SELF-MANAGEMENT BEHAVIOR AND SUSPECTED DIABETIC PERIPHERAL NEUROPATHY IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Sofia Dewi Andini; Joko Mulyanto; Mohamad Fakih

doi:10.20884/1.mandala.2026.19.2.17266

Sofia Dewi Andini Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia
Joko Mulyanto Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia
Mohamad Fakih Faculty of Medicine, Jenderal Soedirman University, Purwokerto, Indonesia

DOI: https://doi.org/10.20884/1.mandala.2026.19.2.17266

Abstract

Background: Peripheral neuropathy is a complication of type 2 diabetes mellitus (T2DM) that can reduce patients’ quality of life. Blood glucose control through self-management behavior is one approach to preventing this complication. However, the association between self-management behavior and peripheral neuropathy in patients with T2DM warrants further investigation. Objective: To determine the association between self-management behavior and suspected diabetic peripheral neuropathy (DPN) in patients with T2DM in Sumbang District, Banyumas. Methods: An analytical observational study with a cross-sectional design was conducted among 55 patients with T2DM selected using purposive sampling. Self-management behavior was assessed using the Diabetes Self-Management Questionnaire (DSMQ), while suspected DPN was assessed using the Indonesian version of the Diabetic Neuropathy Symptom (DNS) questionnaire. Bivariate analysis was conducted using the chi-square test, and multivariate analysis was conducted using logistic regression. Results: A total of 46 respondents (83.6%) demonstrated good self-management behavior, while 45 (81.8%) screened positive for suspected DPN. The chi-square test found no significant association between self-management behavior and suspected DPN (p = 0.198). In contrast, HbA1c was significantly associated with suspected DPN (p = 0.001). Logistic regression showed that poor HbA1c control was associated with increased odds of suspected DPN (OR = 23.268; 95% CI: 3.790–142.858; p = 0.001). Conclusion: No significant association was found between self-management behavior and suspected DPN among patients with T2DM in Sumbang District, Banyumas. HbA1c was significantly associated with suspected DPN, underscoring the importance of glycemic control and neuropathy assessment in the management of patients with T2DM.

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