Diabetes Foot Ulcer Risk - A Public Health Concern in Rural Pondicherry!!
Journal Title: National Journal of Community Medicine - Year 2018, Vol 9, Issue 10
Abstract
Background: The risk of diabetes related complications is increasing with the increase in number of dia-betes in rural population. Diabetes foot ulcer is a preventable complica-tion of diabetes. Objective: To assess the diabetes foot ulcer risk among patients with type II diabetes attending a rural health centre in Pondicherry. Materials and Methods: This facili-ty based cross sectional study was conducted among 121 diabetics at-tending a rural health centre in Pondicherry during the study peri-od. Detailed foot examination in-cluding vascular and neurological assessment was done using stand-ard procedure. The risk for diabetes foot ulcer was categorised as per risk classification by American Dia-betic Association. Results: About 17% of the diabetes patients had risk for developing di-abetes foot ulcer. Of the total diabet-ics with risk for foot ulcer, 5%, 7.5% and 5% were in category 1, category 2 and category 3 respectively. A sig-nificant 39% of the diabetics report-ed not receiving any health educa-tion related to foot care. Conclusion: A significant propor-tion of diabetics had risk for foot ul-cer in the study population. Health education on foot care for all diabet-ics and close monitoring of foot of diabetics with risk for developing foot ulcer should be included in rou-tine care.
Authors and Affiliations
Bijaya N Naik, Manikandan Srinivasan, Mahendra M Reddy, Srikanta Kanungo, Sonali Sarkar, Sitanshu S Kar
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