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Diabetic Foot Problem in Dr. Sardjito General Hospital

Diabetic Foot Problem in Dr. Sardjito General Hospital. Artha, Y* , D ewo , P ** *Resident, ** Staff Department of Orthopedics and Traumatology Sardjito General Hospital Medical Faculty, Gadjah Mada University, Yogyakarta. Background. Global prevalence of diabetes mellitus :

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Diabetic Foot Problem in Dr. Sardjito General Hospital

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  1. Diabetic Foot Problem in Dr. Sardjito General Hospital Artha, Y*,Dewo, P ** *Resident, ** Staff Department of Orthopedics and Traumatology Sardjito General Hospital Medical Faculty, Gadjah Mada University, Yogyakarta

  2. Background Global prevalence of diabetes mellitus : • 2.8% in 2000 to 4.4% in 2030 1 • increased from 171 million to 366 million in 2030 1 Indonesia : • increased from 8.4 million in 2000 to 21.3 million in 2030 2 1Wild, S., Roglic, G., Green, A., Sicree, R. & King, H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care27, 1047-53 (2004). 2Sutanegara, D. & Budhiarta, A.A. The epidemiology and management of diabetes mellitus in Indonesia. Diabetes Res ClinPract 50 Suppl 2, S9-S16 (2000).

  3. 25% of patients with diabetes will ulcerated3,4 • Risk factors :5 3 Tsourdi, E., Barthel, A., Rietzsch, H., Reichel, A. & Bornstein, S.R. Current aspects in the pathophysiology and treatment of chronic wounds in diabetes mellitus. Biomed Res Int2013, 385641 (2013). 4 Singh, N., Armstrong, D.G. & Lipsky, B.A. Preventing foot ulcers in patients with diabetes. Jama293, 217-28 (2005). 5Prodjosudjadi, W. Incidence, prevalence, treatment and cost of end-stage renal disease in Indonesia. EthnDis16, S2-14-6 (2006).

  4. Material and Methods • Research design: A Crossectional study • Location: Outpatients clinic at Sardjito General Hospital. • Subject: All patients with diabetic foot treated in the period January-September 2013.

  5. Material and Methods • Independent variables : HbA1C levels and duration of DM • Dependent variables : Wagner clasification • Using statistical analysis of variance (ANOVA) of the diabetic foot risk factors

  6. Results

  7. Results

  8. Results

  9. Results Locations of diabetic foot ulcer

  10. Results HbA1c levels in patients with Wagner 1-2 compared to Wagner 3-4 Classification (P = 0,013)

  11. Results Duration of DM in patients with Wagner 1-2 compared to Wagner 3-4 Classification (P = 0,36)

  12. Conclusions • Higher HbA1c levels were associated with higher grade of diabetic foot ulcer. • Our data indicate that control of HbA1c levels can reduce progression of diabetic ulcer

  13. Thank You

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