Authors: Lingling Marinda Palupi1, Kusnanto2, Budi Utomo3
1Master of Nursing Study Program, Faculty of Nursing, Airlangga University, Indonesia
2Department of Fundamental of Nursing, Faculty of Nursing, Airlangga University, Indonesia
3Department of Public Health Science, Faculty of Medicine, Airlangga University, Indonesia
Abstract
Background: Metabolic system disorders experienced by DM patients can lead to unmet energy needs so that people easily feel hungry, thirsty, and tired untilbecome the complication causesof other diseases. DM management consists of 5 main pillars, including nutrition fulfillment, physical exercise, medication, education, blood glucose monitoring. Utilize a combination of nutritional fulfillment and physical exercise can optimize the stability of blood glucose levels. Methods: The study design used the randomized post-test only control group design with the number of samples using the Federer formula, 30 male white Wistar strain male rat, divided into five groups. The first group as negative control group, second group as positive control (induce STZ 50mg / kgBB), third group was given alkaline water 20 ml / day, fourth group was done swimming exercise 4 times a week with duration 30 minutes, fifth group was given the combination of two treatments, Where the treatment was carried out for 28 days. Data analysis using MANOVA test. Results: The results of this study were, there was effect of giving alkaline pH water and physical swimming exercise on blood glucose and GLUT 4 with p <0.0001. Discussion: This study shows that combination therapy can reduce fasting blood glucose levels and 2 hours of PP blood glucose level to normal limits. Provision of a single alkaline water therapy, and physical exercise can lower fasting blood glucose levels to normal levels, but have not been able to reduce 2 hours PP blood glucose levels to normal limits. The number of GLUT 4 has not shown any changes to the therapy.
Keywords: Alkaline water, Swimming excercise, GLUT 4, Blood glucose level