Clinical Research Directory

Inclusion Criteria: * HIV positive diagnosis based on medically documented serological test results (ELISA/Western Blot/rapid test). * Age 35-59 years. * Suffering from hyperglycemia, defined by a Fasting Blood Sugar (FBS) value of ≥ 100 mg/dl (prediabetes or diabetes), according to ADA (American Diabetes Association) standards and a physician's report. * Taking antiretroviral therapy (ART) for at least the past 2 years to ensure stable clinical status. * CD4 count ≥ 200 cells/mm³, to exclude participants with severely compromised immunity that could impact metabolism and quality of life. * Not currently undergoing strict diet therapy or other nutritional interventions to avoid nutritional bias. * Willing to sign informed consent and participate in all stages of the study Exclusion Criteria: * Having acute complications of HIV/AIDS, such as severe opportunistic infections, that may interfere with interventions or quality of life measurements. * Having a history of other chronic diseases that affect glucose metabolism, such as advanced chronic kidney disease, active cancer, hyperthyroidism, or severe liver disease. * Using medications that can affect blood sugar levels (e.g., steroids, thiazide diuretics, or other hyperglycemic drugs) in the past month. * Allergies to ingredients in Golden Rice Cookies (Red Rice) or Piper crocatum. * Being pregnant or breastfeeding. * Participating in other nutrition intervention programs, intensive physical training. * Inability to read or understand instructions (e.g., due to severe cognitive impairment) that may interfere with completing the quality of life questionnaire.