Indonesia is the country with the fourth
most diabetes mellitus patient in the world after India,
China, and the United States, 12 million patient and is
expected to increase to 21.3 million in 2030. Diabetic foot
ulcers (DFU) is a complication of diabetes that is hard to
heal and can even end in amputation due to
infectioncauseof not handled properly. The incidence of
diabetic foot ulcers reaches 25% and the overall
prevalence reaches 6.3% of all diabetes mellitus patients
in each country (JWC Int, 2018). The UK reports the
effect of diabetes mellitus 20% on diabetic foot ulcers
(National Health Service Diabetes Care, 2013). The
incidence of diabetic foot ulcers in the United States is
15% - 20%, with the risk of amputation 15-46 times
higher than non-diabetic. The concept of moist wound
healingwith modern dressings has become the main
foundation in wound care and then acupuncture support
therapy can be used as additional therapy to supporting
granulationin wound healing process. Acupuncture is an
traditional Chinese medicine therapy using needles that
are inserted into the acupoint.
Methods: A case study of a 61-year-old man who had a
diabetic foot ulcers on the left leg of M. Gastronemius
lateral after surgery who had sloughly, with the concept
of modern wound care dressings, he found regrowth of
granulation tissue and used acupuncture method to
support granulation cells to grow faster. Proliferation
spreads towards epithelialization which is effective
enough to be used as additional therapy in cases of
diabetic foot ulcers.
Results: The effectiveness was quite visible in the repair
of fast-growing granulation cells, good revascularization
to distal wound using acupuncture methods for diabetic
foot ulcers after 2 weeks wound care in every 3 days.
Conclusion: Acupuncture therapy as an additional
therapy in the treatment of diabetic foot ulcers is quite
effective in increasing the amount of granulation cells
towards epithelialization in the proliferative phase.
Keywords : Granulation, DFU Treatment, Acupuncture.