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Background : Diabetes Mellitus is a metabolic disorder caused by the pancreas being unable to produce insulin or unable to use insulin effectively, which is characterzed by an ncrease in blood sugar levels (Hyperglicemia), usually accompanied by the appearance of symptoms such as polyuria, polydipsia and polyphagia. The prevalence of diabetes mellitus n Marwah ward from April to June was 66 patients who experienced diabetic ulcers. Objective : to determine the level of Diabetes Mellitus wounds before and after treatment using 0.9% Nacl, and to see the comparison between the two. Method : This research shows that there is no change before and after wound treatment with 0.9% Nacl. On the degree of ulcuraton, but there was a reduction before treatment with Nacl 0.9% the wound appeared to have pus and was dirty and after treatment with Nacl 0.9% the wound looked clean and the pus was reduced. Results : This study showed that there was no change in the degree of ulceration, but there was a reduction in pus in the wound and the wound looked cleaner. Conclusion : After applying wound care with 0.9% Nacl to TN.

The condition of the feet of DM patients is one of the indicators that must be studied in monitoring the incidence of ulcers. In DM patients, ulcer problems can occur as a result of vascular and neurological damage. Both causes are initiated through poor metabolic control as assessed by blood glucose levels. The purpose of this study is to analyze several factors that are theoretically and empirically related to the condition of the feet. This cross-sectional study was conducted on the DM group in Palembang city (n = 50), by filling out a characteristic questionnaire, examining foot conditions, and measuring fasting blood sugar levels. The research findings revealed that of all the factors tested with Kendall Tau, blood sugar levels were the only one that was significant (p-value = 0.002) so that it could be significant as a predictor of the condition of the feet. Controlling these levels is important in controlling the incidence of ulcers in patients. The next step that can be taken is to carry out a thorough examination of the patient's neurovascular condition with the Ankle Brachial Index (ABI) and the Michigan Neuropathy Screening Instrument (MNSI).