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  1. Lestari S, Sunaryo T, Arvianto RI
    Med J Malaysia, 2023 Jul;78(4):515-518.
    PMID: 37518924
    INTRODUCTION: Diabetes mellitus is a disease characterized by an increase in blood sugar levels due to abnormalities in the insulin hormone system. The number of people with this disease is expected to increase every year. Therefore, it is necessary to develop diabetes mellitus drugs that have effective performance in reducing blood glucose level. Coffee contain chlorogenic acid and caffeine. Chlorogenic acid play a role in increasing insulin sensitivity. However, the caffeine causes a decrease in glucose tolerance. The removal of caffeine or the decaffeination process is expected to improve the quality of coffee as an anti-diabetic drug. The aim of this study was to investigate the effectiveness of decaffeinated coffee extract in reducing blood sugar.

    MATERIALS AND METHODS: Green or roasted coffee extract was decaffeinated using activated charcoal. Decaffeinated coffee extract with the lowest caffeine and the highest chlorogenic acid based on HPLC measurement was used for antidiabetic test. The anti-diabetic test was conducted with 52 DM type 2 patient selected by purposive sample. The test were divided into two groups: intervention (26 respondents) and control group (26 respondents). The data were analysed by Paired and Independent t test.

    RESULTS: Decaffeinated green coffee extract is very suitable for use as a drug to lower blood sugar in DM type 2 patients than decaffeinated roasted coffee extract because of higher in chlorogenic acid and lower in caffeine (Figure 2). Treatment by decaffeinated green coffee extract for 3 weeks showed a significant decrease in average fasting blood glucose level from 144.7 g/dl to 92.23 g/dl. All statistical tests showed a p value = 0.001 (below the significant value), this value proves the success of reducing blood glucose by decaffeinated green coffee extract.

    CONCLUSION: The decaffeinated green coffee extract decreases fasting blood sugar significantly.

  2. Sunaryo T, Lestari S, Sevendor Khor BFA
    Enferm Clin, 2020 06;30 Suppl 5:192-195.
    PMID: 32713567 DOI: 10.1016/j.enfcli.2019.11.052
    Diabetic feet ulcer is four times more likely to be found in patients who suffer from diabetes mellitus than in those who don't. Diabetic feet ulcer is one of chronic complications of diabetes mellitus which causes defects even deaths. Diabetes mellitus in one of the ten most frequent diseases in Indonesia. According to Riskesdas (Riset Kesehatan Dasar - Basic Health Research), the increment number of patients with diabetes mellitus from 2007 up to 2013 is 330,512.1 The research is aimed to find out the effect of oral hydrotherapy on risk reduction of diabetic feet ulcer in patients with type-2 diabetes mellitus. The research was done by applying quasi-experimental design (pre-test and post-test design with control group). By total population sampling, there were 68 respondents who participated. About 34 of the respondents were in experimental group at Dr. Soediran Mangun Sumarso of Wonogiri, and 34 respondents were patients who had check-ups at RS PKU Muhammadiyah of Surakarta. The research result shows that oral hydrotherapy can minimize risk reduction of diabetic feet ulcer in patients with type-2 diabetes mellitus significantly with p-value of 000.0 (α=0.005).
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