An Epidemiologic Study on Type 2 Diabetic Foot Disorders in Indonesia -A Perspective from an Uncontrolled Blood Glucose Level until Amputation-

Abstract

Introduction: The prevalence of diabetes mellitus is continuously increasing worldwide and expected to reach more than 500 million people in 10 to 15 years later. In Indonesia, neglected case for diabetic foot and uncontrolled blood glucose level make the amputation rate is higher. The aim of this study is to describe the diabetic foot disease among Indonesian population, underlying disease, and the all of the treatments in our hospital. Method: All conservative and operative procedures in diabetic foot during the period of January 2017 – December 2018 was collected in Wahidin Sudirohusodo Hospital. All demographic data, disease classifications, laboratory results, and treatments were collected from medical records retrospectively. Results: In total of 229 patients, were found 1.02:1 male-to-female ratio of patients, where most of patients were in the sixth decade as much as 41%. The most Wagner classification was in the Grade 4 (29.%), HbA1C >6.5mg/dL was found in 68.6% patients with higher WBC counts in 71.2%. Of 44.1% patients were treated conservatively, whilst 127 (55.9%) patients were treated operatively, which were debridement and amputation procedures. We found mortality rate of 3.9% as an outcome. Conclusion: The incidence of diabetic foot is increasing. Uncontrolled blood glucose levels (HbA1C) become one of the causes. Proper handling on controlling blood glucose and podiatry treatment can decrease morbidity and mortality rates. Keywords: diabetic foot, Wagner, amputation, Indonesia