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Foot complications in Type 2 diabetes: an Australian population-based study
R J Tapp1, J E Shaw, M P de Courten
1International Diabetes Institute, Melbourne, Australia. rtapp@idi.org.au
Diabetic Medicine : a Journal of the British Diabetic Association
|February 13, 2003
Summary
This study found lower rates of neuropathy and peripheral vascular disease (PVD) in Australian adults with diabetes than previously reported. However, many still face risks for foot ulceration, highlighting the need for continued diabetes management.
Area of Science:
- Diabetes research
- Epidemiology
- Vascular health
Background:
- Diabetic complications like neuropathy and peripheral vascular disease (PVD) significantly impact patient outcomes.
- Understanding the prevalence and risk factors for these conditions in diverse populations is crucial for effective public health strategies.
Purpose of the Study:
- To determine the prevalence of neuropathy and PVD in the Australian diabetic population.
- To identify risk factors associated with these conditions.
- To identify individuals at high risk of developing foot ulceration.
Main Methods:
- The Australian Diabetes Obesity and Lifestyle study surveyed 11,247 adults across Australia.
- Neuropathy and PVD were assessed in 2,436 participants, including those with diabetes, impaired glucose tolerance, and a random sample with normal glucose tolerance.
Main Results:
- Peripheral neuropathy prevalence was 13.1% in known diabetes and 7.1% in newly diagnosed diabetes.
- Peripheral vascular disease (PVD) prevalence was 13.9% in known diabetes and 6.9% in newly diagnosed diabetes.
- 19.6% of diabetic participants were identified as being at risk for foot ulceration, with diabetes duration, age, height, and uric acid levels being significant risk factors for neuropathy and PVD.
Conclusions:
- The prevalence of neuropathy and PVD in this Australian cohort appears lower than in other studied populations, potentially due to sampling differences.
- Despite lower prevalence, a significant portion of the diabetic population exhibits risk factors for foot ulceration, underscoring the ongoing need for preventative care.
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