PENYULUHAN PEMANFAATAN BUAH NAGA MERAH UNTUK PENDERITA DIABETES MELLITUS DI PUSKESMAS DELI TUA KABUPATEN DELI SERDANG
Abstract
The prevalence of Diabetes Mellitus increases every year continuesly, data from the World Health Organization states that around 346 million people suffer from diabetes and Indonesia is ranked fourth in the number of DM sufferers in the world. Meanwhile, Indonesia is in the 7th rank of diabetes sufferers in the world. Dietary management of DM patients need to be modified, especially fiber and antioxidant intake. One of the fruits that can be used to improve diets for diabetes mellitus sufferers is dragon fruit which has the advantage of being rich in fiber and antioxidants and rich in vitamin C. Dragon fruit can control blood glucose levels so that it can prevent complications. The aim after counseling and demonstrations, it is hoped that fruit juice is made. Red Dragon can reduce glucose levels in diabetes mellitus clients and can be applied in the treatment of lowering blood glucose levels in diabetes mellitus sufferers. The activities carried out were in the form of counseling using leaflets and demonstrations on how to process and give red dragon fruit. There is a decrease in glucose levels in clients with diabetes mellitus after giving red dragon fruit for 14 days at the Delitua Health Center, Deli Serdang Regency. Thus, giving red dragon fruit for clients with diabetes mellitus is very effective in lowering glucose.
References
American Diabetic Association. Standards of medical care in diabetes. 2012. (cited 2014 March 19th).
Afkhami, Mohammad. 2007. Effect of Vitamin C on blood glucose, serum lipids & serum insulin in type2 diabetes patient. Diabetes Research Center, Shahid Sadoughi University of Medical Sciences & Health Services, Yazd, Iran.
Asih, A.R, Ratnasaari K, Swardana B.I. (2012).Isolasi dan identifikasi senyawa golonganflavonoid dari madu kelengkeng (Nepheliumlongata L), (Skripsi) Universitas Udayana.
Bernaud FS, Rodrigues TC. Dietary fiber-adequate intake and effects on metabolism health. Arq Bras Endocrinol Metabol. 2016;57:397–405
Bito H, Hamaguchi N, Hirai H, Ogawa K. Safety evaluation of a newly-developed dietary fiber: Resistant glucan mixture. J Toxicol Sci. 2016;41:33–44
Breneman CB, Tucker L. Dietary fibre consumption and insulin resistance-the role of body fat and physical activity.Br J Nutr. 2017
Candalia, M., Lutjohan D, Brinkly L.J.. Beneficial Effect of High Fiber Intake In Tipe 2 DM, New England Journal Medicine, 2016. P. 1392 – 1398
Chen H, Karne RJ, Hall G, Campia U, Panza JA, Cannon RO, et al. High-dose oral vitamin C partially replenishes vitamin C levels in patients with type 2 diabetes and low vitamin C levels but does not improve endothelial dysfunction or insulin resistance. Am Physiol Heart Circ Physiol 2016; 290: Hal 37-45.
Corwin Elozabeth J. Pankreas dan Diabetes Mellitus. Dalam : Buku Saku Fisiologi, edisi 3. Jakarta: EGC; 2009. Hal 618-629.
Enes P, Martín-Frías M, Álvarez MÁ, Yelmo R, Alonso M, Barrio R. Achievement of metabolic control goals set by the American diabetes association and the international society for pediatric and adolescent diabetes in pediatric patients with type 1 diabetes from Spain. Diabetes Res Clin Pract. 2017;107:300–305
Englyst,KN, Potential of an in Vitro Digestion Method for Predicting Glycemic Response of Foods and Meals.Jounal List National Library of Medicine National Institutes of Health. 2016
Franz MJ. Endocrine Disease. In: Hark L, Deen D, Morrison G, editors. Medical Nutrition and Disease: a case-based approach. 5th Ed. West Sussex: John Wiley & Sons; 2016. p. 332–74.
Glauber H, Karnieli E. Preventing type 2 diabetes mellitus: A call for personalized intervention. Perm J. 2016;17:74–79. doi: 10.7812/TPP/12-143.
Hadi, Abdul N. Marzhalina M., M. H. Khalili.. Effect Of Red Pittaya Fruti Consumption in Blood Glucose Level and Lipid Profile in Tipe 2 DM. Borneo Science. Vl 31. 2016
Hartono A. Terapi Gizi dan Diet Rumah Sakit. Jakarta: EGC; 2006. Hal 141.
Indonesia. Depkes..Profil Kesehatan Indonesia. Jakarta : Badan Litbang Kesehatan,2006
Khalili, R., Norhayati, A.H, Rokiah, M.Y., Asmah,. 2016. Hypocholesterolemic Effect of red. International Food Research Journal 16 : 431-440 (2016)
Levich BR. 2011. Diabetes management : optimiz¬ing roles for nurses in insulin initiation. J Multidiscip Healthc. 4:15-24.
Lianiwati, V. (2011). Pemberian Ekstrak Buah Naga Merah Menurunkan Kadar F2 Isoprosta pada Tikus Putih Jantan yang Diberi Aktivitas Berlebih, Jurnal Kedokteran UNUD. 8 (17). 45-55.
Malkawi. 2012. Review Article: The effectiveness of physical activity in preventing type 2 diabetes in high risk individuals using well-structured interventions: a systemic review. Journal of Diabetology. 2:1.
Mayo Clinic. Metabolic Syndrome..tersedia dalam http//www.mayocliic.com diakses tanggal 20 februari 2017
Menteri Kesehatan, RI. (2010). Peraturan Menteri Kesehatan Republik Indonesia Nomor: 1144/menkes/per/VIII/2010 tentang Organiasi dan Tata Kerja Kementrian Kesehatan dalam http://www.ppl.depkes.go.id,
Nelms,M.,Kathryn S.,Karen L.,Sara L.R.. Nutrition Therapy and Pathophysiology USA.Wadworth.2011
Norhayati, A. H. 2006. “Komposisi Kimia dan Aktivis Antioksidan Buah Pitaya Merah (Hylocereus Sp.) dan Kesan atas Paras Glukosa dan Profil Lipid Tikus yang diaruh Hiperglisemia”. Thesis M. S. Universiti Putra Malaysia, Serdang.
Nugroho SA. 2010. Hubungan Antara Tingkat Stress Terhadap Kadar Glukosa Darah Penderita Diabetes Mellitus di Wilayah Kerja Puskesmas Sukoharjo I Kabupaten Sukoharjo. Tesis Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta.
Perkumpulan Endokrinologi Indonesia. Konsesus pengelolaan dan pencegahan diabetes mellitus tipe 2 di Indonesia. Jakarta: PB. PERKENI; 2011.
Raihana, S M. Rokiah.. Hipercholesterolemic of Spray Dried Pitaya Powder Among Normocholesterolemia subject. International conference Nutrition and Food Science. ICBEE 12 (30). 2016
Roiffatul, Ana H. Pengaruh Buah Naga Terhadap Kadar Glukosa Darah Pasien Diabetes Melitus Tipe IIDi Puskesmas Temon 1 Kulon Progo Yogyakarta. Yogyakarta : Universitas ‘Aisyiyah, 2017
Sari, Dkk, 2017. Komposisi Kandungan Gula Buah Naga Hylocereus Costaricensis. Borneo Journal Pharmascientech, Vol 01, No. 02
Shrivastava S, Shrivastava P, Ramasamy J, Kinra S, Bowen L, Lyngdoh T, et al. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2016;12(1):14.
Sizer FS, Whitney E. The Carbohydrates: Sugar, Strach, Glycogen and fibre. Dalam: Nutrition Concept and Controversies 11th edition. Canada: Wadsworth; 2008.p.121-38.
Sulistyani. . Sehat deng Menu Berserat. Jakarta: Trubus Agriwijaya. 2012
Suyono S dan Samsisalah Widya karya pangan dan Gizi. Jakarta : LIPI, 1196
World Health Organization. (2013). Prevalensi Diabetes Melitus di Indonesia dalam http://www.depkes.go.id,
WHO. (2015). Prevalensi Diabetes Mellitus di Indonesia dalam http://www.depkes.go.id
Wiardani, Ni Komang. Pola Makan dan Obesitas Sebagai Faktor Resiko Diabetes Mellitus di RSUP Sanglah Denpasar (Tesis). Yogyakarta : UGM, 2013.
Widyastuti1, Amalia Nita. Pengaruh Pemberian Jus Buah Naga Merah (Hylocereus polyrhizus) Terhadap Kadar Glukosa Darah Puasa Pria Prediabetes. Semarang : UNDIP, 2015
Wiardani, Ni Komang. Jus Buah Naga Merah Menurunkan Kadar Glukosa Darah Penderita SMT2. Yogyakarta : UGM, 2014, Jurnal Skala Husada Vol 11 : 59 – 66
Waspadji S.. Diabetes Melitus : Mekanisme Dasar dan Pengelolaan yang Rasional dalam Penatalaksanaan DM Terpadu. Cet 3. Jakarta : RSCM dan FKUI, 2008
