Identification of Patients at High Risk for Diabetes-Related Foot Ulcers in Diabetes Mellitus Tipe II (DMT2)

Iin Patimah, Iqbal Govinda

Abstract

Diabetes Mellitus (DM) remains one of the main health problems today. Diabetes is a one of chronic diseases characterized by high blood sugar levels or called Hyperglichemia. Hyperglycemia can caused many complications. One of the complications that often occurs in people with DM is the occurrence of ulcers or sores on the feet or called Diabetic foot Ulcer (DFU). Prevention of DFU can be done through early detection of the level of risk as soon as possible, but this often does not receive sufficient attention due to limited time for assessment or deficit knowledge. This research aims to describe the results of early detection of the risk of DFU in type 2 DM  patient. The research method used was a descriptive method with a quantitative approach, with a sample of 95 respondents selected at random using kuesioner Inlow’s 60-second diabetic  foot  screen  screening  tool. The results of the study showed that almost all respondents with DM had a moderate risk of experiencing DFU, but there were also those who had a low risk. Therefore, health education about foot care needs to be continuously provided and improved so that DFU prevention becomes more optimal. Apart from that, providing information from nurses about the importance of foot screening every year for those at low risk, while those at moderate risk are recommended to be screened every 6 months and those at high risk are recommended to be screened every 3 months.

Keywords

Diabetic; Diabetic Foot Ulcer; Diabetic Mellitus Patients

Full Text:

PDF

References

Ang, G. Y., Yap, C. W., & Saxena, N. (2017). Effectiveness of Diabetes Foot Screening in Primary Care in Preventing Lower Extremity Amputations. Annals of the Academy of Medicine, Singapore, 46(11), 417–423.

Claudia Hammi; Brent Yeung. (2021). Neuropathy - StatPearls - NCBI Bookshelf. In StatPearls Publishing; 2021.

Cole, J. B., & Florez, J. C. (2020). Genetics of diabetes mellitus and diabetes complications. Nature Reviews. Nephrology, 16(7), 377–390. https://doi.org/10.1038/s41581-020-0278-5

Dekker, R. G. 2nd, Qin, C., Ho, B. S., & Kadakia, A. R. (2016). The effect of cumulative glycemic burden on the incidence of diabetic foot disease. Journal of Orthopaedic Surgery and Research, 11(1), 143. https://doi.org/10.1186/s13018-016-0474-y

Depczynski, B., Young, T., & White, C. (2018). A high ankle-brachial index is associated with obesity and low serum 25-hydroxyvitamin D in patients with diabetes. Journal of Clinical and Translational Endocrinology, 11(February), 7–10. https://doi.org/10.1016/j.jcte.2018.02.001

Goyal, R., Singhal, M., & Jialal, I. (2024). Type 2 Diabetes.

Gupta, S., Lakshmi, P., Rastogi, A., & ... (2022). IDF21-0391 Foot Self-care Practices among People Living with Type 2 Diabetes Mellitus: A Community-based Cross-sectional Study. Diabetes …. https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(22)00252-2/abstract

Hingorani, A., LaMuraglia, G. M., Henke, P., Meissner, M. H., Loretz, L., Zinszer, K. M., Driver, V. R., Frykberg, R., Carman, T. L., Marston, W., Mills, J. L. S., & Murad, M. H. (2016). The management of diabetic foot: A clinical practice guideline by the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine. Journal of Vascular Surgery, 63(2 Suppl), 3S-21S. https://doi.org/10.1016/j.jvs.2015.10.003

Kartika, A. W., Widyatuti, W., & ... (2023). DIMAS (Diabetes Management Support) Application: Mobile-Phone Based Intervention to Support Diabetes Self-Management Activities. In Malaysian Journal of …. researchgate.net. https://www.researchgate.net/profile/Annisa-Wuri-Kartika/publication/374837873_DIMAS_Diabetes_Management_Support_Application_Mobile-Phone_Based_Intervention_to_Support_Diabetes_Self-Management_Activities/links/654b30a1b86a1d521bc52539/DIMAS-Diabetes-Manag

Kemenkes. (2021). Diabetes. Kementrian Kesehatan Republik Indonesia, 2.

Magliano, D. J., Boyko, E. J., & committee, =IDF Diabetes Atlas 10th edition scientific. (2021). IDF DIABETES ATLAS (10th ed.). International Diabetes Federation, Brussels. http://europepmc.org/abstract/MED/35914061

Ming, A., Alhajjar, A., Walter, I., Piehler, C., Hoetzsch, J., Leuckert, M., Clemens, V., Petrow, A., Siddiquee, I. M., Scurt, F. G., Isermann, B., & Mertens, P. R. (2024). Telemedical Monitoring of Plantar Temperature in Diabetic Patients at Risk of Foot Ulcers. Deutsches Arzteblatt International, 121(1), 9–16. https://doi.org/10.3238/arztebl.m2023.0229

Nisak, R. (2021). Evaluasi Kejadian Dan Klasifikasi Ulkus Diabetikum Menurut Wagner Pada Penderita Diabetes Mellitus. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(2). https://doi.org/10.33023/jikep.v7i2.729

Paneni, F., Beckman, J. A., Creager, M. A., & Cosentino, F. (2013). Diabetes and vascular disease: pathophysiology, clinical consequences, and medical therapy: part I. European Heart Journal, 34(31), 2436–2443. https://doi.org/10.1093/eurheartj/eht149

Parliani, P., Rungreangkulkij, S., & Nuntaboot, K. (2023). Foot Care among Diabetes Patients: A Concept Analysis. Nurse Media Journal of Nursing, 13(2), 246–262.

Prasad Pilla, E. D., Desai, R., & Kokiwar, P. R. (2019). A multi centric study of diabetic foot ulcer: causes and complications. International Surgery Journal, 6(4), 1327. https://doi.org/10.18203/2349-2902.isj20191271

Rahmi AS, Syafrita Y, & Susanti R. (2022). Hubungan Lama Menderita DM Tipe 2 Dengan Kejadian Neuropati Diabetik. Jmj, 10(1), 20–25.

Raja, J. M., Maturana, M. A., Kayali, S., Khouzam, A., & Efeovbokhan, N. (2023). Diabetic foot ulcer: A comprehensive review of pathophysiology and management modalities. World Journal of Clinical Cases, 11(8), 1684–1693. https://doi.org/10.12998/wjcc.v11.i8.1684

Ramirez-Perdomo, C., Perdomo-Romero, A., & ... (2019). Knowledge and practices for the prevention of the diabetic foot. In Revista gaucha de …. SciELO Brasil. https://www.scielo.br/j/rgenf/a/VjTCVf3YK3mybYQj9q9797f/?lang=en

Skopljak, A., Sukalo, A., Batic-Mujanovic, O., Muftic, M., Tiric-Campara, M., & Zunic, L. (2014). Assessment of diabetic polyneuropathy and plantar pressure in patients with diabetes mellitus in prevention of diabetic foot. Medical Archives (Sarajevo, Bosnia and Herzegovina), 68(6), 389–393. https://doi.org/10.5455/medarh.2014.68.389-393

Tony I. Oliver, & Mesut Mutluoglu. (2023). Diabetic Foot Ulcer - StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK537328/?report=printable

DOI: http://dx.doi.org/10.25157/ihc.v1i1.14793

Refbacks

  • There are currently no refbacks.