Prevalence of Diabetic Foot Syndrome and Its Determinants among Type 2 Diabetes Mellitus patients attending Integrated Diabetes & Gestational Diabetes Clinic of a Tertiary Health Care Level Hospital of Eastern India.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Introduction: Globally about 425 million people are suffering from diabetes mellitus and it is expected to rise to about 629 million by 2045. India is home of about 72.9 million diabetes patients which will rise to about 134 million by 2045. Diabetic foot is one of most common and devastating micro vascular complications of diabetes. Diabetic foot is defined as a group of syndromes in which neuropathy, ischemia and infection lead to tissue breakdown and possible amputation. This study was aimed to determine the prevalence of Diabetic Foot Syndrome and its determinants among Type 2 Diabetes Mellitus (T2DM) patients attending Integrated Diabetes & Gestational Diabetes Clinic (IDGDC), Durgapur (West Bengal India). Materials & Methods: An institution based, observational, Cross-Sectional study was conducted from July-October 2018. A pre designed, pre tested, semi structured schedule was used to collect clinic-social data. Evaluation of diabetic peripheral neuropathy was done with the help of Michigan Neuropathy Screening Instruments (MNSI). Peripheral vascular assessment of the feet was done by calculating “Ankle-Brachial Index (ABI)” in both lower limbs using “Diabetik Foot Care India Pvt. Limited” Vascular Doppler instrument having 8 MHz transducer. The International Working Group on Diabetic Foot (IWGDF) Risk Classification System was used to classify study subjects foot problems. Results: Prevalence of DFS was found to be 67.1%. Increasing age, longer duration of diabetes, female gender, smoking, treatment with insulin, central obesity, obesity, hypertension, ischemic heart disease and hypothyroidism was significantly associated with DFS among study participants. Conclusion: There is a high prevalence of Diabetic Foot Syndrome. Most of the risk factors like obesity, smoking, hypertension are modifiable.
Authors and Affiliations
Dr. Jiwesh Kumar Thakur, Dr. Rakesh Kumar, Dr. Debasis Basu, Kajal Hansda, Dr. Boudhayan Das Munshi, Dr. Sasthi Narayan Chakraborty, Sumana Maity, Kiran Bahrus, Dr. Richa, Dr. Nikhil Kumar
Keywords
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