Neutrophyl Lymphocyte Ratio (NLR) Value As Inflammation Marker In Ulcer Diabetic Patients With Variation Of Blood Glucose

Abstract

Ulcer diabetic are chronic wounds under the ankles of people with diabetes melliitus. Inflammation in ulcer diabetic which accompanied by hyperglycemia and poor wound care can inhibit wound healing, aggravate the wound and have high risk of amputation. The Neutrophil Lymphocyte Ratio (NLR) as one of inflammatory markers can be used to monitor wound treatment and care as well as a predictor of healing in ulcer diabetic. This study aims to determine the value of NLR as a marker of inflammation in ulcer diabetic patients with various blood glucose levels. The research was a descriptive study with a cross sectional where the researcher collected secondary data on blood glucose levels from results of the Traditional Medicine examination and the researchers examined the neutrophil cell count and the lymphocyte cell count at UPTD LABKESDA Nganjuk. This research approach conducted in January-April 2021. There are 18 samples of patients who met the inclusion criteria with 10 female respondents and 8 male respondents. The result showed that the average NLR value in ulcer diabetic patients was 3.62% which exceeded the normal value. It can be concluded that there is inflammation of ulcer diabetic patients in Traditional Medicine in Pilangkenceng Subdistrict of Madiun Regency