Background: The high prevalence of diabetes mellitus and the long duration of the disease can increase the risk of complications. One of the complications is diabetic neuropathy and ulcers due to decreased blood flow to the lower extremities. So, early detection through an ankle-brachial index measurement and applying Buerger Allen exercise and walking exercise can improve blood circulation to the lower extremities to prevent and reduce the risk of diabetic ulcers. Objective: To determine the effect of the combination of Buerger Allen Exercise and Walking Exercise on the Ankle Brachial Index value of patients with Type 2 DM. Methods: Quasy Experimental with Nonequivalent control group design pretest and posttest approach. Sampling was done using purposive sampling techniques, with a total sample of 21 people in the intervention group and 21 in the control group. Statistical tests used were paired sample t-test and independent sample t-test with a significant level of 0.05. Results: The statistical test results show a difference in the average Ankle Brachial Index value after Exercise between the intervention and control groups, with a p-value of 0.001. Conclusion: Combining Buerger Allen Exercise and Walking Exercise can increase the value of the Ankle Brachial Index in patients with Type 2 DM. Implications for Nursing: Combining Buerger Allen Exercise and Walking Exercise to improve the Ankle Brachial Index value.

Keywords: Ankle Brachial Index, Buerger Allen Exercise, Diabetes Mellitus, Walking Exercise.