Title:Type 2 Diabetes Mellitus with Early Dry Skin Disorder: A Comparison Study Between Primary and Tertiary Care in Indonesia
Volume: 18
Issue: 2
Author(s): Lili Legiawati*, Kusmarinah Bramono, Wresti Indriatmi, Em Yunir and Aditya Indra Pratama
Affiliation:
- Department of Dermatology and Venereology, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National Central General Hospital, Jl Salemba Raya No. 6, Central Jakarta 10430, Indonesia
Keywords:
Diabetes mellitus, dry skin, primary care, tertiary care, SRRC, T2DM.
Abstract:
Background: The prevalence of Type 2 Diabetes Mellitus (T2DM) in Indonesia has
continued to increase over the years. Management of T2DM is challenging across clinical settings,
including primary and tertiary care. Uncontrolled T2DM puts patients at risk of the development of
T2DM complications, especially early-stage dry skin that is neglected by most of the patients. This
study aimed to investigate the comparison between the T2DM management profile and dry skin
clinical profile of T2DM patients in primary care and tertiary care settings.
Methods: The study was conducted as a cross-sectional epidemiological study by comparing
T2DM patient profiles in primary and tertiary care. The data collected included sociodemographic,
clinical, and laboratory data that were correlated with T2DM and early dry skin related-T2DM.
This study included early dry skin within the SRRC score of 3-11 and excluded infection, ulcer,
and severe erythema.
Results: The patients in primary and tertiary care presented poorly controlled T2DM with median
HbA1c levels of 7.8% and 7.6%. The patients in primary care also presented with high triglyceride,
179 mg/dl. Furthermore, several significant differences were found in the duration of T2DM, duration
of dry skin, and DM treatment (OAD and insulin).
Conclusion: Significant differences in the duration of T2DM, duration of dry skin, and DM treatment
(OAD and insulin) might be affected by the parameter of T2DM glycemic control (Blood
pressure (BP), body mass index (BMI), HbA1c, random blood glucose (RBG), and triglyceride).
