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Fitri Anggraini
Sultan Ageng Tirtayasa University

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The Relationship Between Uncontrolled Hba1c and the Incidence of Minor Amputations in Diabetic Foot Ulcer Patients at Banten Regional Hospital Fitri Anggraini; Habib Burahman; Baety Adhayati
International Journal of Medicine and Public Health Vol 3, No 1 (2026): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v3i1.39966

Abstract

Diabetes Mellitus (DM) is a metabolic disorder characterized by elevated blood sugar levels due to impaired insulin production or function. One of its chronic complications is diabetic foot ulcers, which can lead to infection, gangrene, and even amputation, especially in patients with poor glycemic control, as assessed by HbA1c. This condition increases morbidity and mortality, and reduces quality of life. This study aims to determine the relationship between uncontrolled HbA1c levels and the incidence of minor amputations in patients with diabetic foot ulcers at Banten Regional Hospital. This study was an observational analytical study with a cross-sectional design using a retrospective approach through medical records of diabetic foot ulcer patients at Banten Regional Hospital. The sampling technique used was consecutive sampling with a sample size of 100 subjects who met the inclusion and exclusion criteria. Data analysis was performed using univariate and bivariate analysis using SPSS. The chi-square test was used to determine the relationship between HbA1c and the incidence of minor amputations. The results of the study from a total of 100 subjects showed that from univariate analysis, in the uncontrolled HbA1c group (>7%) the majority experienced minor amputations (53.8%), while in the controlled HbA1c group (≤7%) the majority did not experience amputations (57.1%). From bivariate analysis, there was no significant relationship between HbA1c levels and the incidence of minor amputations (p=0.402). The results of this study also have a 95% Confidence Interval (CI) with a lower value of 0.679 and an upper value of 3.561. There was no significant relationship between uncontrolled HbA1c levels and the incidence of minor amputations.