Reduction of Levels Postprandial Blood Glucose on Medium Intensity Physical Exercise in Intervals and Continues

The research was intended to Proving short-term physical exercise lowers blood glucose on patients with diabetes mellitus. Proving long-term physical exercise lowers blood glucose on patients with diabetes mellitus. Proving long-term physical exercise further lowers blood glucose compared to short-term physical exercise on patients with diabetes mellitus. From the discussion described earlier, the following conclusions can be drawn included (1) Light intensity physical exercise for 20 minutes can reduce blood glucose in diabetes mellitus patients immediately after exercise and 1 hour after exercise. (2) 10 minutes of moderate intensity physical exercise can reduce blood glucose immediately after 10 minutes of exercise and 1 hour after exercise. (3) There is no difference in blood glucose reduction in 20 minutes duration light exercise with 10 minutes duration exercise in people with diabetes mellitus.


Introduction
On patients with diabetes mellitus, a metabolic change that causes hyperglycemia (blood glucose>126 mg/dl) is caused by glucose transport across the reduced cell membrane, reduced glycogenesis and increased glycolysis (Bleving, 2000). One of the consequences or complications that occur in patients with diabetes mellitus is the occurrence of hyperglycemia that can eventually lead to coma. If blood sugar levels are continuously high and a Udayana University, Indonesia b Udayana University, Indonesia c Udayana University, Indonesia d Udayana University, Indonesia IRJEIS ISSN: 2454-2261 Fathoni, A., Adiputra, N., Pangkahila, J. A., & Adiatmika, I. P. G. (2018. Reduction  11 uncontrollable, complications may occur in all blood vessels such as blood vessels of the brain (stroke), eye blood vessels (blindness), systemic blood vessels (hypertension), coronary arteries with coronary heart disease, renal blood vessels (kidney failure), can also occur injuries that are difficult to heal (gangrene) (Nuriyasa et al., 2018).
Diabetes mellitus can be controlled by diet, exercise, and anti-diabetic treatment. Control of diabetes mellitus is with exercise or physical exercise (Soeparman, 1991). Exercise will increase glucose uptake by contracting the skeletal muscle (Goodyer, 1999). Exercise can regulate blood glucose levels through increased insulin regulation as a result of the exercise process. In the exercise, it will stimulate GLUT4 translocation that does not cause GTP-binding protein as it does in stimulation by insulin (Youngren, 2003). The translocations caused by exercise to date have not been clear, but can be explained by the release of Ca ions from the sarcoplasmic reticulum causing the contraction process. This Ca ion will activate the serine kinase PKC in hyper synthesizing GLUT4 whose mechanism is unknown (Youngren, 2003), has occurred in short-term exercise or after long-term exercise.
To reduce glucose levels in the blood then given the appropriate exercise in people with diabetes mellitus by looking at the combination of the state of the patient with the dose of exercise. The dose of exercise according to (Fox, EL 1993) includes the intensity, duration, frequency, and type of exercise. In this study will compare the differences. There is three question discussed in the present study included (1) Do short-term physical exercise can lower blood glucose in people with diabetes mellitus? (2) Will long-term physical exercise decrease blood glucose in people with diabetes mellitus? (3) Does long-term physical exercise lower blood glucose than a short-term physical exercise in people with diabetes mellitus?

Literature review
A literature review is more directed to the effect of physical exercise on glucose metabolism. Factors that contribute include the factors in skeletal muscle in physical exercise and the influence of hormones involved in glucose metabolism, especially during exercise after postprandial. There is a different understanding of physical activity (physical activity), physical exercise (physical exercise) and physical training (physical training). Physical activity is all forms of muscle movement, physical exercise is a specific physical activity, and physical training is a repetitive, systematic, and purposeful exercise (Leaf, 1991in Harjanto, 2003. Component (dose) of physical exercise consists of 1) intensity, 2) frequency and rhythm, 3) duration and 4) mode or type of exercise (e.g. interval and continuous) (Wilmore, 1994;Harjanto, 2003). The intensity of the exercise is the most important factor in the principle of loading (Fox, 1993). The intensity of physical exercise is related to maximal aerobic strength (Wilmore, 1994). Physical exercise is mild, moderate or severe for the maximum capacity of aerobic physical exercise such as the person is called maximal oxygen uptake (VO2 max). Maximal oxygen uptake (VO2 max) is oxygen uptake during the maximum physical exercise (Janssen, 1987). Maximal oxygen uptake is determined by age, body size, and gender. In men 20% higher than women and at age 20 is the peak (Fox, 1999).
Based on VO2 max, the intensity of physical exercise can be divided into 1) low-intensity physical exercise (approximately less than 45% VO2 max); 2) moderate intensity physical exercise (about 50-70% VO2 max); and 3) high-intensity physical exercise about more than 80% VO2max) (Yaspelkis, 1993;Fox, 1999). The determination of exercise intensity can be done by pulse method and conceptual method on the anaerobic threshold value. (Fox, 1993). Pulse method is an indirect way to estimate the use of oxygen by the body. Maximum heart rate (HRmax) or maximum pulse is achieved before maximum oxygen consumption is achieved, for example, 70% of maximal pulse equals 65% of maximal aerobic capacity (65% VO2max). The higher the pulse rate, the higher the physical exercise intensity. The maximum pulse can be determined from the calculation of 220 minus age (Fox, 1999).
Anaerobic threshold method is the intensity of the workload through the increase of anaerobic metabolism which can be known through increased accumulation of lactic acid in the blood and skeletal muscle (Fox, 1993). Differences in pulse method and the anaerobic threshold value method include that the pulse method mainly assesses the cardiovascular system and the anaerobic threshold value method assesses the metabolic system especially the skeletal muscle. An anaerobic threshold method is involving measurement of lactic acid. Levels of lactic acid 4 mmol/L, will be obtained on the average pulse rate of 91% maximum pulse, while at 80% maximum pulse, only 55% of subjects will perform at that dose (Fox, 1993). Data from Saltin (1968) (□) and Taylor (1969) Fox (1993). The ideal value is illustrated by dashed lines (Fox, 1993). Physical exercise interval means repetition (repetition of physical exercise) with short to moderate duration and the repetition of the physical exercise of this interval consists of the working and resting phases (Brooks, 1985, Fox, 1993. Physical exercise of the interval may increase the ATP-PC energy system in the muscle, which during rest periods of ATP-PC synthesis can take place so that it can be used as energy for the next period of exercise, and anaerobic glycolytic with less lactic acid production to reduce fatigue (Brook, 1985, Fox, 1993. In the interval physical exercise there is the term work interval which means phase while doing physical exercise with moderate intensity, and relief interval that is the rest phase which can be done by 1) performing mild activity e.g. rest relief, 2) doing light physical exercise work-relief, and 3) a combination of the two (Fox, 1993). Rest relief intervals are used when the expected ATP-PC system can be synthesized back through the anaerobic system. Workrelief intervals will use the lactic acid system although the buildup is not too high (Fox, 1993). Work-relief ratios (the ratio of break work) are used to find out the comparison between the physical exercise phase and the resting phase. For example, 1½ which means the resting phase is ½ times the exercise phase, 1: 1 which means the resting phase is equal to the training phase, and 1: 2 which means the resting phase is 2 times longer than the exercise phase (Fox, 1993). Continuous physical exercise is not obtained repetition or repetition and there is no period of rest. Continuous physical exercise is generally a submaximal intensity and is more suitable (aerobic) then the energy system used increasingly aerobic (Noble, 1986).

Research Design
The research to be carried out is laboratory experimental research and a cross-sectional study with one-group pretest-posttest design. (Zainuddin, 2000) The research design scheme is the research is as follows:  The population in this study is people with diabetes mellitus. Patients selected are those who suffered type 2 diabetes mellitus at the General Hospital of Mataram. Preferred patients are women 40-60 years old, not contraindicated for physical exercise, and willing to sign a consent letter as a trial person in this study. Patients who meet the above criteria the opportunity to become a member of the research sample (try people). The determination of the sample size refers to a study of the effect of sucrose and glucose prior to exercise on blood glucose levels after exercise (Wiriawan, 2000) using the Higgins (1985) formula. From the calculation results obtained for 7 for each group, the sampling technique is a simple randomized by lottery method.
Research variable Research variables include independent variables, dependent variables, control variables, moderator variables. Independent variables (Short-term physical exercise, Long-term physical exercise), the dependent variable on this study was a decrease in blood glucose levels after physical. Moderator variables in this study were height, weight, fasting blood glucose, and postprandial blood glucose levels. The control variables in this study were gender, age, status, health, examination environment, and examination procedures.

Decreased postprandial blood glucose levels
The decrease in postprandial blood glucose levels is determined from the difference in the magnitude of the decrease in blood glucose levels taken on the first day immediately after physical exercise by one week immediately after physical exercise. Blood glucose examination performed by GOD-PAP method included Hr max or molar pulse is determined by the formula 220 minus age (years) (Fox,993). The meaning of sex in this study is female sex in accordance with the identity data taken from the General Hospital of Mataram Region. Age of trial people is 50-60 years based on identity data from Poly Disease in Mataram Hospital.
The health status is the health status of a reasonable person for moderate intensity exercise for 20 minutes accompanied by 2-minute heating determined from the interview (anamnesis) and physical examination. The environmental examination is the environment of the examination room at the Polytechnic Laboratory of Mataram Health at a temperature of 21˚C. The checking procedure is a physical exercise procedure and examination of the same variables for all members of the try-out group.

Materials and Instruments Research
The unit of analysis for the examination of dependent variables is blood for examination of blood glucose levels. Materials for examination of blood glucose levels, Materials needed are TCA (Tri Chloro Acetic Acid), glucose reagent, glucose standard 100 mg/dl, aquadest. The instruments used in this research are: a. Heart rate monitor (

Location and Time of Research
Physical exercise and examination of blood glucose level are done at Health Polytechnic Laboratory of Mataram Kesehatan street No. V/10 Mataram, the examination for the study was conducted in May 2005.

Data Collection and Collection Procedures
Distribution of groups of trying people a) Group of people trying to do data collection on the poly disease in Mataram b) hospital. c) Then checked the fasting blood sugar and blood sugar PP 2ja to determine the patient is experiencing Diabetes mellitus (fasting blood sugar> 126 mg/dl, blood sugar 2 hours PP> 200 mg/dl). Besides that, the examination of BBR (relative weight) to determine the needs of caloric patients and examination Hate rate to determine the type of exercise given. d) Before the physical exercise the patient is given to eat bread/rice and white water adjusted for BBR, if the normal weight is given calories 30 cal/kg BW, if more weight is given calories 20 cal/kg BW and if the fat is given 15 cal/kg BW, if lean is given 40-60 cal/kg BW. e) Then on the following day after being given calorie consumption and rest for one and a half hours then performed the physical exercise with a moderate intensity of 70% -80% (equivalent to 50-60 Vo max), duration 20 minutes, one-time frequency, type of physical exercise feet as far as 1, 5 km. f) Immediately after physical exercise, blood sugar is extracted into preliminary data to determine the decrease in blood glucose levels in the patient Diabetes mellitus. g) On the next day, the physical training is given in the same way as above and done for five times a week. h) On the fifth day, the patient is told to start fasting from 24.00 -08.00 then take the fasting blood sugar, after it is given calorie fulfillment and rest for one and a half hours, then performed physical exercises as above and immediately after physical exercise performed blood sugar check i) During physical exercise, it is not advisable to consume drugs.
Medical examination Health checks are conducted with interviews and physical examinations, namely vital sign checks and inspection examination, palpation, and auscultation. Blood sampling is performed on fasting conditions, 2 hours postprandial and 2 postprandial hours immediately after physical exercise.

Data analysis
Data analysis performed with SPSS program include: a. Descriptive statistical test of pretest and posttest data to know variable characteristic. b. Test the distribution normality.
c. Homogeneity tests were performed to determine whether variance conditions before treatment were similar across groups.
d. Test the correlation to know the relationship between variables. e. Test t to find out whether there is a decrease in blood glucose levels in short-term exercise and long-term exercise.
f. Test the adequacy of the sample to know that the sample size in this study has been sufficient or not.

Results
Data obtained from the results of research in form of body weight of people trying (kg), height (cm) and fasting blood sugar levels (mg/dl), blood sugar 2 (two) hours postprandial, 20 after exercise (20 minutes postprandial), 10 minutes after exercise (10 minutes postprandial), 60 minutes after exercise in mg/dl. Data analysis was carried out with descriptive analysis, distribution normality test, homogeneity test, correlation test, and Manova test with a significance level of 5% and all data processed with SPSS 10.0 program.

Descriptive Data
In this study, the data taken included variables namely independent variables, dependent variables, and moderator variables. All of the data were analyzed statistically to obtain an overview of the distribution, summarization, and processing of data. The results of the descriptive analysis moderator variables can be seen in Table 1 and the dependent variable can be seen in Table 2 below. The results of the analysis of the full variables can be seen in the attachment.   From the data above 20 minutes of light physical exercise, the average blood glucose reduction difference between 2 hours postprandial and 20 minutes after exercise was 29.9000 ± 25.3966 mg/dl, the mean blood glucose reduction difference between 2 hours postprandial and 60 minutes after exercise was 42,0000 ± 24,000 mg/dl, the mean decrease in blood glucose difference between 20 minutes after exercise with 60 minutes after exercise was 12,1000 ± 8,1438 mg/dl. From the above data on a 10-minute moderate intensity physical exercise, the average blood glucose reduction difference between 2 hours postprandial and 20 minutes after exercise was 27.1000 ± 12.4137 mg/dl, the mean blood glucose reduction difference between 2 hours postprandial and 60 minutes after exercise was 42.2000 ± 21.6887 mg/dl, the average decrease in blood glucose difference between 20 minutes after exercise with 60 minutes after exercise was 15.1000 ± 15.5810 mg/dl.

Normality Test
To find out whether the data to be analyzed is normally distributed or not to determine to the next statistical test stage, normality tests are carried out. The results of the Kolmogorov-Smirnov normality test were carried out in the treatment group, namely the group on 20 minutes of light intensity physical exercise with 10 minutes of moderate intensity physical exercise which referred to the price value of p> 0.05 means normal distribution. c. Group = 20 Minutes Light Training From the data above shows that the normality test for fasting blood sugar (p = 0.797), blood sugar 2 hours postprandial (p = 0.804), blood sugar 20 minutes after exercise (p = 0.572) and 60 minutes (p = 0.815) and see the significant value which refers to p> 0.05 then the data above is normally distributed.  From the above data on light intensity physical exercise for 20 minutes, the average blood glucose reduction difference between 2 hours postprandial and 20 minutes after exercise was 29.9000 ± 25.3966 mg/dl, the average blood glucose reduction difference between 2 hours postprandial and 60 minutes after exercise was 42,0000 ± 24,0000 mg/dl, the mean reduction in blood glucose difference between 20 minutes after exercise with 60 minutes after exercise was 12,1000 ± 8,1438 mgl, and saw the significant value referring to p> 0 05, the data above is normally distributed. From the data above shows that the normality test for fasting blood sugar (p = 0.997), blood sugar 2 hours postprandial (p = 0.215), blood sugar 20 minutes after exercise (p = 0.306) and 60 minutes after exercise (p = 0.726 ) and see the significant value which refers to p> 0.05 then the data above is normally distributed.

c) Group = 10 Minutes Light Training
From the above data on moderate intensity physical exercise 10 minutes duration seen significant values of blood glucose reduction difference between 2 hours postprandial with 20 minutes after exercise (p = 1,000), significant value of blood glucose reduction difference between 2 hours postprandial with 60 minutes after exercise (p = 0.283), a significant value of blood glucose deposition difference between 20 minutes after exercise with 60 minutes after exercise (p = 0.622) and seeing the significant value referring to p> 0.05, the data above is normally distributed.

Homogeneity Test
Homogeneity test is carried out to find out that the variance in the initial conditions will occur after differences in exercise or treatment. From the data above, it can be seen that the weight homogeneity (p = 0.930), height (P = 0.789) p-value is greater than 0.05, the data above includes homogeneous data.

Test of Difference in Changes in Blood Glucose
The test results of different changes in blood glucose levels in a group of light intensity duration of 20 minutes and medium intensity duration of 10 minutes.   From the data above shows that there is a significant value of p <0.05 (p = 0.002) this means that there is a significant difference in the occurrence of changes in blood glucose in the treatment group.

c. Group = 20 Minutes Light Training
From the data above shows a very significant level of change (synaptic) from the difference in exercise 2 hours postprandial with 20 minutes after exercise p = 0.005, the difference between 2 hours postprandial and 60 minutes after exercise p = 0.000, the difference between 20 minutes after exercise with 60 minutes after practice p = 0.001, From the data above shows that there is a significant value of p <0.05 (p = 0.001) this means that there is a significant difference in the occurrence of changes in blood glucose in the treatment group. Based on estimated marginal means: a) Group = 20 Minutes Light Training b) Adjustment for multiple comparisons: Least Significant Difference (equivalent to no adjustments).
From the data above, it can be seen that there is a very significant level of change (significant) from the difference in exercise 2 hours postprandial with 20 minutes after p = 0,000 practice, the difference between 2 hours postprandial and 60 minutes after exercise p = 0,000, the difference between 20 minutes after exercise with 60 minutes after practice p = 0.013, all the data above. From the data above, it can be seen that the level of change (synergy) is very significant because of p <0.05. From data above shows the average decrease in blood sugar difference between 2 hours postprandial with 20 minutes after light exercise duration of 20 minutes was 29.9000 ± 25.3966 mg/dl, the difference between 2 hours postprandial and 20 minutes after moderate exercise duration of 10 minutes was 27, 1000 ± 12,4137 mg/dl. From the data above, the average blood sugar reduction difference between 2 hours postprandial and 60 minutes after 20 minutes of light exercise was 42,0000 ± 24,0000 mg/dl, the difference between 2 hours postprandial and 20 minutes after moderate exercise 10 minutes duration was 42, 2000 ± 21,6887 mg/dl. From the data above the comparison between treatment groups to decrease blood glucose both in light intensity exercise duration of 20 minutes and moderate intensity, 10 minutes duration was the same, the difference was not too significant because value p > 0.005 (p = 0.841).

Discussion
Data obtained from the results of research in form of body weight of people trying (kg), height (cm) and fasting blood sugar levels (mg / dl), blood sugar 2 (two) hours postprandial, 20 after exercise (20 minutes postprandial), 10 minutes after exercise (10 minutes postprandial), 60 minutes after exercise in mg / dl. Data analysis was carried out with descriptive analysis, distribution normality test, homogeneity test, correlation test, and Manova test with a significance level of 5% and all data processed with SPSS 10.0 program.

Descriptive Data
In this study, the data is taken included variables namely independent variables, dependent variables, and moderator variables. All of the data were analyzed statistically to obtain an overview of the distribution, summarization, and processing of data. The results of the descriptive analysis moderator variables can be seen in 5.1 and the dependent variable can be seen in table 5.2 below. The results of the analysis of the full variables can be seen in the attachment.
IRJEIS ISSN: 2454-2261 Fathoni, A., Adiputra, N., Pangkahila, J. A., & Adiatmika, I. P. G. (2018  From the data above in light intensity training for 20 minutes, the mean of fasting blood mean 145.10 ± 9.01 mg/dl, blood sugar 2 hours post prandial 200.30 ± 39.47 mg/dl, blood sugar 20 minutes after exercise was 170.40 ± 24.80 mg/dl, blood sugar 60 minutes after exercise 158.30 ± 19.56 mg/dl. From the data above on 10-minutes medium intensity exercise, the mean fasting blood sugar was 149.00 ± 11.07 mg/dl, blood sugar 2 hours postprandial was 202.30 ± 34.20 mg / dl, blood sugar 20 minutes after exercise of 175.80 ± 26.08 mg / dl, blood sugar 60 minutes after exercise amounted to 160.70 ± 15.00 mg/dl. From the data above 20 minutes of light physical exercise, the average blood glucose reduction difference between 2 hours postprandial and 20 minutes after exercise was 29.9000 ± 25.3966 mg/dl, the mean blood glucose reduction difference between 2 hours postprandial and 60 minutes after exercise was 42,0000 ± 24,000 mg/dl, the mean decrease in blood glucose difference between 20 minutes after exercise with 60 minutes after exercise was 12,1000 ± 8,1438 mg/dl. From the above data on a 10-minute moderate intensity physical exercise, the average blood glucose reduction difference between 2 hours postprandial and 20 minutes after exercise was 27.1000 ± 12.4137 mg/dl, the 24 mean blood glucose reduction difference between 2 hours postprandial and 60 minutes after exercise was 42.2000 ± 21.6887 mg/dl, the average decrease in blood glucose difference between 20 minutes after exercise with 60 minutes after exercise was 15.1000 ± 15.5810 mg/dl. Times Figure 5. Graph of decreased blood glucose in moderate exercise group duration of 20 minutes (Blood Sugar Action, Group: 1, Light Exercise 20 Minutes) Times Figure 6. Graph of decreased blood glucose in moderate exercise group duration of 10 minutes (Blood Sugar Action, Group 2, Medical Training 10 Minutes)

Normality Test
To find out whether the data to be analyzed is normally distributed or not to determine to the next statistical test stage, normality tests are carried out. The results of the Kolmogorov-Smirnov normality test were carried out in the treatment group, namely the group on 20 minutes of light intensity physical exercise with 10 minutes of moderate intensity physical exercise which referred to the price value of p> 0.05 means normal distribution. From the data above shows that the normality test for fasting blood sugar (p = 0.797), blood sugar 2 hours postprandial (p = 0.804), blood sugar 20 minutes after exercise (p = 0.572) and 60 minutes (p = 0.815) and see the significant value which refers to p> 0.05 then the data above is normally distributed. ,370 ,266 ,810 a) Test distribution is Normal b) Calculated from data c) Group = 20 minutes light training From the above data on light intensity physical exercise for 20 minutes, the average blood glucose reduction difference between 2 hours postprandial and 20 minutes after exercise was 29.9000 ± 25.3966 mg/dl, the average blood glucose reduction difference between 2 hours postprandial and 60 minutes after exercise was 42,0000 ± 24,0000 mg/dl, the mean reduction in blood glucose difference between 20 minutes after exercise with 60 minutes after exercise was 12,1000 ± 8,1438 mgl, and saw the significant value referring to p> 0 05, the data above is normally distributed. From the data above shows that the normality test for fasting blood sugar (p = 0.997), blood sugar 2 hours postprandial (p = 0.215), blood sugar 20 minutes after exercise (p = 0.306) and 60 minutes after exercise (p = 0.726 ) and see the significant value which refers to p> 0.05 then the data above is normally distributed.

c) Group = 10 Minutes Light Training
From the above data on moderate intensity physical exercise 10 minutes duration seen significant values of blood glucose reduction difference between 2 hours postprandial with 20 minutes after exercise (p = 1,000), significant value of blood glucose reduction difference between 2 hours postprandial with 60 minutes after exercise (p = 0.283), a significant value of blood glucose deposition difference between 20 minutes after exercise with 60 minutes after exercise (p = 0.622) and seeing the significant value referring to p> 0.05, the data above is normally distributed.

Homogeneity Test
Homogeneity test is carried out to find out that the variance in the initial conditions will occur after differences in exercise or treatment. From the data above, it can be seen that the weight homogeneity (p = 0.930), height (P = 0.789) p-value is greater than 0.05, the data above includes homogeneous data.

Test of Difference in Changes in Blood Glucose
The test results of different changes in blood glucose levels, is in a group of light intensity duration of 20 minutes and medium intensity duration of 10 minutes.  From the data above shows that there is a significant value of p <0.05 (p = 0.002) this means that there is a significant difference in the occurrence of changes in blood glucose in the treatment group. From the data above shows a very significant level of change (synaptic) from the difference in exercise 2 hours postprandial with 20 minutes after exercise p = 0.005, the difference between 2 hours postprandial and 60 minutes after exercise p = 0.000, the difference between 20 minutes after exercise with 60 minutes after practice p = 0.001, all data above p <0.05. From the data above shows that there is a significant value of p <0.05 (p = 0.001) this means that there is a significant difference in the occurrence of changes in blood glucose in the treatment group. Based on estimated marginal means: a) Adjustment for multiple comparisons: Least Significant Difference (equivalent to no adjustments). b) Group = 20 Minutes Light Training From the data above, it can be seen that there is a very significant level of change (significant) from the difference in exercise 2 hours postprandial with 20 minutes after p = 0,000 practice, the difference between 2 hours postprandial and 60 minutes after exercise p = 0,000, the difference between 20 minutes after exercise with 60 minutes after practice p = 0.013, all the data above. From the data above, it can be seen that the level of change (synergy) is very significant because of p <0.05. From data above shows the average decrease in blood sugar difference between 2 hours postprandial with 20 minutes after light exercise duration of 20 minutes was 29.9000 ± 25.3966 mg/dl, the difference between 2 hours postprandial and 20 minutes after moderate exercise duration of 10 minutes was 27, 1000 ± 12,4137 mg/dl. From the data above, the average blood sugar reduction difference between 2 hours postprandial and 60 minutes after 20 minutes of light exercise was 42,0000 ± 24,0000 mg/dl, the difference between 2 hours postprandial and 20 minutes after moderate exercise 10 minutes duration was 42, 2000 ± 21,6887 mg/dl. From the data above the comparison between treatment groups to decrease blood glucose both in light intensity exercise duration of 20 minutes and moderate intensity, 10 minutes duration was the same, the difference was not too significant because value p > 0.005 (p = 0.841).

Suggestion
Although this study can provide additional scientific information on the effect of 20 minutes duration of light intensity physical exercise and 10 minutes of moderate intensity on decreasing postprandial blood glucose levels, there are still many studies that need to be done to expand the theoretical explanation and its application -among others research on load determination exercise, and research on the risk group of people with diabetes mellitus.

Conclusion
From the discussion described earlier, the following conclusions can be drawn included (1) Light intensity physical exercise for 20 minutes can reduce blood glucose in diabetes mellitus patients immediately after exercise and 1 hour after exercise. (2) 10 minutes of moderate intensity physical exercise can reduce blood glucose immediately after 10 minutes of exercise and 1 hour after exercise. (3) There is no difference in blood glucose reduction in 20 minutes duration light exercise with 10 minutes duration exercise in people with diabetes mellitus.

Conflict of interest statement and funding sources
The author declared that he has no competing interest. The study was financed by personal funding.

Statement of authorship
The author has a responsibility for the conception and design of the study. The author has approved the final article.