DETEKSI ULKUS DIABETIK DAN PEMERIKSAAN KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS DI SURAKARTA

M. Mulyaningsih, Sri Handayani
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Abstract

Diabetes mellitus (DM) is among the top 10 patterns of disease in Surakarta. The prevalence of DM in Surakarta was 5,470 per 100,000 inhabitants in 2018. Dm sufferers can occur neuropathic disorders, structural changes, callus skin protrusions, skin and nail changes, leg wounds, infections and vascular abnormalities. 50% of DM sufferers have a disability in the legs, 24% have peripheral neuropathy and another 11% have peripheral vascular disease. 60% of all patients have a risk of leg ulcers occurring. To do this prevention, it is necessary to detect diabetic foot ulcers and blood sugar levels on a regular basis. From the examination conducted to 49 dm sufferers obtained 19 dm sufferers have high blood sugar levels. From the Ankle Brachial Index (ABI) examination there were 4 people with ischemia, and from the examination of foot sensitivity there were 5 people experiencing a decrease in foot sensitivity. Based on the results of the examination, DM sufferers know their blood sugar levels and also know the level of risk of diabetic foot ulcers, so as to take precautions so as not to occur diabetic wounds, especially in the legs.  
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在日惹发现糖尿病溃疡和血糖水平
糖尿病(DM)是泗水市十大疾病之一。2018年,泗水市的糖尿病患病率为每10万居民5470例。糖尿病患者可出现神经性疾病、结构改变、皮肤突出、皮肤和指甲变化、腿部伤口、感染和血管异常。50%的糖尿病患者有腿部残疾,24%有周围神经病变,另有11%有周围血管疾病。60%的患者有发生腿部溃疡的风险。为了做到这一点,有必要定期检测糖尿病足溃疡和血糖水平。对49例糖尿病患者进行了检查,得到19例糖尿病患者血糖水平较高。踝肱指数(Ankle Brachial Index, ABI)检查有4人出现缺血,足部敏感度检查有5人出现足部敏感度下降。根据检查结果,糖尿病患者了解自己的血糖水平,也了解糖尿病足溃疡的危险程度,以便采取预防措施,以免发生糖尿病伤口,特别是腿部伤口。
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