Abstract

Neuropathy has been associated with various risk factors, including increasing age, male gender, poor sugar consumption, lipid value index and blood pressure, duration, and severity among patients with Diabetes Mellitus. In Bulukumba Regency, a report by the Bulukumba District Health Office reveals that there were 5410 visits of Diabetes Mellitus patients. This study aimed to identify the relationship between the long-standing Type-2 Diabetes Mellitus with neuropathy incidence among DM patients at H. Andi Sulthan Daeng Radja Hospital in Bulukumba Regency. This study that was conducted in July - August 2020, used a cross-sectional design. The study involved 38 patients selected by employing the purposive sampling technique. In terms of duration since diagnosed Type-2 DM, there were 30 patients (78.9%) included in the short-period category (1-5 years), and eight people (21.1%) included in the long-period category. The proportion of respondents that experienced an incidence of neuropathy are as follow 5.3% (two patients) with mild neuropathy, 60.5% (23 patients) with moderate neuropathy, and 34.2% (13 patients) with severe neuropathy. Bivariate analysis using Kolmogorov-Smirnov test results in p-value = 0.006 (<α = 0.05). The research concludes that there is a significant relationship between the length of the suffering of Type-2 Diabetes Mellitus and the incidence of neuropathy. It is recommended that Type-2 DM patients should be educated about the risk of developing neuropathy and its associated health consequences. Policies regarding the use and/ or development of neuropathy assessment within healthcare facilities are also encouraged to help healthcare professionals educate such patients to prevent the negative impact of diabetic neuropathy among DM patients in the future.

Highlights

  • Diabetes Mellitus or commonly abbreviated to DM which is a chronic condition that can occur when a human body is unable to produce enough insulin or is unable to use insulin, and can be characterized by increased levels of glucose in the blood (International Diabetes Federation, 2015 as cited in Taufiqur et al, 2017)

  • In Indonesia, based on the RISKESDAS (Riset Kesehatan Dasar) in 2018, the prevalence of Diabetes Mellitus based on the diagnosis of doctors in the population aged > 15 years is reported as much as 2.0% of the population in Indonesia

  • According to Rusnani (2014), the duration of suffering from Type-2 DM is the onset of hyperglycemia that occurs due to abnormalities of insulin secretion, the work of insulin or both that lasts 7 years before the diagnosis is confirmed, until the occurrence of microvascular complications that arise 15 years after the first symptom develops

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Summary

Introduction

Diabetes Mellitus or commonly abbreviated to DM which is a chronic condition that can occur when a human body is unable to produce enough insulin or is unable to use insulin, and can be characterized by increased levels of glucose in the blood (International Diabetes Federation, 2015 as cited in Taufiqur et al, 2017). In the WHO (World Health Organization) data center, Diabetes Atlas of 2015 from the IDF (Indonesian Development Forum) stated that among 220 countries around the world the prevalence of people with Diabetes Mellitus has been estimated to rise from 415 million people in 2015 to 642 million people in 2040. Half of these are in Asia, namely China, India, Indonesia and Pakistan (Tandra, 2017). Annual evaluation of microvascular complications in addition to lipid profiles is a routine practice in all cases of Diabetes Mellitus in NCDEG centers (Khawaja et al, 2018). South Sulawesi Province scored as much as 1.9% of the population(Kemenkes, 2018)

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