| dc.description.abstract | Background: Diabetic foot is a vascular complication in patients with type 2
diabetes mellitus that can lead to nontraumatic amputation. From previous
research have linked diabetic foot to micronutrient levels such as ferritin, vitamin
D, and calcium, but there is no follow-up study in Medan regarding this
Objective: This study aims to analyze the relationship between ferritin, vitamin
D, and calcium levels with the severity of diabetic foot in type 2 DM.
Method: This was an observational analytical study with a cross-sectional design.
A total of 48 samples were collected from type 2 DM patients treated at Adam
Malik Hospital from December 2022 to December 2023. Data were gathered
through measurements of micronutrient levels (vitamin D, ferritin, and calcium)
and the severity of diabetic foot was assessed using the Wagner Meggitt
classification.
Result: Of the 48 samples obtained, the majority were female (64.6%), with high
ferritin levels (91.6%), and low levels of calcium and vitamin D (93.75%).
Bivariate analysis showed no significant relationship between ferritin, corrected
calcium, and vitamin D with Wagner grades 2-5 (p=0.515, p=0.646, and p=0.377,
respectively). Non-parametric correlation analysis revealed a significant
correlation between corrected calcium and Wagner grade (p=0.022) and between
vitamin D and Wagner grade (p=0.027).
Conclusion: Calcium and vitamin D were found to be correlated with the degree
of severity of diabetic foot based on Wagner-Meggit criteria, while not with
ferritin. | en_US |
