The impact of dietary compliance on diabetic foot ulcer healing: A cross-sectional study

Dadi Santoso and Rajesh Kumar Muniandy and Putra Agina Widyaswara Suwaryo (2025) The impact of dietary compliance on diabetic foot ulcer healing: A cross-sectional study. South Sudan Medical Journal, 18. pp. 1-7. ISSN 2309-4613

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Abstract

Diabetic foot ulcers (DFUs) are a major complication of diabetes mellitus and are influenced by various factors, including dietary behavior. Proper diet adherence is essential for glycemic control and tissue regeneration, yet its role in ulcer healing remains underexplored. This cross-sectional study involved 100 type 2 diabetes mellitus patients with DFUs receiving home-based care in a community setting. Dietary compliance was measured using a structured questionnaire based on the 3J principle (meal timing, type, and portion). Ulcer healing was evaluated using the Wagner grading system. Data were analyzed using chi-square and logistic regression tests with SPSS 25.0. Among patients with high dietary compliance, 73.3% showed significant ulcer healing, compared to 42.5% in the low compliance group (p = 0.008). Dietary compliance was a significant predictor of ulcer healing (OR = 3.18; 95% CI = 1.41–7.15). Higher dietary compliance was associated with better short-term diabetic ulcer healing. While integrating nutrition education into home care services may be a valuable component of DFU management, our findings cannot confirm its independent effect, and further prospective research is warranted to determine causality and underlying mechanisms.

Item Type:	Article
Keyword:	Diabetic foot, diet therapy, wound healing, patient compliance, diabetes mellitus
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC648-665 Diseases of the endocrine glands. Clinical endocrinology R Medicine > RM Therapeutics. Pharmacology > RM1-950 Therapeutics. Pharmacology > RM214-258 Diet therapy. Dietary cookbooks
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	JUNAINE JASNI -
Date Deposited:	26 Nov 2025 08:20
Last Modified:	26 Nov 2025 08:20
URI:	https://eprints.ums.edu.my/id/eprint/45724

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