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All Journal Jurnal Kedokteran Brawijaya Jurnal Berkala Epidemiologi Care : Jurnal Ilmiah Ilmu Kesehatan JAIM (Jurnal Abdi Masyarakat) Jurnal ABDINUS : Jurnal Pengabdian Nusantara Jurnal Bidan Pintar (JuBiTar) Nursing Sciences Journal Journal of Nursing Practice and Education Journal of Applied Nursing and Health Journal of Health and Nutrition Research Journal for Quality in Public Health Jurnal Mahasiswa Kesehatan
Indah Jayani
Program Studi Ilmu Biomedik Pasca Sarjana Fakultas Kedokteran Universitas Brawijaya Malang
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Association Between Blood Glucose Levels and Leukocyte Counts in Patients with Diabetic Gangrene: A Cross-Sectional Study Nurseskasatmata, Satria Eureka; Sulistyawati, Wiwin; Christianingsih, Siska; Sulistyana, Caturia Sasti; Fauzi, Abdul; Jayani, Indah; Etika, Arif Nurma
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.389

Abstract

Background: Diabetic gangrene is a severe complication of diabetes mellitus (DM) that often leads to amputation. DM increases susceptibility to infection by impairing leukocyte function. Although hyperglycemia is known to weaken innate immunity, its association with leukocyte count remains unclear, particularly in low- and middle-income country (LMIC) settings. This study aimed to assess the association between admission blood glucose levels and leukocyte counts in patients with diabetic gangrene. Methods: This study utilized a retrospective cross-sectional design and was prepared in accordance with the STROBE guidelines. Secondary data were extracted from the medical records and laboratory reports of patients hospitalized at Kertosono Regional General Hospital in East Java, Indonesia, from January to December 2022. A purposive total sampling approach was applied. Inclusion criteria required an inpatient diagnosis of diabetes mellitus with diabetic gangrene, alongside the availability of both random blood glucose and total leukocyte count results for the same admission. Exclusion criteria eliminated records with missing or illegible key laboratory values, duplicate records, and records lacking diagnostic confirmation in the discharge summary. The independent variable assessed was admission random blood glucose (mg/dL), and the dependent variable was the total leukocyte count (cells/µL). Results: From an initial pool of 50 records, a final sample of 38 medical records was selected for analysis. Spearman’s rank correlation indicated that there was no significant association between random blood glucose levels and total leukocyte counts (r = -0.031; p = 0.853). Conclusion: Admission blood glucose does not meaningfully track or correlate with total leukocyte count in patients presenting with diabetic gangrene. Clinically, this suggests that leukocyte count should not be used as a proxy or surrogate for acute glycemic status. Therefore, comprehensive infection severity assessments in these patients require integrating clinical evaluation with additional, more specific inflammatory indices.
Co-Authors Abda Abda Agnes, Yeni Lufiana Novita Agnes, Yeni Luviana Novita Agustina Tri E Aldri Frinaldi Alimansur, Moh Alimansur, Moh. Arif Nurma Etika Christianingsih, Siska Cicik Kurniawati, Cicik Erik Irham Lutfi Erna Susilowati Etika , Arif Nurma Fachry Abda El Rahman Fadilah, Charismatul Fatma Sayekti Ruffaida, Fatma Sayekti Fauzi, Abdul Healtyani, Cristina Sri Jaka Santosa, Jaka Jamhari Jamhari Jayani, S.Kep,Ns.,M.Biomed, Indah Karingga, Devangga Darma khusnul khotimah Kusworini Handono Mirasa, Yudied Agung Munadi Munadi Novita Agnes, Yeni Lufiana Novita Ana Anggraini Nur Rahayu, Kun Ika Nurma Afiani Oresye, Berta Perdana Sulistyoning Suharto, Idola Prasetyo, Rudi Tri Satria Eureka Nurseskasatmata Sisilia Enge, Charolina Siti Aminah Sri Haryuni Sulistyana, Caturia Sasti Sulistyawati, Wiwin Sulistyoning Suharto, Idola Perdana Sulistyoning Suharto, Idola Perdana Wahid, Abdurahman winarti, eko Wiwik Handayani Yanuaringsih, Galuh Pradian Yoga Yuniadi Yunalia, Endang Mei