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Updated: May 19, 2026

Effects of Mindfulness Training Combined with Tai Chi in Patients with Diabetic Peripheral Neuropathy

Effects of Mindfulness Training Combined with Tai Chi in Patients with Diabetic Peripheral Neuropathy

Published on: July 14, 2023

Foot problems in Maori with diabetes.

Belinda Ihaka¹, Angela Bayley, Keith Rome

¹Department of Podiatry, AUT University, Faculty of Health and Environmental Sciences, 90 Akoranga Dr, Northcote 0627, Private Bag 92006, Auckland 1142, New Zealand. belinda.ihaka@aut.ac.nz

The New Zealand Medical Journal

|August 31, 2012

Summary

Maori with diabetes in New Zealand show high rates of pre-ulcerative foot lesions and current ulceration, despite no observed microvascular or macrovascular complications. Regular podiatric screening and management are crucial for this population.

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Last Updated: May 19, 2026

Effects of Mindfulness Training Combined with Tai Chi in Patients with Diabetic Peripheral Neuropathy

Effects of Mindfulness Training Combined with Tai Chi in Patients with Diabetic Peripheral Neuropathy

Published on: July 14, 2023

Area of Science:

Podiatry
Diabetology
Public Health

Background:

Diabetes prevalence and complications are higher in New Zealand Maori compared to European populations.
Limited data exists on the podiatric clinical characteristics of Maori individuals with diabetes.
Understanding these characteristics is vital for targeted preventative care.

Purpose of the Study:

To assess the clinical and foot characteristics of Maori with diabetes.
To utilize a podiatry-specific assessment tool for comprehensive evaluation.
To identify specific podiatric needs within this demographic.

Main Methods:

Cross-sectional study design.
Recruitment of participants with diabetes from Maori Primary Health Organisations.
Collection of podiatric (vascular, neurological, musculoskeletal), demographic, and general medical data.

Main Results:

Fifty-three participants with a mean diabetes duration of 12 years and HbA1c of 8.3% were recruited.
While neurovascular results were unremarkable, 53% presented with pre-ulcerative lesions and 8% with current pedal ulceration.
Despite good foot-care knowledge (>85%), 60% required regular podiatric management and screening.

Conclusions:

No lower limb microvascular or macrovascular complications were evident, despite long-standing diabetes and poor glycaemic control.
A high prevalence of pre-ulcerative lesions indicates a significant risk for future ulceration if unmonitored.
The findings underscore the necessity for routine podiatric screening and management in Maori with diabetes.