A male's foot is being shot by an ulcer, not a gunshot! The magnitude and associated factors of diabetic foot ulcer among diabetes mellitus patients on chronic care follow-up of southwestern Ethiopian hospital: A cross-sectional study

Bekele, Firomsa; Kelifa, Fuad; Sefera, Birbirsa

doi:10.1016/j.amsu.2022.104003

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…This research is supported by research conducted by Alan Dos Santos (2022) who said that the number of people with diabetes mellitus who were sampled in his study was more female than male, while the comparison was 3776 : 3123 (17). Other research that supports this research is research conducted by Firomsa Bekele (2022) whose research results say that out of 162 respondents with diabetes mellitus who were studied, 88 respondents were female and 64 respondents were male (18).…”

Section: Characteristics Of Respondentsmentioning

confidence: 56%

Factors Associated with the Incidence of Diabetic Ulcers in Clients with Diabetes Mellitus at Labuang Baji Hospital Makassar

Nusdin,

Awaluddin

2023

IJNHS

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Background: Diabetes Mellitus is classified into a group of metabolic diseases with specific characteristics of increased blood sugar levels or hyperglycemia. Clients with Diabetes Mellitus have the potential for 15-25% to experience diabetic foot ulcers caused by the factors of cholesterol, use of footwear, and self-management of diabetes mellitus. Objectives: This study aims to determine factors associated with the incidence of diabetic ulcers in clients with diabetes mellitus at Labuang Baji Hospital Makassar. Methods: The type of research used was quantitative with a cross-sectional design. The number of samples used was 50 respondents by using accidental sampling. The research instrument used a questionnaires and Standard Operating Procedures for cholesterol examination. Result: The study results using the Spearman Correlation Testshowed a relationship between cholesterol and the incidence of diabetic ulcers in clients with Diabetes Mellitus with the p-value = 0.001 (p <0.05). There is a relationship between footwear usage and the incidence of diabetic ulcers in clients with diabetes mellitus with the p-value = 0.001 (p < 0.05) and there is a relationship between Self Management Diabetes Mellitus (SMDM) with the incidence of diabetic ulcers in clients with diabetes mellitus with p-value = 0.001 (p<0.05). Conclusion: Cholesterol, footwear usage, and Diabetes Mellitus Self Management (SMDM) are the factors of Diabetic ulcers in clients with diabetes mellitus. Recommendation: This study could be an adjunct for further systemic review and expected for further study to research about the other factor or the effect of treatment sequacity on diabetic ulcer recovery

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Section: Characteristics Of Respondentsmentioning

confidence: 56%

Factors Associated with the Incidence of Diabetic Ulcers in Clients with Diabetes Mellitus at Labuang Baji Hospital Makassar

Nusdin,

Awaluddin

2023

IJNHS

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“…This study focuses on the significant issue of DFUs in patients with diabetes and the importance of preventing DFUs and associated amputations. DFUs affect approximately 6.4% of the global diabetic population [29], reduce quality of life, prolong hospital stays, and lead to a considerable number of lower limb amputations globally each year [30]. Notably, peripheral neuropathy, the most prevalent type of diabetic neuropathy, plays a critical role in the development of DFUs due to its impact on sensory function and increased susceptibility to ulcers [31].…”

Section: Expected Outcomesmentioning

confidence: 99%

Matrix Metalloproteinase-9 Testing of Golden Rice Cookies With Piper Crocatum Active Extract for Preventing Foot Ulcers in Patients With Diabetes: Protocol for a Randomized Controlled Trial

Setyawati,

Saleh,

Tahir

et al. 2024

JMIR Res Protoc

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Background Diabetic foot ulcers (DFUs) present a formidable challenge to both patients and health care systems. DFUs significantly reduce the quality of life for patients, prolong hospital stays, and are the cause of approximately 70,000 lower limb amputations across the globe annually. Prevention of DFUs primarily involves the optimization of blood sugar levels and the effective management of complications, particularly peripheral neuropathy. Golden Rice has been proven to lower blood sugar levels due to its beta-carotene content, and Piper crocatum (P. crocatum) has been found to be effective in reducing the risk factors of DFUs through biomolecular regulation because of its polyphenol content. Objective The principal objective of this study is to identify the efficacy of P. crocatum–enriched cookies, with Golden Rice as their primary ingredient, in preventing DFUs. The evaluation will center on their impact on the expression of matrix metalloproteinase-9 (MMP-9), a pivotal factor in the development of DFUs. Methods This study is an experimental clinical research that follows the randomized controlled trial method and uses a single-blind design. The participants in the study are outpatients from primary health centers in Makassar, Indonesia, who have been diagnosed with diabetes mellitus. The sample for the study will be randomly selected and subsequently categorized into 2 groups: the intervention group and the control group. The intervention group consumes P. crocatum–enriched Golden Rice cookies, while the control group receives cookies without these additives. The participants from both groups will consume their respective cookies (packaged identically) twice a day for 14 days. The cookies will be prepared according to a modified recipe with an emphasis on low glucose content, resulting in 51 calories per cookie, comprising 1% carbohydrates, 6% fat, 4% cholesterol, and 4% fiber, excluding gluten, sugar, and salt. They will be baked at 158°C for 20 minutes. The process involves the addition of 20% Golden Rice and 10% P. crocatum ethanol extract, both prepared via maceration with 96% ethanol. The dependent variable in this study is the expression of gelatinases matrix metalloproteinase, to be assessed at 2 distinct time points—preintervention (pretest) and postintervention (posttest)—with the evaluation conducted through the western blotting method. Results The recruitment and testing phase started in January 2024. The study is scheduled to be completed by the end of March 2024. Data analysis will commence in April 2024, and the publication of the results is anticipated in the same year (2024). The study will report on the changes in primary data, encompassing gelatinases matrix metalloproteinase, as well as secondary data, including the ankle-brachial index, neuropathy score, and random blood glucose level. Conclusions The findings of this trial are expected to significantly impact the selection of strategies by health care practitioners to enhance diabetes self-management, particularly in the domain of therapeutic snacking, for patients diagnosed with diabetes mellitus. Trial Registration Thai Clinical Trials Registry TCTR20230502001; https://www.thaiclinicaltrials.org/show/TCTR20230502001 International Registered Report Identifier (IRRID) PRR1-10.2196/49940

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“…El PD, es una (3) de las complicaciones más prevalentes en pacientes con diabetes mellitus (DM) . En pacientes con DM el (4) riesgo de desarrollar una úlcera en el pie puede llegar a alcanzar hasta el 25% . Cuando en un paciente con DM (5) aparece una úlcera, con uyen varios factores como cambios en los puntos de apoyo, deformidades o el uso de calzado inadecuado, además de la pérdida total o parcial de la capacidad protectora (sensibilidad), unido a un trastorno vegetativo y vascular de base.…”

Section: Pie Diabéticounclassified

Global approach to the patient with diabetic foot: A review

Viadé Julià,

Longa López,

Nicolás Piera:

et al. 2024

RFMH

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Diabetic foot is one of the most prevalent and severe complications that can develop in patients with diabetes mellitus, presenting numerous clinical challenges due to the complexity of the lesions and the multiple associated comorbidities. Effective resolution of this condition requires coordinated participation from a multidisciplinary team of specialists, including endocrinologists, surgeons, orthopedists, and specialized nurses. The objective of this paper is to present the "System for the Evaluation and Treatment of Diabetic Foot" as an integral and user-friendly tool that facilitates the management of diabetic foot in various clinical settings, including primary care, hospitals, and emergency services. This system standardizes evaluation and treatment, enhances communication among professionals, and has demonstrated, over more than 20 years, a significant reduction in the number of amputations and an improvement in clinical outcomes for patients.

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A male's foot is being shot by an ulcer, not a gunshot! The magnitude and associated factors of diabetic foot ulcer among diabetes mellitus patients on chronic care follow-up of southwestern Ethiopian hospital: A cross-sectional study

Cited by 4 publications

References 21 publications

Factors Associated with the Incidence of Diabetic Ulcers in Clients with Diabetes Mellitus at Labuang Baji Hospital Makassar

Factors Associated with the Incidence of Diabetic Ulcers in Clients with Diabetes Mellitus at Labuang Baji Hospital Makassar

Matrix Metalloproteinase-9 Testing of Golden Rice Cookies With Piper Crocatum Active Extract for Preventing Foot Ulcers in Patients With Diabetes: Protocol for a Randomized Controlled Trial

Global approach to the patient with diabetic foot: A review

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