Andarwati, Dwi Astuti Dian
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Association between Carbohydrate, Vitamin C, Vitamin E, and HBA1C Level Andarwati, Dwi Astuti Dian; Murti, Bhisma; Sulaeman, Endang Sutisna
Indonesian Journal of Medicine Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Diabetes is now a disease that is a major concern both globally and regionally and is the leading cause of death in most countries. HbA1c levels are used to measure long-term glucose levels in patients with type 1 and 2 Diabetes Mellitus (DM). Restrictions on carbohydrate diets have the greatest effect on decreasing blood glucose levels. Nutritional interventions with the provision of vitamin C and vitamin E can reduce inflammation and oxidative stress as a strategy to prevent the occurrence of DM. The purpose of this study was to determine the relationship of carbohydrate intake, vitamin C and vitamin E with HbA1c levels.Subjects and Method: This was a cross-sectional study conducted at Prodia Surakarta Clinic, Surakarta, Central Java, Indonesia. A sample of 150 study subjects was selected by fixed disease sampling. The dependent variable was HbA1c level. The independent variables were carbohydrate and vitamin E. The data were collected by questionnaire and 24-hour food recall. The data were analyzed by multiple logistic regression.Results: High carbohydrate intake increased HbA1c level (OR= 2.84; 95% CI= 0.72 to 11.12; p= 0.133), while high intake of vitamin E lowered HbA1c level (OR= 0.12; 95% CI= 0.02 to 0.64; p = 0.012).Conclusion: High carbohydrate intake increases HbA1c level, while high intake of vitamin E decreases HbA1c level.Keywords: diabetes, HbA1c, karbohidrat,  vitamin C.Vitamin ECorrespondence: Dwi Astuti Dian Andarwati. Masters Program in Nutrition, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: dianandarwati@yahoo.com. Mobile: 0813­29588344.Indonesian Journal of Medicine (2019), 4(3): 219-227https://doi.org/10.26911/theijmed.2019.04.03.04  
Peningkatan Cakupan ASI Eksklusif melalui Program Edukasi “GENDIS” (Generasi Emas dengan ASI Eksklusif) di Kecamatan Sambi, Kabupaten Boyolali Selviana, Tasya Ardia; Ma'mun, Wafa; Putri, Salsabila Nur Azizah Harinda; Septiana, Risda; Safitri, Retno; Lestari, Anik; Andarwati, Dwi Astuti Dian
Jurnal SOLMA Vol. 13 No. 2 (2024)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v13i2.15440

Abstract

Background: In 2023 the coverage of exclusive breastfeeding for infants aged 6-23 months in Indonesia was 55.5%, while the national target was 75%. The coverage of exclusive breastfeeding in Boyolali Regency reached 79,1% in 2022, but in Sambi Subdistrict It was only 50,5% in 2024 indicating that this figure did not meet the national target. The aim of this program is to increase the coverage of exclusive breastfeeding in Puskesmas Sambi, Boyolali Regency’s working area. Method: The method used was community nutrition education based on the result of problem analysis using problem solving cycle from primary and secondary datas. The program ‘s success was assessed by the difference between average pre-test and post-test score. Result: Based on the results, the average pre-test score was 77,78 and the average post-test score was 83,65. It showed an increase of 5,87 for the average score. The statistical test found a significant difference between average pre-test and post-test scores with p = 0.020 (p < 0.05). Conclusion: Education using lecture also question and answer discussion combined with several medias such as leaflet, recipe book, videos, and practice tool in "GENDIS (Generasi Emas dengan ASI Eksklusif)" education program succeeded in increasing participants’ knowledge about exclusive breastfeeding practice solution for working mothers.