Tirandan Menoer Elliza Primalia; Damayanti Tinduh; I Putu Alit Pawana; Sony Wibisono Mudjanarko; Budi Utomo
Abstract
Diabetes mellitus (DM) patients can have complications of neuropathy and angiopathy in the feet. Both of these conditions increase the risk of diabetic foot ulcers and the risk of falls. ...
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Diabetes mellitus (DM) patients can have complications of neuropathy and angiopathy in the feet. Both of these conditions increase the risk of diabetic foot ulcers and the risk of falls. Screening for ulcer risk as early as possible is important for type 2 DM patients, as is assessing the risk of falls. Ulcer risk assessment using the International Working Group of Diabetic Foot (IWGDF) criteria shows high sensitivity, as does the Timed Up and Go (TUG) test in assessing fall risk. Studies on the risk of falls in adult DM patients associated with the risk of ulcers are still limited in Indonesia. The study subjects comprised 48 type 2 DM patients aged 18-59 years without active foot ulcers and a history of amputation. All subjects underwent an assessment of the level of ulcer risk stratification based on IWGDF criteria and TUG testing in one visit. Correlations between variables were assessed in an analytical observational study with a cross-sectional design. The analysis showed a significant relationship between the risk level of foot ulcers and the TUG value (p=0.03). The TUG values at all risk levels have a significant comparison (p = 0.003). Significant differences were found between very low and low risk, very low and moderate risk, and moderate and high-risk groups. The risk level for foot ulcers was also significantly related to HbA1C levels (p = 0.005). There was a significant relationship between the level of ulcer risk stratification and the risk of falls in patients with type 2 diabetes mellitus at Dr. Soetomo Surabaya General Hospital.
