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2009, Number 5

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Rev Med Inst Mex Seguro Soc 2009; 47 (5)

Foot Ulceration Risk Factors in Type 2 Diabetes Mellitus

Bustos-Saldaña R, Prieto-Miranda S

Language: Spanish
References: 43
Page: 467-476
PDF size: 57.92 Kb.


ABSTRACT

Objective: to identify risk factor prevalence for development of foot ulcers in patients with type 2 diabetes (DM2).
Methods: a cross sectional study, of 2067 patients with DM2 from seven primary care units was conducted. A questionnaire exploring age, sex, occupation, time from diabetes mellitus diagnosis (DMD), and data concerning neuropathy, vascular changes, and presence of infections, anthropometry, and gait was applied.
Results: we found mean age, 59.96 ± 11.47 years and time from DMD, 10.2 ± 8.09 years. From 1360 women, 65.8 % presented the following risk factors: age, 34.7 %; schooling, 49.5 %; time from DMD, 38.8 %; occupation, 20 %; smoking, 24.3 %; alcoholism, 4.6 %; fasting glucose disturbance, 78 %; ulcer history, 10 %. In relation to associated diseases, 67.5 % of patients had one or more antecedent. The presence of risk factors in the sample was 9.716 ± 2.52, of which 6.259 ± 1.59 were modifiable.
Conclusions: patients studied presented high risk factor prevalence for development of foot ulcer. The majority of RF is potentially modifiable by adjusting patients’ customs and habits.


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