Relationship Between The Size Of The Portion Of The Diet Served And Blood Sugar Levels In Patients With Type 2 Diabetes Mellitus

Authors

  • Rita Juniara Kasih Universitas Teuku Umar
  • Laila Apriani Hasanah Harahap Universitas Teuku Umar
  • Suci Eka Putri Universitas Teuku Umar
  • Teuku Muliadi Universitas Teuku Umar

DOI:

https://doi.org/10.55606/ijhs.v4i2.3918

Keywords:

portion standards, portions served, blood sugar levels, type 2 diabetes mellitus

Abstract

Diabetes mellitus is a chronic metabolic disorder characterized by increased blood sugar levels. Poor eating patterns, including inappropriate meal times and inappropriate amounts of food consumption, can affect blood sugar levels in the body.The aim of this research isto determine the relationship between the size of the diet portion served and blood sugar levels in Diabetes Mellitus patients at RSUD Datu Beru Kab. Central Aceh in 2023.The method used is a quantitative method,analytical observationalwith approachcross-sectional. This research was carried out from September 2023 to May 2024. The type of data is primary data obtained from the patient's general description questionnaire and data on the portion size served was obtained from direct weighing and secondary data was obtained from the patient care book, namely data on blood sugar levels 2 hours after eating. The method for collecting data is by using questionnaire sheets, checking maintenance books and eating scales. Data analysis was carried out using univariate and bivariate analysis using the Fisher exact test. The research results showed that as many as 82.0% had high kgd (>180mg/dl) and 18% had normal kgd (80-179mg/dl). There were 23.6% good portions served and 76.4% poor food portions. The results of the Fisher test show p <0.05 (0.002) and have a PR value >1 (4.2) which is a risk factor between the size of the portion served and the blood sugar levels of patients with type 2 diabetes mellitus. The conclusion is that the size of the portion served is partly The size does not match the standard portions served, causing respondents to have higher blood sugar levels 2 hours after eating. There is a significant relationship and 4 times higher risk between the size of the diet portion and blood sugar levels in patients with type 2 diabetes mellitus. Suggestions for Hospitals should improve the quality of health services, especially food services, and nutritionists/nutritionists should be able to supervise the portioning process to produce food portions that suit patient needs.

References

Ambarwati, R. (2016). The Field Lecture Practical Report (PKL) establishes Hospital Standards and Calculations of Food Requirements at Penabahan Senopati Bantul Regional Hospital. Yogyakarta Ministry of Health Polytechnic. Thesis.

American Diabetes Association. (2019). Standards Of Medical Are In Diabetes 2019 (1st ed., Vol. 42, pp. 2–6). USA: American Diabetes Association. Retrieved September 10, 2020 from https://care.diabetesjournals.org/content/42/Supplement _1

Apriliyani, S., et al. (2019). Accuracy of Vegetable Portioning Against Usual Food Portion Standards. Prima Nutrition Journal, 4(2), 97. doi: 10.32807/jgp.v4i2.138.

Astari, A. P., Setyowati, S., & Kadaryati, S. (2021). The accuracy of serving dishes at RSUD Dr. Tjitrowardojo Purworejo. Action: Aceh Nutrition Journal, 6(1), 33-40.

Astuti, I. A. E. (2018). Description of the Appropriateness of Food Portion Standards in Hospitals and the Portion Sizes Served in the Nutrition Installation of Bahteramas Regional Hospital, Kendari City. New England Journal of Medicine, 372(2).

Bilous, R., & Donelly, R. (2015). Diabetes Handbook (4th ed.). Jakarta: Bumi Medika.

Cendanawangi, D. N., Tjaronosari, T., & Palupi, I. R. (2016). Portion accuracy is related to food intake in the elderly at the Tresna Werdha Budi Luhur Social Home, Bantul, Yogyakarta. Indonesian Journal of Nutrition and Dietetics, 4(1), 8-18.

Dewi, I. A. K. A. S. (2022). Description of Blood Glucose Levels in Diabetes Mellitus Patients with Diabetic Feet at Mangusada Badung Hospital in 2022 (Doctoral dissertation, Denpasar Ministry of Health Polytechnic, Nursing Department).

Dinanda, O. I. T., Tjarono, S., & Lastmi, W. (2019). Study of the Accuracy of Portions and Nutritional Value of Animal Side Dishes on Non-Diet Menus at the Nutrition Installation of RSUD Dr. Moewardi (Doctoral dissertation, Poltekkes Kemenkes Yogyakarta).

Fatkhurohman, F., Lestari, Y. N., & Torina, D. T. (2017). The Relationship between Changes in Meal Portion Standards and Food Waste in Holistic Hospital Patients in 2016 (Study of Leftover Rice on the Diet Lunch Menu in Holistic Hospitals). Indonesian Nutrition, 40(1), 1. doi: 10.36457/gizindo.v40i1.218.

Hestiana, D. W. (2017). Factors associated with compliance in diet management in type 2 diabetes mellitus outpatients in the city of Semarang. Journal of Health Education, 2(2). Retrieved September 11, 2020 from https://doi.org/10.1080/10556699.1994.10603001

International Diabetes Federation (IDF). (2021). International Diabetic Federation Diabetic Atlas (10th ed.).

Nita, M. H. D., Nur, A., & Kayumu, H. A. K. (2020). Accuracy of Rice Portion Standards for Diabetes Mellitus Patients at RSUD Prof. Dr. WZ Johannes Kupang. Nutriology: Journal of Food, Nutrition, Health, 1(2), 49-53.

PERKENI. (2021). Guidelines for the Management and Prevention of Diabetes Mellitus Type 2 in Indonesia. Perkeni.

Siregar, L. M., Hutajulu, J., Syapitri, H., & Sikutiro, H. (2022). The relationship between diet adherence and quality of life in diabetes mellitus sufferers at the Lut Tawar Community Health Center, Lut Tawar District, Central Aceh Regency. Journal of Public Health and the Environment, 7(2), 153-157.

Wadyomukti, R. A. (2017). The relationship between the characteristics of portioning personnel and portioning equipment with the accuracy of portioning staple foods based on portion standards at PKU Uhamadiyah Hospital, Bantul. Ministry of Health Health Polytechnic. Thesis.

Wayan Sari., Anwar., Amri. (2018). Institutional Food Delivery System Management. Nutrition Teaching Materials. Health Human Resources Education Center. Ministry of Health of the Republic of Indonesia. Jakarta.

Wibowo, S., Rohanta, S., & Gede, S. (2019). Mass Food Delivery System Management: In Hospitals and Hotels. Jakarta: EGC Medical Book Publisher.

Widiyoga, C. R., Saichudin, & Andiana, O. (2020). Relationship between the level of knowledge about diabetes mellitus in sufferers and the regulation of eating patterns and physical activity. 2(2), 152–161.

Word Health Organization. (2022). Classification of Diabetes Mellitus. Retrieved from https://www.who.int /publications /i/item/classification-of-diabetes-mellitus.

Published

2024-06-20

How to Cite

Rita Juniara Kasih, Laila Apriani Hasanah Harahap, Suci Eka Putri, & Teuku Muliadi. (2024). Relationship Between The Size Of The Portion Of The Diet Served And Blood Sugar Levels In Patients With Type 2 Diabetes Mellitus. International Journal Of Health Science, 4(2), 33–42. https://doi.org/10.55606/ijhs.v4i2.3918

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.