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Diabetic foot ulcer--a prospective study.

S M Ali1, A Basit, T Sheikh

  • 1Department of Plastic Surgery, Baqai University Hospital, Baqai Institute of Diabetology and Endocrinology, Karachi.

JPMA. the Journal of the Pakistan Medical Association
|April 27, 2001
PubMed
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Diabetic foot problems are often caused by poor awareness and glycemic control. Early detection and foot care education are crucial to prevent amputations in at-risk diabetic patients.

Area of Science:

  • Diabetology
  • Vascular Surgery
  • Podiatry

Background:

  • Diabetic foot ulceration is a significant complication of diabetes mellitus.
  • Early detection and intervention are vital to prevent severe outcomes like amputation.

Purpose of the Study:

  • To investigate the risk factors and characteristics of diabetic foot problems.
  • To emphasize early diagnosis and treatment to prevent lower limb amputations.

Main Methods:

  • A study of 100 patients with diabetic foot problems was conducted.
  • Patients were assessed for peripheral pulses, sensation, reflexes, skin condition, deformities, and nail disorders.
  • Photographs were taken during the initial visit for documentation.

Main Results:

Related Experiment Videos

  • The study included 65% males and 35% females, with 99% having type II diabetes.
  • Poor glycemic control (70%) and lack of awareness about risk factors were prevalent.
  • Neuropathic ulcers accounted for 42% and neuro-ischemic ulcers for 58%; 59 patients healed with conservative management, while 21 underwent amputation.

Conclusions:

  • Lack of awareness, poor glycemic control, and diabetes duration are primary contributors to diabetic foot issues.
  • Screening for microvascular complications is recommended for patients with diabetic foot ulcers.
  • Comprehensive foot care education is essential for managing and preventing diabetic foot problems.