Background: Type II Diabetes Mellitus (T2DM) is a global health challenge, with India having a particularly high disease burden. While pharmacological treatments are effective, their cost and side effects have increased interest in complementary and alternative therapies. Fenugreek (Trigonella foenum-graecum) is a traditional remedy with proven hypoglycemic properties, attributed to bioactive compounds like soluble fiber (galactomannan) and 4-hydroxylsoleucine. However, limited clinical evidence exists for the specific effectiveness of fenugreek seed water, a simple and culturally accepted preparation. Methods: A quantitative pre-experimental study using a one-group pre-test post-test design was conducted. A sample of 60 patients with T2DM was selected from Mothrowala, Dehradun, via convenient sampling. The intervention involved the daily consumption of 10 grams of fenugreek seeds soaked overnight in 250 ml of water, taken on an empty stomach for 30 consecutive days. Random Blood Glucose (RBG) levels were measured using a calibrated glucometer before and after the intervention. Data were analyzed using descriptive statistics, a paired t-test, and the Chi-square test. Results: The pre-intervention mean RBG level was 219.32 mg/dL, with 55% of participants in the moderate (181-250 mg/dL) and 25% in the high (>250 mg/dL) categories. Post-intervention, the mean RBG level significantly decreased to 180 mg/dL. A substantial majority of participants (66.7%) achieved controlled RBG levels (140-180 mg/dL) after the intervention. The paired t-test revealed a statistically significant reduction in RBG levels (t=8.118, p<0.05). No significant association was found between the improvement in RBG levels and selected demographic variables. The intervention demonstrated 100% adherence and high acceptability with no reported adverse effects. Conclusion: The study concludes that fenugreek water is an effective, safe, affordable, and culturally acceptable complementary therapy for reducing random blood glucose levels in patients with Type II Diabetes Mellitus. Its integration into community-based diabetes management strategies is recommended to enhance glycaemic control.
Type II Diabetes Mellitus, Fenugreek Water, Random Blood Glucose, Glycaemic Control, Complementary Therapy, Pre-Experimental Study, Community area.
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