Correlation between Instability of Blood Glucose Levels and Initial Response of Patients to Wounds to the Degree of Diabetic Foot Ulcer (DFU)

  • Alfian Mas’ud Batari Toja Watampone Nursing Academy, Indonesia
  • Nahman Nahman Batari Toja Watampone Nursing Academy, Indonesia
Keywords: DFU, hyperglycemia, Initial Response


Instability of blood glucose levels is one of the problems that occur in DFU patients and the patient's initial response to the wound is associated with poor wound healing, amputations, and increased mortality. The research design is an analytic observational study with a cross-sectional approach design. The research subjects were diabetic foot ulcers patients who underwent wound care at the Independent Nursing Practice in Bone Regency. Sampling technique with Total Sampling method. To find out the respondent's blood glucose level, a measurement was carried out using a Portable Glucometer and then an observation was made of the patient's initial response to the wound. DFU degree assessment using Meggitt-Wagner. The tool used to collect data is the respondent's observation data sheet to record all respondent data. After the Spearman correlation test was carried out, the test results were obtained with a value of p = 0.008 and a value of r = 0.472 so that it can be concluded that there is a significant positive correlation between blood sugar levels and the degree of diabetic foot ulcer with moderate correlation strength and based on the results of the Spearman correlation test, the p value is obtained = 0.026 and the value of r = 0.405 so that it can be concluded that there is a significant positive correlation between the patient's initial response to the wound and the degree of diabetic foot ulcer with a weak correlation strength.


Boulton, A. J. M., Armstrong, D. G., Kirsner, R. S., Attinger, C. E., Lavery, L. A., Lipsky, B. A., Mills, J. L., & Steinberg, J. S. (2018). Diagnosis and Management of Diabetic foot complications. Journal of Wound Care, 6(1), 4–8.

Chokkalingam, M., Packiaraj, G. D., & V, S. K. (2021). Original Research Article A Prospective Study of Assessment of Anemia and Hypoalbuminemia in a Diabetic Patients with Ulcers Conflict of Interest : Nil Source of support : Nil. 4(19), 246–247.

Decroli, E. (2019). Diabetes Melitus Tipe 2 (A. Kam, Y. P. Efendi, G. P. Decrol, & A. Rahmadi (eds.); 1st ed.).

Hardianti, D., Adi, M. S., & Saraswati, L. D. (2018). Description of factors related to severity of diabetic mellitus patient type 2 (Study in Rsud Kota Semarang). Jurnal Kesehatan Masyarakat (e-Journal), 6(4), 132–140.

Kementerian Kesehatan RI. (2018). Hasil Utama Riset Kesehatan Dasar. Kementrian Kesehatan Republik Indonesia, 1–100.

Kyrou, I., Tsigos, C., Mavrogianni, C., Cardon, G., Van Stappen, V., Latomme, J., Kivelä, J., Wikström, K., Tsochev, K., Nanasi, A., Semanova, C., Mateo-Gallego, R., Lamiquiz-Moneo, I., Dafoulas, G., Timpel, P., Schwarz, P. E. H., Iotova, V., Tankova, T., Makrilakis, K., & Manios, Y. (2020). Sociodemographic and lifestyle-related risk factors for identifying vulnerable groups for type 2 diabetes: A narrative review with emphasis on data from Europe. BMC Endocrine Disorders, 20(Suppl 1), 1–13.

Lede, M. J., Hariyanto, T., & Ardiyani, V. M. (2018). Pengaruh Kadar Gula Darah Terhadap Penyembuhan Luka Diabetes Mellitus di Puskesmas Dinoyo Malang. Nursing News, 3(1), 547.

Mardiana, M. (2021). Efektifitas Terapi Pijat Refleksi Kaki Terhadap Pengendalian Glukosa Darah Pada Penderita Diabetes Melitus. Jurnal Keperawatan Muhammadiyah, 6(2), 114–121.

Mas’ud, A., & Mardiana. (2021). Efektifitas Relaksasi Otot Progresif Terhadap Penurunan Tingkat Kecemasan Pada PasienYang Mengalami Luka Kaki Diabetik Di Kabupaten Bone. Jurnal Keperawatan Muhammadiyah, 6(4), 6–11.

Mishra, S. C., & Kunal C Chhatbar, Aditi Kashikar, A. M. (2017). Diabetic foot. BMJ, 10, 1136. bmj: first published as 10.1136/bmj.j5064 on 16 November 2017. Downloaded from on 21 October 2020.

Nugroho, R. A. (2007). Dasar - Dasar Endokrinologi. Springer Lexikon Kosmetik Und Körperpflege, 184–184.

Pujiati, L., & Suherni. (2019). Faktor-Faktor yang Memengaruhi Lama Penyembuhan Luka pada Pasien Ulkus Diabetikum di Rumah Sakit USU Medan. Jurnal Keperawatan Flora, 12(1).

Rakhmawati, A., Purnamawati, D., & Jumaiyah, W. (2021). Efektivitas Penggunaan Antimicrobial Dressing Terhadap Lama Proses Penyembuhan Luka pada PasienUlkus Kaki Dabetik di Pelayanan Kesehatan Wilayah Kabupaten Bekasi. Jurnal Penelitian Kesehatan Suara Forikes, 12(2), 80–86.

Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., Colagiuri, S., Guariguata, L., Motala, A. A., Ogurtsova, K., Shaw, J. E., Bright, D., & Williams, R. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 157, 107843.

Saha, A., Halder, S., & Giri, N. K. (2015). Review Article Diabetic Foot Ulcers : Identification , Diagnosis AND Cure. 3(12), 33–38.

Sucipto Hendra, Zufry Agustia, Sukri Ekadamayanti, Sarah Firdausa, K. W. (2019). Proceeding Book the 3 Rd Aceh Endocrinology and Diabetes Update (Issue February).

Van, G. H., Amouyal, C., Bourron, O., Aubert, C., Carlier, A., Mosbah, H., Fourniols, E., Cluzel, P., Couture, T., & Hartemann, A. (2020). Diabetic foot ulcer management in a multidisciplinary foot centre: one-year healing, amputation and mortality rate. Journal of Wound Care, Vol. 29(8).

How to Cite
Mas’ud, A., & Nahman, N. (2022). Correlation between Instability of Blood Glucose Levels and Initial Response of Patients to Wounds to the Degree of Diabetic Foot Ulcer (DFU). Journal La Medihealtico, 3(6), 469-475.