Hubungan Asupan Serat dengan Kontrol Glikemik pada Pasien Diabetes Melitus Tipe 2: Tinjauan Literatur

Authors

  • Fitri Firdausil Ma'wah Universitas Airlangga
  • Farapti Farapti Universitas Airlangga

DOI:

https://doi.org/10.55123/sehatmas.v5i2.7923

Keywords:

Dietary Fiber, Glycemic Control, Blood Glucose, HbA1c, Type 2 Diabetes Mellitus

Abstract

Type 2 diabetes mellitus is a global health problem with increasing prevalence and a high risk of complications due to poor glycemic control. Dietary fiber intake plays an important role in maintaining blood glucose stability by slowing glucose absorption and improving insulin sensitivity. This study aims to analyze the relationship between fiber intake and glycemic control in patients with type 2 diabetes mellitus using a literature review approach. Articles were obtained from Google Scholar, PubMed, and ScienceDirect based on relevant keywords, with inclusion criteria including full-text research articles published within the last 10 years that examined fiber intake and glycemic control. The selected studies were analyzed descriptively. The findings indicate that most studies reported a significant relationship between higher fiber intake and better glycemic control, reflected in lower fasting blood glucose and HbA1c levels. Intervention studies also showed that increased consumption of fiber, particularly soluble fiber and vegetables, contributed to improved glycemic outcomes, although some studies reported no direct association due to variations in study design, sample size, type of fiber, and glycemic indicators used. Adequate fiber intake can therefore support glycemic control and should be considered as part of dietary management in patients with type 2 diabetes mellitus.

Downloads

Download data is not yet available.

References

Abutair, A. S., Naser, I. A., & Hamed, A. T. (2016). Soluble fibers from psyllium improve glycemic response and body weight among diabetes type 2 patients (randomized control trial). Nutrition Journal, 15(1), 1–7. https://doi.org/10.1186/s12937-016-0207-4

Amanda, E., & Bening, S. (2019). Hubungan Asupan Zink, Magnesium, dan Serat dengan Kadar Gula Darah Puasa Pasien Diabetes Mellitus Tipe 2 di RS PKU Muhammadiyah Temanggung. Jurnal Gizi, 8(2), 87–94. http://jurnal.unimus.ac.id

Anastasya, F., Nurmayunita, H., & Mufarokhah, H. (2026). Hubungan Dukungan Keluarga dengan Kepatuhan Kontrol Gula Darah pada Penderita Diabetes Melitus Tipe II di Puskesmas Pandawangi. RIGGS: Journal of Artificial Intelligence and Digital Business, 4(4), 9485–9492. https://doi.org/10.31004/riggs.v4i4.5000

Badan Kebijakan Pembangunan Kesehatan. (2023). Dalam Angka Tim Penyusun SKI 2023 Dalam Angka Kementrian Kesehatan Republik Indonesia.

Dewi, D. P., Fatimah, F., & Zakiyah, Z. (2024). Indeks glikemik cookies subsitusi tepung beras merah (oryza nivara) dan tepung kacang koro pedang (canavalia ensiformis) kacang koro pedang (canavalia ensiformis) makanan fungsional untuk penderita diabetes. Journal of Nutrition College, 13(1), 9–16. http://ejournal3.undip.ac.id/index.php/jnc/

Fu, J., Xu, K., Ni, X., Li, X., Zhu, X., & Xu, W. (2022). Habitual Dietary Fiber Intake, Fecal Microbiota, and Hemoglobin A1c Level in Chinese Patients with Type 2 Diabetes. Nutrients, 14(5), 1003. https://doi.org/10.3390/nu14051003

Giuntini, E. B., Sardá, F. A. H., & de Menezes, E. W. (2022). The Effects of Soluble Dietary Fibers on Glycemic Response: An Overview and Futures Perspectives. Foods, 11(23), 1–26. https://doi.org/10.3390/foods11233934

International Diabetes Federation (IDF). (2025). International Diabetes Federation Diabetes Atlas 11th edition.

Jannah, M., Rahardjo, S. S., & Febrinasari, R. P. (2025). Studi Eksperimental Efektivitas Soygurt Kacang Hijau Sari Kurma sebagai Terapi Adjuvan pada Tikus Diabetes Tipe 2. Nutriology: Jurnal Pangan, Gizi, Kesehatan, 6(2), 74–82.

Maifitrianti, M., Wulandari, N., Haro, M., Lestari, S. F., & Fitriani, A. (2020). Glycemic Control and Its Factor in Type 2 Diabetic Patients in Jakarta. Indonesian Journal of Clinical Pharmacy, 9(3), 198. https://doi.org/10.15416/ijcp.2020.9.3.198

Mao, T., Huang, F., Zhu, X., Wei, D., & Chen, L. (2021). Effects of dietary fiber on glycemic control and insulin sensitivity in patients with type 2 diabetes: A systematic review and meta-analysis. Journal of Functional Foods, 82. https://doi.org/10.1016/j.jff.2021.104500

Marbun, T. S. G., Susyani, & Podojoyo. (2023). Pengaruh Pemberian Food Bar Tinggi Serat Terhadap Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2. Journal of Nutrition College, 12(2), 105–112. http://ejournal3.undip.ac.id/index.php/jnc/

Pavitasari, A., Farapti, F., Rachmah, Q., & Kalpana, C. A. (2022). Fiber Intake and Vegan Lifestyle Behaviour on Blood Glucose Control in Type 2 Diabetes Mellitus Patients: A Case-Control Study. Current Diabetes Reviews, 19(5), 108–114. https://doi.org/10.2174/1573399819666220810164637

Purbowati, & Septiani, D. D. (2024). Indeks Glikemik Produk Sereal Berbasis Pangan Lokal. Jurnal Medika Indonesia, 5(1), 19–26.

Sears, B., & Perry, M. (2015). The role of fatty acids in insulin resistance. Lipids in Health and Disease, 14(1), 121. https://doi.org/10.1186/s12944-015-0123-1

Soviana, E., & Maenasari, D. (2019). Asupan Serat, Beban Glikemik dan Kadar Glukosa Darah Pada Pasien Diabetes Melitus Tipe 2. Jurnal Kesehatan, 12(1), 19.

Syadzarani, B. A., Situmorang, D., & Tiono, H. (2025). Pengaruh Konsumsi Serat Pada Status Gizi Kurang Anak Sekolah TK “X” Kota Bandung Tahun Ajaran 2022/2023. Sound of Health Journal, 1(1), 60–66.

Tucker, L. A. (2018). Fiber intake and insulin resistance in 6374 adults: The role of abdominal obesity. Nutrients, 10(2), 237. https://doi.org/10.3390/nu10020237

Xie, Y., Gou, L., Peng, M., Zheng, J., & Chen, L. (2021). Effects of soluble fiber supplementation on glycemic control in adults with type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials. Clinical Nutrition, 40(4), 1800–1810. https://doi.org/10.1016/j.clnu.2020.10.032

Yen, T. S., Htet, M. K., Lukito, W., Bardosono, S., Setiabudy, R., Basuki, E. S., Wibudi, A., Martianto, D., Subekti, I., & Fahmida, U. (2022). Increased vegetable intake improves glycaemic control in adults with type 2 diabetes mellitus: a clustered randomised clinical trial among Indonesian white-collar workers. Journal of Nutritional Science, 11(49). https://doi.org/10.1017/jns.2022.41

Zakiyah, F. F., Indrawati, V., Sulandjari, S., & Pratama, S. A. (2023). Asupan karbohidrat, serat, dan vitamin D dengan kadar glukosa darah pada pasien rawat inap diabetes mellitus. Jurnal Gizi Klinik Indonesia, 20(1), 21. https://doi.org/10.22146/ijcn.83275

Zheng, L., Jiang, R., Fang, J., Tan, Y., Wang, Y., Li, L., & Liu, M. (2025). Short-chain fatty acids and type 2 diabetes: a bibliometric analysis of knowledge structure, research hotspots, and future directions. Frontiers in Microbiology, 16, 1–21. https://doi.org/10.3389/fmicb.2025.1697421

Downloads

Published

2026-04-15

How to Cite

Fitri Firdausil Ma'wah, & Farapti, F. (2026). Hubungan Asupan Serat dengan Kontrol Glikemik pada Pasien Diabetes Melitus Tipe 2: Tinjauan Literatur. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 5(2), 367–376. https://doi.org/10.55123/sehatmas.v5i2.7923

Issue

Section

Articles