摘要：In type 2 diabetes mellitus, waist circumference was associated with increase of plasma free fatty acid and improvement in insulin resistance . Crispy arrowroot flake contain high fiber content and has a low glycemic index value which is expected to lower waist circumference through lipolysis. This study was conducted to determine the effect of the crispy arrowroot flake on waist circumference and plasma free fatty acid in type 2 diabetes mellitus. A quasi-experimental study was conducted on 30 type 2 diabetic patients who regularly visited endocrine clinic of RSUP Dr. Sardjito Yogyakarta. The criterias participants are age 35-60 years, fasting blood glucose > 126 mg / dL and they arent smoking, pregnant, lactating and hypertension. The 7 grams of flake was given 3 times per day for 8 weeks. Waist circumference and blood free fatty acid were measured before and after 8 weeks intervention. Consuming of the flake can reduce waist circumference and increase free fatty acid . Waist circumference was lower in men (86.35±6.78 vs 85.30±6.38, p = 0.453) than in women (84.74±8.92 vs 83.76±7.81, p = 0.176). Free fatty acid was found increase in men (0.29±0.512 vs 0.633±0.26, p = 0.231), whereas no change was observed in women (0.837±0.26 vs 0.834±0.32, p = 0.962). Consumption of the crispy arrowroot flake can reduce waist circumference that is more amount in men than in women type 2 diabetes. Increased of free fatty acid only found in men.
