Empowering Diabetes Management through Nutritional Innovations: The Role of Golden Rice Cookies Enriched with Piper crocatum Extract
DOI:
https://doi.org/10.33084/pengabdianmu.v10i6.9297Keywords:
Diabetes Mellitus, Functional food, Diet managementAbstract
Diabetes mellitus (DM) is a growing global health issue, with dietary management posing significant challenges for patients. The habit of consuming high-sugar and high-fat snacks, as observed at Bajeng Community Health Center, Gowa Regency, increases the risk of serious complications, including diabetic ulcers and cardiovascular diseases. This program aimed to develop and optimize Golden Rice Cookies, a healthy snack enriched with locally sourced Piper crocatum extract, as a nutritional alternative for DM patients. A participatory approach was employed, involving an initial analysis of partner conditions, product development through organoleptic and hedonic testing, and education on diabetes dietary management. Over three months, patients consumed Golden Rice Cookies, and outcomes were evaluated based on fasting blood glucose (FBG), body mass index (BMI), and dietary compliance levels. The results demonstrated that Golden Rice Cookies were well-received, with high satisfaction scores for taste, aroma, and texture (≥4 on a 5-point scale). Regular consumption significantly reduced FBG by an average of 29.9 mg/dL, BMI by 1.3 kg/m², and increased dietary compliance by 20.5%. The flavonoids and polyphenols in P. crocatum contributed to oxidative stress suppression, inflammation reduction, and modulation of key biomarkers such as MMP-9 and NGAL. This program successfully empowered DM patients to manage their condition through a sustainable and locally based nutritional innovation. This approach holds promise for replication in other regions with high diabetes prevalence to support more effective and sustainable diabetes management.
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References
American Diabetes Association Professional Practice Committee, 2024. Obesity and Weight Management for the Prevention and Treatment of Type 2 Diabetes: Standards of Care in Diabetes–2024. Diabetes Care 47, S145–S157. https://doi.org/10.2337/dc24-S008
De Steur, H., Stein, A.J., Demont, M., 2022. From Golden Rice to Golden Diets: How to turn its recent approval into practice. Glob Food Sec 32. https://doi.org/10.1016/j.gfs.2021.100596
Directorate General of Disease Prevention and Control, M. of H.R. of I., 2022. Annual Report 2022: Prevention and Control of Non-Communicable Diseases (NCDs). https://p2p.kemkes.go.id/wp-content/uploads/2023/12/FINAL_231123_Layout-PTM_Bahasa-Inggris.pdf
International Diabetes Federation, 2021. IDF Diabetes Atlas | Tenth Edition. International Diabetes Federation. https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf
Jafar, N., Huriyati, E., Haryani, Setyawati, A., 2023. Enhancing knowledge of Diabetes self-management and quality of life in people with Diabetes Mellitus by using Guru Diabetes Apps-based health coaching. J Public Health Res 12. https://doi.org/10.1177/22799036231186338
Kobayashi, K., Wang, X., Wang, W., 2023. Genetically Modified Rice Is Associated with Hunger, Health, and Climate Resilience. Foods. https://doi.org/10.3390/foods12142776
Krawczyk, M., Burzynska-Pedziwiatr, I., Wozniak, L.A., Bukowiecka-Matusiak, M., 2023. Impact of Polyphenols on Inflammatory and Oxidative Stress Factors in Diabetes Mellitus: Nutritional Antioxidants and Their Application in Improving Antidiabetic Therapy. Biomolecules. https://doi.org/10.3390/biom13091402
LeSeure, P., Chin, E., Zhang, S., 2024. A Culturally Sensitive Mobile App (DiaFriend) to Improve Self-Care in Patients With Type 2 Diabetes: Development Study (Preprint). JMIR Res Protoc. https://doi.org/10.2196/preprints.63393
Lochana L. Malode, Jagdish V. Manwar, Wrushali A. Panchale, Shivam A. Bartere, Ravindra L. Bakal, 2021. Potential of medicinal plants in management of diabetes: An updates. GSC Advanced Research and Reviews 8, 149–169. https://doi.org/10.30574/gscarr.2021.8.1.0151
Naz, R., Saqib, F., Awadallah, S., Wahid, M., Latif, M.F., Iqbal, I., Mubarak, M.S., 2023. Food Polyphenols and Type II Diabetes Mellitus: Pharmacology and Mechanisms. Molecules. https://doi.org/10.3390/molecules28103996
Park, L., Vang, A., Yang, B., Quanbeck, A., 2023. Barriers to Type 2 Diabetes Mellitus Management for Older Hmong Patients with Minimal English Language Skills: Accounts from Caregivers, Case Managers, and Clinicians. J Racial Ethn Health Disparities, 10, 3062–3069. https://doi.org/10.1007/s40615-022-01480-7
Pratiwi, T.F., Wahdi, A., Susanti, Novia, Hakim, T., Akbaril, R.F.O., Susanti, Noviyanti, 2021. Dietary pattern adherence in patients with type II diabetes mellitus. Jurnal Keperawatan Komprehensif │ 7, 2021. https://doi.org/10.33755/jkk
Ribu, L., Rønnevig, M., Corbin, J., 2019. People with type 2 diabetes struggling for self-management: A part study from the randomized controlled trial in RENEWING HEALTH. Nurs Open 6, 1088–1096. https://doi.org/10.1002/nop2.293
Setyawati, A., Jafar, N., Yusuf, S., Aminuddin, A., 2024. Enhancing diabetes management: Nurse-Led coaching at PROLANIS Diabetes Club. ABDIMAS: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang 9, 350–360. https://jurnal.unmer.ac.id/index.php/jpkm/article/download/12433/pdf/46039
Setyawati, A., Saleh, A., Tahir, T., Yusuf, S., Aminuddin, A., Raihan, M., Jafar, N., Hamzah, H., Arfian, N., 2023a. Study protocol of golden rice cookies with P. crocatum extract: Biomolecular solution for preventing diabetic foot ulcers. JMIR Res Protoc. https://doi.org/10.2196/49940
Setyawati, A., Sri, M., Wahyuningsih, H., Aris, D., Nugrahaningsih, A., Effendy, C., Ibeneme, S., 2023b. Piper crocatum Ruiz & Pav as a commonly used typically medicinal plant from Indonesia: What do we actually know about it? Scoping review. Indonesian Contemporary Nursing Journal 7, 61–78. https://doi.org/10.20956/icon.v7i2.23891
Setyawati, A., Wahyuningsih, M.S.H., Nugrahaningsih, D.A.A., Effendy, C., Fneish, F., Fortwengel, G., 2021. Piper crocatum Ruiz & Pav. ameliorates wound healing through p53, E-cadherin and SOD1 pathways on wounded hyperglycemia fibroblasts. Saudi J Biol Sci 28, 7257–7268. https://doi.org/10.1016/j.sjbs.2021.08.039
Shahidi, F., Danielski, R., 2024. Review on the Role of Polyphenols in Preventing and Treating Type 2 Diabetes: Evidence from In Vitro and In Vivo Studies. Nutrients . https://doi.org/10.3390/nu16183159
Shamsudin, N.F., Ahmed, Q.U., Mahmood, S., Shah, S.A.A., Sarian, M.N., Khattak, M.M.A.K., Khatib, A., Sabere, A.S.M., Yusoff, Y.M., Latip, J., 2022. Flavonoids as Antidiabetic and Anti-Inflammatory Agents: A Review on Structural Activity Relationship-Based Studies and Meta-Analysis. Int J Mol Sci 23. https://doi.org/10.3390/ijms232012605
Shareef, J., Apidechkul, T., Srichan, P., 2024. Prevalence of and factors associated with suboptimal glycemic control among patients with type 2 diabetes mellitus attending public hospitals in the Greater Male’ Region, Maldives: a hospital-based cross-sectional study. BMC Public Health 24. https://doi.org/10.1186/s12889-024-18693-6
Standl, E., Khunti, K., Hansen, T.B., Schnell, O., 2019. The global epidemics of diabetes in the 21st century: Current situation and perspectives. Eur J Prev Cardiol, 26, 7–14. https://doi.org/10.1177/2047487319881021
Torri, L., Cardello, A., Caro, A. Del, Delarue, J., 2022. Hedonic response sensitivity to variations in the evaluation task and culinary preparation in a natural consumption context. Front Nutr. https://doi.org/https://doi.org/10.3389/fnut.2022.1008577
Williamson, G., Sheedy, K., 2020. Effects of polyphenols on insulin resistance. Nutrients. https://doi.org/10.3390/nu12103135
Wulandary Pane, H., Suryantara, B., Julia Kristiarini, J., Guna, S., Yogyakarta, B., 2023. Comparison of Red Betel Leaf Decoction and Aloe Vera Decoction on Decreased Sugar Levels in Patients with Diabetes Mellitus at Setia Janji Health Center. Contagion: Scientific Periodical of Public Health and Coastal Health 5, 637–651. http://dx.doi.org/10.30829/contagion.v5i2.15007

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