IJHPIJHP

International Journal of Health and Pharmaceutical (IJHP)International Journal of Health and Pharmaceutical (IJHP)

Diabetes mellitus is a global health challenge characterized by an ever-increasing number of cases annually. The most feared chronic complication of diabetes mellitus is diabetic foot ulcer (DFU), which significantly increases the risk of amputation and mortality rates. This study aims to analyze the relationship between random blood sugar (RBS) levels and the incidence of DFU in type 2 diabetes mellitus patients at Paragon Hospital, Citeureup 2026. The research method used is an analytical observational design with a cross-sectional approach. A total of 54 subjects meet the inclusion criteria out of 109 type 2 diabetes mellitus patients. Medical record data were statistically analyzed using the Chi-Square test. The results indicated that DFU patients were predominantly male (53.7%) and belonged to the 46-55 age group (38.9%). Clinical findings showed that the majority of research subjects (88.9%) had high random blood sugar levels (≥ 200 mg/dL). Statistical test results yielded a p-value of 0.000 (p < 0.05), indicating a significant relationship between high RBS levels and the incidence of DFU. Based on the result the concluded that uncontrolled RBS levels are a primary trigger for DFU. Chronic hyperglycemia triggers vascular and nerve damage, which inhibits the tissue healing process in the feet. Optimal control of RBS levels is essential as a preventive measure to avoid amputation complications in type 2 diabetes patients.

This study concluded that poor glycemic control, as reflected by elevated random blood glucose levels, plays a critical role in the occurrence of diabetic foot ulcers in patients with type 2 diabetes mellitus.These findings emphasize the need for strict glycemic monitoring, early detection, and appropriate clinical management to prevent the progression of complications.Strengthening patient education, routine screening, and adherence to diabetes treatment are essential strategies to reduce the incidence and severity of diabetic foot ulcers.

Penelitian lebih lanjut perlu dilakukan untuk mengeksplorasi efektivitas intervensi berbasis teknologi, seperti aplikasi seluler atau perangkat wearable, dalam memantau kadar glukosa darah secara mandiri dan memberikan edukasi personalisasi kepada pasien diabetes. Selain itu, studi komparatif yang membandingkan efektivitas berbagai regimen pengobatan, termasuk kombinasi obat-obatan dan terapi gaya hidup, dalam mengendalikan kadar glukosa darah dan mencegah perkembangan ulkus kaki diabetik perlu dilakukan. Terakhir, penelitian kualitatif yang mendalam dapat dilakukan untuk memahami lebih baik pengalaman pasien diabetes dalam mengelola penyakit mereka, termasuk tantangan yang dihadapi dalam menjaga kadar glukosa darah yang stabil dan mengakses perawatan kesehatan yang memadai, sehingga dapat dirancang strategi intervensi yang lebih tepat sasaran dan berpusat pada pasien. Penelitian-penelitian ini diharapkan dapat memberikan kontribusi signifikan dalam meningkatkan kualitas hidup pasien diabetes dan mengurangi beban penyakit terkait.

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