Estimasi asupan indeks glikemik dan beban glikemik dengan kontrol gula darah pasien diabetes melitus tipe 2
Abstract: Non-infectious
disease (NID) has become a public health problem both globally, regionally,
nasionally, and locally. One of NID that takes a lot of attention is diabetes
mellitus (DM). Risk of complication is higher due to lack of attention to lifestyle
including diet. The concept of the glycemic index classifies carbohydrate is
considered better in controlling blood sugar. However, some studies say
otherwise. Therefore, research needs to be done by combining carbohydrate
quantity concept (glycemic load) and glycemic index
Objective: To identify the relationship between estimated dietary
glycemic index and glycemic load with blood sugar control, as well as to
identify other factors associated with glycemic control of patients with type 2
diabetes mellitus
Method: This is an observational study with cross-sectional design. The
population study were all outpatients with type 2 diabetes mellitus in
Dr.Sardjito hospital Yogyakarta in 2014. Sampling method using a consecutive
sampling with sample size of 79 people. Interviews regarding the identity of
the respondents through questionnaires, physical activity (IPAQ), and
semi-quantitative food frequency (SQFFQ). Blood sugar control (HbA1C) obtained
from respondent’s medical record. The data were processed using univariable
analysis (descriptive), bivariate (chi-square), and multivariate (GLM)
Results: Most respondents were blood sugar uncontrolled (84,81%). Average
of dietary GI and GL was 63,26±3,23 and 127,65±43,02. Bivariate test showed
that the dietary GI and GL each has a RP value 1,023 and 1,002, and
statistically significant (p<0,05) with HbA1C. The prevalence of
uncontrolled blood sugar 4,18 times greater in respondents who doesn’t have
appropriate eating schedule. Duration of diabetes, nutritional status, physical
activity, and education level did not significantly influence HbA1C (p>0,05)
Conclusion: There is a relationship between dietary GI, GL, and eating
schedule with blood sugar control (HbA1C), but there was no correlation between
duration of diabetes, nutritional status, physical activity, and education
level with blood sugar control (HbA1C)
Keywords: dietary glycemic
index; dietary glycemic load; type 2 diabetes mellitus
Penulis: Sinta Mukti
Permatasari
Kode Jurnal: jpkesmasdd150769
