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Abstract

Introduction. Managing dietary pattern, including snack schedule, is one of the most important factors in maintaining blood glucose levels in patients with type 2 diabetes mellitus (T2DM). Black glutinous rice tape is one of the foods that contains bioactive nutrient and fiber beneficial to health. This study aimed to determine the effect of snack bars made from black glutinous rice tape on fasting blood glucose levels in T2DM patients.

Methods. The study employed a quasi-experimental pre and post-test design with a control group which was conducted among T2DM patients undergoing treatment at Bhayangkara Tk. II Sartika Asih Hospital, Bandung. The study was conducted from October 2022 to January 2023 and involved a total of 22 subjects divided into two groups (treatment and control), selected through the accidental sampling method. The treatment group received a daily intake of 3 x 30 grams sticky rice tape snack bar for 7 days along with nutritional counseling, while the control group did not received the snack bar but received nutritional counseling. Fasting blood glucose (FBG) levels were measured both before and after treatment, then analyzed using a paired sample T-test. The difference in the treatment’s impact between the two groups was assessed using the Wilcoxon test.

Results. Statistical analysis showed a reduction in the mean levels of FBG in the control group by 21.36 mg/dL (p=0.111) and in the treatment group by 61.46 mg/dL (p=0.021). There was an impact of consuming black glutinous rice tape snack bars on the reduction of FBG levels in DMT2 patients, with a difference in FBG reduction between the control and treatment groups of 40.10 mg/dL (p=0.018).

Conclusion. Administering 3 x 30 grams of black sticky rice tape snack bars for 7 days was effective in reducing the FBG levels in T2DM patients.

Bahasa Abstract

Pendahuluan. Pengaturan pola makan temasuk jadwal makan camilan menjadi salah satu hal penting dalam menjaga kadar glukosa darah pada pasien diabetes melitus tipe 2 (DMT2). Tape ketan hitam merupakan salah satu pangan yang memiliki kandungan zat gizi bioaktif dan serat yang baik untuk kesehatan. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian snack bar berbahan dasar tape ketan hitam terhadap kadar kadar glukosa darah puasa pasien DMT2.

Metode. Penelitian ini menggunakan desain kuasi eksperimen pra dan pasca perlakuan dengan kelompok kontrol pada pasien DMT2 yang berobat di RS Bhayangkara Tk. II Sartika Asih Bandung. Penelitian dilakukan pada bulan Oktober 2022 – Januari 2023 dengan mengikutkan sebanyak 22 orang subjek yang dibagi ke dalam 2 kelompok (kelompok kontrol dan perlakuan) dan dipilih menggunakan metode accidental sampling. Kelompok perlakuan diberikan snack bar tape ketan hitam sebanyak 3 x 30 gram per hari selama 7 hari dan diberikan konseling gizi, sedangkan kelompok kontrol tidak diberikan snack bar namun mendapatkan konseling gizi. Kadar glukosa darah puasa (GDP) diukur sebelum dan setelah perlakuan, kemudian dianalisis dengan uji T-test berpasangan. Perbedaan pengaruh perlakuan kedua kelompok dianalisis dengan uji Wilcoxon.

Hasil. Hasil uji statistik menunjukkan terdapat penurunan rerata kadar GDP pada kelompok kontrol sebesar 21,36 mg/dL (p=0,111) dan kelompok perlakuan sebesar 61,46 mg/dL (p=0,021). Terdapat pengaruh pemberian snack bar tape ketan hitam terhadap penurunan kadar glukosa darah puasa pada pasien DMT2 dengan selisih penurunan kadar GDP antara kelompok kontrol dengan perlakuan sebesar 40,10 mg/dL (p=0,018).

Kesimpulan. Pemberian snack bar tape ketan hitam 3 x 30 gram selama 7 hari mampu menurunkan kadar glukosa darah puasa pada pasien DMT2.

Kata Kunci: DMT2, kadar glukosa darah puasa, snack bar, tape ketan hitam.

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