Effects of Cinnamon Bark Extract, Moderate Intensity Exercise, Intermittent Fasting, Metformin on Fasting Blood Glucose Levels, Lipid Profile and Malondialdehyde in DMT2 Rats: Case Study

Authors

  • Arie Vonikartika Institut Kesehatan Mitra Bunda, Indonesia

DOI:

https://doi.org/10.59653/jhsmt.v3i02.1884

Keywords:

Diabetes induced rats, Cinnamon extract, moderate exercise swimming, intermittent fasting

Abstract

Diabetes is a silent killer. Diabetes mellitus (DM) occurs when the pancreas does not produce enough insulin or the body cannot use insulin effectively. DM is often characterised by chronic hyperglycemia. Diabetes Mellitus (DM) is one of the Non-Communicable Diseases (NCDs), which is a public health problem and has a relatively high number of sufferers in the world. Many ways are used to treat and prevent DM, including changing to a healthier lifestyle and using modern medicine or herbal medicine that can improve hyperglycemia in DM patients. This study was conducted to determine the effects of cinnamon extract with a dose of 120 mg / kgBW / day orally, moderate swimming exercise, and intermittent fasting for 19 days on T2DM Rats. The study shows that there was a significant increase (p<0.005) in Fasting Blood Glucose (FBG) between day 1 and day 4 in the untreated group. In the group given metformin, there was a significant change in FBS on day 1 and day 4. In the group given cinnamon extract, there was a change in FBG on days 1 and 4 (increase) and days 10 and 13 (decrease). In the swimming group, there was an increase in FBG on day 1 and day 4 and a significant decrease in FBS on days 10 and 14, while in intermittent fasting, there was an increase in FBS on day 1 and day 4, which was statistically significant. Increases and decreases in lipid and Malondialdehyde (MDA) profiles were also present in each treatment group. The conclusion is that cinnamon bark extract, moderate-intensity swimming exercise, and intermittent fasting impact fasting blood glucose levels, lipid profiles, and MDA in Diabetes induced rats.

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References

Ahuokpeme, I., Osuala, O. J., Ezemba, C. C., Ezemba, A. S., Etikudike, V., & Otolorin, I. (2023). Antimicrobial Effect of Cinnamon Bark Extracts on Microbial Isolates. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4450001

Albosta, M. dan Bakke, J. 2021. Intermittent fasting: Is there a role in the treatment of diabetes? A review of the literature and guide for primary care physicians. Clinical diabetes and endocrinology,

Anita Dyah Listyarini, Main Scholar of Nursing and Public Health Journal of Stikes Cendekia Utama Kudus. Brisk Walking Can Reduce Blood Glucose Levels in Diabetes Mellitus Patients in Klumpit Village, Gebog District, Kudus Regency. P-Issn 2252-8865 E-Issn 2598 – 4217 Vol. 6, No. 2 October, 2017 Available Online: http://jurnal.stikescendekiautamakudus.ac.id

Annisa Nadya Pratiwi. Can Fasting Lower Blood Sugar Levels? - Faculty of Medicine, Islamic University of Indonesia, Yogyakarta (uii.ac.id)

Batam City Health Office. (2018). Batam City Health Profile 2018. Batam City Health Profile, 54, 38–74.

Bayu Agung Pramono, et al ( 2020). Water activity: Recommendations for Lowering Blood Glucose SPORTIF Journal; Journal of Learning Research. Vol. 6 No 1, Aprol, pp. 173-183 https://doi.org/10.29407/js_unpgri.v6i1.13979

Berardi, John & Dixon, Krista. 2011. Experiments with Intermittent Fasting. Precision Nutrition Inc. Posted 03/24/2018 by akg under AKG Nutrition Info

Chan KW, Khong NM, Iqbal S, Cheng SE, Younas U, Babji AS. Cinnamon bark deodorised aqueous Extract as a potential natural antioxidant in meat emulsion system: a comparative study with synthetic and natural food antioxidants. J Food Sci Technol. 2014 Nov;51(11):3269–76

Dhulsavant, V., Shinde, S., Pawar, M. and Naikwade, N.S. Antihyperlipidemic Activity of Cinnamomum tamalaNess.On a High Cholesterol Diet Induced Hyperlipidemia.Int J of Pharm.& Life Sci.Vol.2(1) 2011:506-510

Directorate General of POM. (1995). Indonesian Pharmacopoeia. Fourth edition. Jakarta: Ministry of Health of the Republic of Indonesia. Pages 47, 1038.

Dr. Bernadette Dian Nivita Dewi, de.., MK (2019). Diabetes Mellitus and Tuberculosis Infection Diagnosis and Therapy Approach (Ratih Inda). CV. Andi Offset.

Dr. dr. Hans Tandra. (2020). Diabetes (Can) Be Cured Without Medicine (Susi Tjen (ed.); fl. Meiana). Rapha Publishing.Ministry of Health. (2020). Infodatin remains productive, prevents, and overcomes Diabetes Mellitus 2020. Data and Information Centre of the Ministry of Health of the Republic of Indonesia. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/Infodatin-2020-Diabetes-Melitus.pdf

Ega Priani, S., Neriani Budiman, S., Peni Fitrianingsih, S., Syafnir, L., & Muhammad Fakih, T. (2022). The Effect of Adding Cinnamon Bark Oil to the Tyrosinase Inhibitory Activity of Emulgel Containing Cocoa Pod Husk Extract. KnE Life Sciences. https://doi.org/10.18502/kls.v7i5.12513

Ganong, WF Textbook of Medical Physiology, Ganonng Edition 22. Jakarta: EGC: 2003

Giand Elmadahlia Tusara, Yoni Astuti. Cinnamon burmani powder reduces blood glucose levels in diabetic white rats induced by alloxan. Research article. Mutiara Medika Vol. 13 No. 3: 162-166, September 2013

Gourd BJ, Dwarakanath, Swami BKC. Streptozotocin - A Diabetogenic Agent in Animal Models. International Journal of Pharmacy and Pharmaceutical Research. 2015; 3(1): 253- 269

Harborne. (1987). Phytochemical Methods. Second edition. Bandung: ITB Publisher. Pages 102 – 103, 147 – 148.

Indonesian Food and Drug Administration. (2005). Preparation of Simple Drugs for Herbal Preparations. Jakarta: Indonesian Food and Drug Administration. Pages 11 – 12.

Malini P, Kanchana G, Rajadurai M. Antidiabetic Efficacy Of Ellagic Acid In Streptozotocin-Induced Diabetes Mellitus In Albino Wistar Rats. Asian Journal of Pharmaceutical and Clinical Research. 2011;4(3):124-8

Ministry of Health. (2020). Infodatin remains productive, prevents, and overcomes Diabetes Mellitus 2020: data and Information Centre of the Ministry of Health of the Republic of Indonesia. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/Infodatin-2020-Diabetes-Melitus.pdf

Ministry of Health of the Republic of Indonesia. (1989). Materia Indonesian Medicine. Volume V I. Jakarta: Department Health of the Republic of Indonesia. Pages 153 – 158.

Munawarah, S., & Segita, R. (2023). Case Study: A Depiction of Blood Pressure Following Hatha Yoga Practice. Journal of Health Science and Medical Therapy, 1(02 SE-Articles), 71–79. https://doi.org/10.59653/jhsmt.v1i02.281

National Centre for Biotechnology Information. Open Chemistry database: Streptozotocin Downloaded from https://pubchem.ncbi.nlm.nih.gov/compound/5300#section=Top on May 21, 2016 at 08.20 WIB

Novendy, Journal of Muara Science, Technology, Medicine, and Health Sciences Vol. 4, No. 2, October 2020: pp. 433-442. Effectiveness of Cinnamon Administration in Reducing Blood Sugar Levels After 2 Hours of Administration, ISSN 2579-6402 (Print Version) ISSN-L 2579-6410 (Electronic Version)

Nuari, nian A. (2017). Strategi Manajemen Edukasi Pasien Diabetes Mellitus. CV. Budi Utama.

Octa Sari Setiyani. Brisk Walking Application to Control Blood Glucose Levels in Type 2 Diabetes Mellitus Wound Sufferers. 17.0601.0023_BABI_BAB II_BAB III_BAB V_REFERENCES.pdf (ummgl.ac.id)

Pagliari, S., Forcella, M., Lonati, E., Sacco, G., Romaniello, F., Rovellini, P., Fusi, P., Palestini, P., Campone, L., Labra, M., Bulbarelli, A., & Bruni, I. (2023). Antioxidant and Anti-Inflammatory Effect of Cinnamon (Cinnamomum verum J. Presl) Bark Extract after In Vitro Digestion Simulation. Foods, 12(3). https://doi.org/10.3390/foods12030452

Plantamor. Information species: Wood Sweet Cinnamon cassia. Downloaded from http://www.plantamor.com/index.php?plant=331 on 20 May 2016

Prettika Juhan Arini, Martha Ardiaria, Journal of Nutrition College, Volume 5, Number 3, Year 2016. Effect of Giving Cinnamon Powder (Cinnamomum zeylanicum) Brew on Fasting Blood Glucose Levels 2 Hours Post Prandial in Type 2 Diabetes Mellitus Patients. Online at: http://ejournal-s1.undip.ac.id/index.php/jnc

Priani, S. E., Mutiara, R. M., & Mulyanti, D. (2020). The development of antioxidant peel-off facial masks from cinnamon bark extract (Cinnamomum burmannii). Pharmaciana, 10(1). https://doi.org/10.12928/pharmaciana.v10i1.14193

Raza H, John A. Streptozotocin-Induced Cytotoxicity, Oxidative Stress and Mitochondrial Dysfunction in Human Hepatoma HepG2 Cells. International Journal of Molecular Sciences. 2012; 13:5751- 67

Riskesdas RI. (2019). Riau Islands Province Report Riskesdas 2018. International & National Online Journal, 53 (9), Pages 1689-1699. www.journal.uta45jakarta.ac.id

Rohner, M. et al. (2021) 'Hepatic-Metabolite-Based Intermittent Fasting Enables a Sustained Reduction in Insulin Resistance in Type 2 Diabetes and Metabolic Syndrome', Hormone and Metabolic Research, 53(8), pp. 529–540. doi: 10.1055/a-1510-8896.

Sahib AS. Anti-diabetic and antioxidant effects of cinnamon in poorly controlled type-2 diabetic Iraqi patients: A randomised, placebo-controlled clinical trial. J Intercult Ethnopharmacol. 2016;5(2):108- 13

Soelistijo SA, Lindarto D, Decroli E, Permana H, Sucipto KW, Kusnadi Y, et al. Guidelines for the management and prevention of adult type 2 diabetes mellitus in Indonesia 2019. Indonesian Endocrinology Society [Internet]. 2019;1–117. Available from: https://pbperkeni.or.id/wp-content/uploads/2020/07/PedomaPengelolaan-DM-Tipe-2-Dewasa-di-Indonesia-eBook-PDF-1.pdf

Subiyanto, Paulus (2019). Nursing Care for Patients with Endocrine System Disorders. Yogyakarta: Pustaka Baru Press.

Sugianto (2016) Quantitative, Qualitative, and D Research Methods. Bandung: Alfabeta.

Soetrisno, U., &, & Soegondo, S. (2014). Prevalence and clinical profile of diabetes. Journal of Diabetes of Investigation. https://doi.org/10.1111/jdi.12177

Szkudelski, T. The Mechanism of Alloxan and Streptozotocin Action in B Cells of The Rat Pancreas. Physiological Research 2001:50:536-546.

Versphol EJ, Bauer K, Neddermann E. Antidiabetic Effect of Cinnamomum cassia and Cinnamomum zeylanicum In vivo and In vitro. Phytotherapy Research. 2005

WHO (2016) Global Report on Diabetes. France: World Health Organisation.

WHO. (2021). DIABETES. https://www.who.int/news-room/fact-sheets/detail/diabetes

Yurida, & Huzaifah Zaqyyah. (2019). The Effect of Walking on Blood Sugar Levels in Type II Diabetes Mellitus Patients. 10 (2), 911–915

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Published

2025-07-15

How to Cite

Vonikartika, A. (2025). Effects of Cinnamon Bark Extract, Moderate Intensity Exercise, Intermittent Fasting, Metformin on Fasting Blood Glucose Levels, Lipid Profile and Malondialdehyde in DMT2 Rats: Case Study. Journal of Health Science and Medical Therapy, 3(02), 206–217. https://doi.org/10.59653/jhsmt.v3i02.1884

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