Bernadus Rudy Sunindya
Jurusan Gizi Politeknik Kesehatan Kemenkes Malang

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EFEK DIET TINGGI KARBOHIDRAT DAN DIET TINGGI LEMAK TERHADAP KADAR GLUKOSA DARAH DAN KEPADATAN SEL BETA PANKREAS PADA TIKUS WISTAR (EFFECT OF HIGH CARBOHYDRATE DIET AND HIGH FAT DIET ON BLOOD GLUCOSE AND BETA CELL PANCREAS DENSITY IN WISTAR RATS) Mutiyani, Mira; Soeatmadji, Djoko Wahono; Sunindya, Bernadus Rudy
Indonesian Journal of Human Nutrition Vol 1, No 2 (2014)
Publisher : Jurusan Gizi, Fakultas Kedokteran, Universitas Brawijaya Malang

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Abstract

Abstrak Sindroma metabolik yang ditandai dengan abdominal obesity, resistensi insulin, dislipidemia, perubahan tekanan darah, dan obesitas, prevalensinya semakin meningkat setiap tahun, serta disinyalir sebagai penyebab tingginya penyakit diabetes mellitus tipe 2, penyakit kardiovaslular, dan kematian, baik di negara maju maupun berkembang. Penelitian ini bertujuan untuk mengetahui efek dari pemberian diet tinggi karbohidrat dibandingkan dengan diet tinggi lemak terhadap kadar glukosa darah  dan kepadatan sel beta pankreas tikus Rattus novergicus strain wistar. Kadar glukosa darah diukur dengan menggunakan metode Glukose Oksidase (GOD-PAP); kepadatan sel Sel-β pankreas dihitung jumlahnya menggunakan mikroskop elektron dalam 20 lapang pandang dengan perbesaran 1000 x. Diet tinggi karbohidrat dan diet tinggi lemak diberikan secara isokalori selama 12 minggu, dengan komposisi: diet tinggi karbohidrat (80,57%; 14% protein; dan 5,41% lemak); diet tinggi lemak (55,63% karbohidrat; 14,25% protein; dan 30,10% lemak). Kadar glukosa darah puasa berbeda signifikan antar kelompok perlakuan (p=0.000); rerata kadar glukosa darah puasa darah tertinggi terdapat pada kelompok (P2) 293.57 mg/dl. Kepadatan sel beta pankreas berbeda signifikan antar kelompok perlakuan (p=0.000); rerata kepadatan sel beta pankreas terkecil  terdapat pada kelompok (P2) 45,06 mm2. Diet tinggi karbohidrat dan diet tinggi lemak, keduanya menstimulasi perubahan kadar glukosa darah dan mengurangi kepadatan sel beta pankreas pada tikus wistar jantan. Kata Kunci: diet tinggi karbohidrat, diet tinggi lemak, glukosa darah, kepadatan sel beta pankreas  AbstractThe metabolic syndrome includes the clustering of abdominal obesity, insulin resistance, elevated blood pressure, and obesity associated with the increasing risk of diabetes mellitus, cardiovascular diseases, and death both in less developed and developed countries in the world. The prevalence of metabolic syndrome increasES every year. The aim of this study was to assess blood glucose level using Glucose Oksidase (GOD-PAP) and beta cell pancreas density using microscope.  Blood glucose concentration and beta cell pancreas density were compared in rats fed isocalorically a high carbohydrate diet for 12 w (80,57% carbohydrate, 14% protein, and 5.41% fat) or a high fat diet for 12 w (55,63% carbohydrate; 14,25% protein; and 30,10% fat). At the end of the study, high carbohydrate rats had higher blood glucose concentration than the high fat group (293.57 mg/dl). High carbohydrate and high fat diet both resulted in elevated beta cell pancreas density, but the density was seen lowest in high carbohydrate fed (45,06 mm2). The findings suggest that both high carbohydrate and high fat fed elevated blood glucose concentration and decreased the density of beta cell in rats. Keywords: high carbohydrate diet, high fat diet, blood glucose, beta cell pancreas density
MISCLASSIFIKASI PASIEN DIABETES MELITUS TIPE 2 (T2DM) DI INDONESIA: TINJAUAN SISTEMATIS DENGAN METODE PRISMA Zein, Eiska Rohmania; Sunindya, Bernadus Rudy
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol. 11 No. 2 (2025): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang

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Abstract

Type 2 diabetes mellitus (T2DM) is a major health problem in Indonesia, with a steadily increasing incidence. The high prevalence of undiagnosed cases and the occurrence of clinical and administrative misclassification pose significant challenges to health services, epidemiological research, and the national financing system. This study aims to review evidence related to the forms, causes, and impacts of T2DM misclassification in Indonesia using a systematic review approach using the PRISMA method, and to provide strategic recommendations for system improvement. A literature search was conducted in international and national databases using the PRISMA 2020 framework. Of the 456 articles identified, 35 were fully screened, and 9 met the inclusion criteria. Data were synthesized narratively due to methodological heterogeneity between studies. Misclassification of T2DM was found in three main areas. First, clinical misclassification occurs, particularly of LADA and MODY, which are often labeled as T2DM. Second, diagnostic overreliance on HbA1c without verification with OGTT or FPG, potentially resulting in false-positive or false-negative results. Third, administrative inaccuracies in ICD-10 coding affect claims, registries, and national reports. Furthermore, the large proportion of undiagnosed diabetes patients exacerbates data distortions and delays in treatment. Misclassification of T2DM in Indonesia is a multidimensional problem that impacts patients, healthcare professionals, and policymakers. An integrated strategy is needed, including strengthening diagnostic algorithms, training coders, electronic data audits, and expanding screening of high-risk populations to reduce misclassification and improve service quality.