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Diabetic foot problem in Nepal.

Suman Baral1, Satyan Rajbhandari2

  • 1Department of Diabetes & Endocrinology Mediciti Hospital, Lalitpur, Nepal.

Frontiers in Endocrinology
|November 29, 2023
PubMed
Summary

Diabetic foot problems are prevalent in Nepal, affecting 3.7% of patients with ulcers and 14.3% with neuropathy. A lack of specialized clinics highlights the need for a structured, multidisciplinary approach to diabetes care.

Keywords:
Nepalamputationdiabetic footneuropathyulcer

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Area of Science:

  • Endocrinology and Metabolism
  • Public Health
  • Vascular Surgery

Background:

  • Diabetes mellitus is a growing health concern in Nepal, with an estimated 2 million people affected.
  • Limited resources in Nepal pose significant barriers to accessible diabetes care and complication screening.
  • There is a critical lack of data regarding the incidence, prevalence, and complications of diabetic foot problems in Nepal.

Purpose of the Study:

  • To assess the perception of senior physicians regarding the prevalence and challenges of diabetic foot problems in Nepal.
  • To gather preliminary data on diabetic foot complications from healthcare professionals.
  • To identify the need for improved diabetes management strategies in Nepal.

Main Methods:

  • An online survey was distributed to senior physicians affiliated with the Diabetes & Endocrine Association of Nepal.
  • Physicians were asked to report on the number of patients with diabetic foot complications seen in the preceding month.
  • Data collected included prevalence rates for diabetic foot ulcers, painful neuropathy, and amputation history.

Main Results:

  • The survey included 38 physicians who collectively saw 17,597 patients.
  • A crude prevalence rate of 3.7% for diabetic foot ulcers and 14.3% for painful neuropathy was reported.
  • Amputation rates were 1.2% for minor and 0.8% for major amputations.

Conclusions:

  • Diabetic foot problems represent a substantial burden in Nepal.
  • The absence of dedicated multidisciplinary diabetic foot clinics is a significant gap in care.
  • A structured, multidisciplinary approach is urgently needed for the screening and treatment of diabetic foot complications in Nepal.