Application of the DASH Diet Diet to Blood Sugar Control and Diabetes Complications

Authors

  • Aulia Nur Azizah Universitas Negeri Islam Author

DOI:

https://doi.org/10.62872/kdfp1q66

Keywords:

DASH diet, type 2 diabetes mellitus, glycemic control, complications, nutritional interventions

Abstract

Diabetes mellitus (DM) is one of the global health problems with increasing prevalence and complications. Dietary interventions are one of the important pillars in diabetes management, where the Dietary Approaches to Stop Hypertension (DASH) diet is beginning to be recognized as a potential strategy. This quasi-experimental study with a pre-test and post-test control group design aims to evaluate the effect of the application of DASH modified according to local food on glycemic control and risk markers of complications in patients with type 2 diabetes mellitus in Indonesia. A total of 80 participants were divided into intervention and control groups. The intervention group followed the DASH program for 12 weeks with menu arrangements according to local food availability. Variables measured included fasting blood glucose, HbA1c, blood pressure, lipid profile, and glomerular filtration rate (eGFR). The results showed significant improvement in the intervention group, with a decrease in fasting blood glucose (−27 mg/dL), HbA1c (−1.3%), systolic blood pressure (−11.6 mmHg), LDL cholesterol, and an increase in HDL cholesterol and eGFR (p < 0.05). These findings confirm that DASH is not only effective as a hypertension control strategy, but also as a nutritional intervention to improve glycemic control and lower the risk of diabetes complications. Although the results are promising, further research with randomized clinical trial designs, larger sample counts, and longer durations is still needed to strengthen the evidence base.

Downloads

Download data is not yet available.

References

American Diabetes Association. (2024). Standards of Care in Diabetes—2024. Diabetes Care, 47(Suppl 1), S1–S168. https://doi.org/10.2337/dc24-Sint

Anyanwu, O. A., et al. (2022). Dietary patterns and risk factors for hypertension and obesity in Indonesia: A cross-sectional analysis. Nutrients, 14(21), 4423. https://doi.org/10.3390/nu14214423

Belanger, M. J., et al. (2023). Effects of the DASH diet on biomarkers of subclinical cardiac injury and inflammation: A systematic review. Journal of the American Heart Association, 12(3), e028341. https://doi.org/10.1161/JAHA.122.028341

Bensaaud, A., et al. (2025). DASH for the primary and secondary prevention of cardiovascular disease: A systematic review. Diabetes, Obesity and Metabolism, 27(1), 34–46. https://doi.org/10.1111/dom.15821

Butcher, N. J., et al. (2022). CONSORT-Outcomes 2022 extension: harmonized outcome reporting standards for clinical trials. JAMA, 328(22), 2252–2260.

Craig, P., et al. (2021). Developing and evaluating complex interventions: Updating medical research council guidance. BMJ, 374, n2061. https://doi.org/10.1136/bmj.n2061

Daneshzad, E., Mirzaei, K., et al. (2022). Effects of DASH diet on cardiometabolic status and anthropometrics in type 2 diabetes: randomized controlled trial. Journal of the American Heart Association, 11(3), e027197.

Darmawan, E. S., et al. (2024). In-hospital mortality of type 2 diabetes patients and associated factors in Indonesia. International Journal of Environmental Research and Public Health, 21(5), 581.

Etikan, I., & Bala, K. (2021). Sampling and sampling methods in research methodology. Biostatistics & Biometrics Open Access Journal, 10(4), 555744. https://doi.org/10.19080/BBOAJ.2021.10.555744

Hu, H., et al. (2025). Dietary therapy to halt the progression of diabetes to diabetic complications. Food & Function, 16(4), 2110–2123. https://doi.org/10.1039/D4FO01567E

International Diabetes Federation. (2024). IDF Diabetes Atlas (11th ed.)—Country profile: Indonesia. Brussels: IDF. Retrieved from https://idf.org

International Diabetes Federation. (2025). IDF Diabetes Atlas (11th ed.)—Global factsheet. Brussels: IDF. Retrieved from https://idf.org

Isnaini, N., et al. (2025). Blood pressure impact of DASH: Systematic review and meta-analysis. Open Access Macedonian Journal of Medical Sciences, 13(2), 184–192. https://doi.org/10.3889/oamjms.2025.2025

Liberty, I. A., et al. (2024). The impact of lifestyle changes on prediabetes and diabetes in Indonesia: Analysis of RISKESDAS 2013–2018. Diabetology, 5(6), 537–553. https://doi.org/10.3390/diabetology5060042

Lv, Y., & Aihemaiti, G. (2024). Effects of the DASH diet on metabolic syndrome and glucose abnormalities: Mechanisms and evidence. Nutrients, 16(2), 423. https://doi.org/10.3390/nu16020423

Quan, X., et al. (2024). Adherence to the DASH diet and risk of type 2 diabetes: A systematic review and meta-analysis. Nutrients, 16(7), 1452. https://doi.org/10.3390/nu16071452

Sedgwick, P. (2020). Quasi-experimental study design. BMJ, 369, m1003. https://doi.org/10.1136/bmj.m1003

Swami, S., et al. (2025). Modified DASH diet and glycemic control in type 2 diabetes: A clinical study. Cureus, 17(3), e56892. https://doi.org/10.7759/cureus.56892

uraschek, S. P., Kovell, L. C., et al. (2021). Effects of Diet and Sodium Reduction on Cardiac Injury, Strain, and Inflammation: The DASH–Sodium Trial. Journal of the American College of Cardiology, 77(21), 2625–2634. https://doi.org/10.1016/j.jacc.2021.03.320

Wahidin, M., et al. (2024). Projection of diabetes morbidity and mortality in Indonesia to 2045: A modelling study. BMC Public Health, 24(1), 1892. https://doi.org/10.1186/s12889-024-18921-7

Downloads

Published

2025-08-30

Issue

Section

Articles

How to Cite

Application of the DASH Diet Diet to Blood Sugar Control and Diabetes Complications. (2025). Journal Nutrizione, 2(2), 8-14. https://doi.org/10.62872/kdfp1q66

Similar Articles

1-10 of 27

You may also start an advanced similarity search for this article.