TYPE 2 DIABETES MELLITUS WITH DIABETIC ULCERS ON PLANTARIS PEDIS SINISTRA

Tri Hasan Basri

Abstract


Diabetes mellitus is a group of metabolic diseases with characteristic of hyperglycemia that occurs due to abnormal insulin secretion, insulin action or both. This disease is the sixth leading cause of death in Indonesia. Ny.Y, 60 years old, present with lesions on the left leg since 3 weeks before admission. Patients initialy wound on the left leg red with bumps shaped and contains water, then over time it breaks into lumps and ulcers becoming widened, and malodours. Patient was compos mentis, blood
pressure was 100/70 mmHg, pulse was 86 x/min, respiration rate was 20 x/min, temperature was 37,2 0C. Laboratory tests withat time blood sugar 514mg/dl and potassium 2.6 mmol/L. The left plantar region of the foot ulcers are measured 10x6 cm with a depth of ± 2 cm, ulcers produced pus and surrounding hyperemia. Patients were assigned to treatment with IFVD NaCl 0.9%, cetriaxon 1 gr, metronidazole fls 250 mg, diaversa 2 mg, ketorolaks 30 mg, KSR 600 mg, humulin R 8 UI, and metformin 500 mg.
Diabetes is a metabolic disease caused by many factors, which is characterized by a chronic increase in blood glucose. [J Agromed Unila 2014; 1(2):166-169]
Keywords: blood sugar, diabates mellitus, ulcers

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