Gambaran Nilai Fracture Risk Assessment Tool (Frax Tool) pada Penderita Diabetes Melitus Tipe 2 di RSU Haji Medan

Abstract

Introduction. Diabetes mellitus is a metabolic disease characterized by chronic hyperglycemia resulting from defects in insulin secretion and/or insulin action. Bone fragility in Type 2 DM, which is not mirrored by bone mineral density and bone mass reduction, depends on bone destruction. Classical diagnosis of osteoporosis in Type 2 DM is performed by dual-energy X-ray absorptiometry (DXA) and risk of fracture can be assessed using the FRAX tool (Fracture Risk Assessment Tool). Objective. To know the value of FRAX tool in patients with type 2 diabetes mellitus. Method. Descriptive observational with a cross sectional study approach using primary and secondary data from the medical records of the Endocrine and Metabolic Polyclinic of RSU Haji Medan in September-October 2023. Results and Discussion. Of the 80 respondents, for the risk of major osteoporosis, there were 77 respondents (96.3%) with low risk, 3 respondents (3%) with moderate risk, and no respondents with high risk (0%). The FRAX score for the risk of hip fracture, which received a low risk of 72 respondents (90%). while the high risk was 8 respondents (10%). Conclusion: The majority of type 2 DM patients at RSU Haji Medan are at low risk for major osteoporosis and hip fracture.