Self-Management Counseling to Reduce the Risk of Diabetic Foot Ulcers in Type 2 Diabetes Patients

Abstract

Various complications can arise as a result of type 2 diabetes mellitus. One of the main complications of type 2 diabetes is diabetic foot ulcers. To improve compliance, this study used Self-Management Counseling (SMC). This study was conducted from August to November 2024 and lasted for 16 weeks. There were forty respondents selected who met the criteria: they had no wounds and had had diabetes for two years. SMC intervention (b= 0.72; 95% CI= 0.28 to 1.15; p= 0.001) and education (b= 0.39; 95% CI= 0.08 to 0.72; p= 0.015) were significantly able to improve dietary behavior, increase education compliance (Mean= 0.46; 95% CI= 0.18 to 0.74; p= 0.001), exercise compliance (Mean= 1.13; 95% CI= 0.72 to 1.54; p <0.001), and medication compliance (Mean= 1.18; 95% CI= 0.78 to 1.58; p<0.001).  SMC affects ABI, HbA1c, and sensitivity scores so that it can reduce the risk of diabetic foot ulcers. Therefore, it is recommended to accompany type 2 diabetes sufferers to remain compliant with the 4 pillars of diabetes management.