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Literature Review: The Effectiveness Of Brown Rice Diet As Nonpharmacological Nutritional Therapy In Type 2 Diabetes Mellitus Patients Andi Nur Azizah Alifuddin; Hasan Hasan; Pratiwi Nasir Hamzah
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.618

Abstract

Type 2 diabetes mellitus is a global health problem with a high prevalence in Indonesia and requires comprehensive management, including non-pharmacological nutritional therapy. The choice of carbohydrate sources plays an important role because white rice has a high glycemic index, while brown rice has a lower glycemic index and contains fiber and bioactive compounds that have the potential to help control blood glucose. Therefore, this study aims to determine the nutritional content of brown rice that is relevant to the management of type 2 diabetes, to analyze the effect of brown rice consumption on glycemic control in patients with type 2 diabetes, to determine the effect of a brown rice diet on other metabolic parameters such as body weight, lipid profile, and insulin sensitivity, and to summarize the scientific evidence related to the potential of brown rice as an alternative dietary intervention for patients with type 2 diabetes. This study used a literature review method with a narrative review design. The results of the study showed that brown rice has nutritional content that is relevant to the management of type 2 DM, especially fiber, vitamins, minerals, and bioactive compounds that support improved glucose metabolism. The application of a brown rice diet contributes to improved glycemic control, as indicated by a decrease in fasting blood glucose, postprandial glucose, and HbA1c. In addition, brown rice consumption also has a positive impact on other metabolic parameters, including improved lipid profile, insulin sensitivity, and potential weight control. Overall, brown rice has the potential to be a healthier alternative source of carbohydrates and is applicable as part of non-pharmacological nutritional therapy in patients with type 2 diabetes. It can be concluded that a brown rice diet is an effective and safe non-pharmacological nutritional intervention to support the management of type 2 DM through improved glycemic control and metabolic parameters, making it a recommended alternative carbohydrate source in the patient's diet.
Case report diabetic foot infection wagner grader 4 pada digiti 1 pedis dextra disertai osteomielitis phalanx distal digiti 1 pedis dextra dan peripheral arterial disease ringan Khusnulilda Khusnulilda; Berry Erida Hasbi; Hasan Hasan
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 7 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i7.3649

Abstract

Background: Gangrene and osteomyelitis are serious complications of chronic lower extremity wounds that can lead to progressive tissue destruction, increase the risk of amputation, and worsen clinical outcomes. Early diagnosis and appropriate management are essential to control infection and prevent further complications. Case Presentation: A 68-year-old man presented with a wound on his right great toe that had persisted for two months and worsened over the preceding two weeks. Physical examination revealed a gangrenous ulcer of the right hallux accompanied by edema, pain, blackish discoloration, and purulent discharge. Laboratory investigations showed leukocytosis, anemia, thrombocytopenia, and hypoalbuminemia, while an ankle-brachial index of 0.84 indicated mild peripheral arterial disease. Plain radiography of the right foot demonstrated osteolysis of the distal phalanx consistent with osteomyelitis. Based on the clinical, laboratory, and radiological findings, the patient was diagnosed with gangrene of the right hallux complicated by osteomyelitis. Management included antibiotic therapy, correction of nutritional and electrolyte abnormalities, and right hallux amputation with debridement of necrotic tissue. Postoperatively, the patient showed clinical improvement with resolution of pain, absence of systemic signs of infection, and satisfactory wound healing. Conclusion: Gangrene complicated by osteomyelitis requires comprehensive evaluation and prompt management. Timely minor amputation combined with adequate debridement and infection control can serve as an effective definitive treatment to eradicate the source of infection and promote wound healing.   Keywords: Chronic Wound; Gangrene; Lower Extremity Infection; Minor Amputation; Osteomyelitis.