizi terstandar di ruang rawat inap RS St. Elisabeth Semarang. Journal of Nutrition College, 2(1), 170-183.

Wijayanti, P., Sujuti, H., Tritisari, K. (2014). Hubungan pola konsumsi makanan sumber kalsium dan magnesium dengan kadar kolesterol total pasien diabetes mellitus tipe 2 di poliklinik penyakit dalam RSU Dr. Saiful Anwar Malang Prima. Majalah kesehatan FKUB. 1(2).102-111

Gibson, R., (2005). Principles of Nutritional Assessment. New York: Oxford University Press.

Miguel, L., Julia, A., Mercè, P., Abelardo, G., Krysmaru, A., Sebastian, C. (2011). Prevalence of hospital malnutrition in patients with diabetes mellitus: sub-analysis of the predyces® study. SM Journal of Public Health and Epidemiology.Supplements 6. 223-224. 10.1016/S1744-1161(11)70577-4.

Yunita, Asdie, A., Susetyowati. (2013). Pelaksanaan proses asuhan gizi terstandar (PAGT) terhadap asupan gizi dan kadar glukosa darah pasien diabetes melitus tipe 2. Jurnal Gizi Klinik Indonesia, 10(2), 82-91.

Evert, A., Boucher, J., Cypress, M., Dunbar, S., Franz, M., Mayer-Davis, E., Neumiller, J., Nwankwo, R., Verdi, C., Urbanski, P. and Yancy, W. (2013). Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care, 36(11), pp.3821-3842. doi: 10.2337/dc13-2042

Fatimah, R. (2015). Diabetes melitus tipe 2. Journal Majority, 4(5), pp.93-101.

Pratama, A. (2013). Korelasi Lama Diabetes Melitus Terhadap Kejadian Nefropati Diabetik: Studi Kasus di Rumah Sakit Dokter Kariadi Semarang. Fakultas Kedokteran Universitas Diponegoro.

Wardhani, A., & Isfandiari, M. (2014). Hubungan dukungan keluarga dan pengendalian kadar gula darah dengan gejala komplikasi mikrovaskuler. Jurnal Berkala Epidemiologi, 2 (1), 1-12.

Khasanah, U. (2016). Upaya Memenuhi Kestabilan Gula Darah Pada Pasien Diabetes Melitus Di RSUD Dr. Soehadi Prijonegoro. Publikasi Ilmiah. Universitas Muhammadiyah Surakarta.


Refbacks

  • There are currently no refbacks.




Copyright (c) 2020 Media Gizi Indonesia

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

             

    

 

 In Collaboration

View MGI Stats