DOI: https://doi.org/10.36347/sjams.2026.v14i04.021

Pages: 562-568

Background: The global escalation of Diabetes Mellitus, particularly Type 2, brings a high risk of chronic complications. Prolonged hyperglycemia leads to peripheral arterial narrowing, significantly decreasing blood flow to the lower extremities. This reduced perfusion is a primary cause of peripheral neuropathy and diabetic foot ulcers. Early detection is needed through measuring the Ankle Brachial Index and implementing Buerger Allen Exercise and Walking Exercise, which can increase blood circulation to the extremities as an effort to prevent and reduce the risk of diabetic ulcers. Aim: This study aims to determine the effect of Buerger Allen Exercise and Walking Exercise on the Ankle Brachial Index in patients with Diabetes Mellitus. Methodology: Using a quasi-experimental design with pre-test and post- test approach, purposive sampling technique was used with a sample size of 30 people in the intervention group and 30 people in the control group. The tool used to measure the Ankle Brachial Index is a digital sphygmomanometer. The statistical tests used are paired sample t- test and independent sample t-test with a significance level of 0.05. Results: There was a difference in the average value of the Ankle Brachial Index before and after being given exercise in the intervention group; difference between mean pre-test [0.748] and mean post- test [0.812] scores of interventional group, found to be statistically difference at 0.05 level of significant with a p value of 0.001 [t=12.16(p value=0.001) p<0.05] also the results of the statistical test showed that there was a difference in the mean value of the post-test score between the intervention group(0.812) and the control group(0.739) with a p-value of 0.041(p<0.05). Conclusion: Buerger Allen exercise and walking exercise can improve and increase peripheral circulation to the extremities.