Abstract
An: 2014, Nr.3, Articol Nr. 31
Title: 

PREVALENCE OF FOOT ULCER IN DIABETIC PATIENTS

Authors: 

      Rucsandra Dănciulescu Miulescu - “Carol Davila“ University of Medicine and Pharmacy, Bucharest; “N.C.Paulescu” National Institute of Diabetes, Nutrition and Metabolic Diseases, Bucharest
      M.C. Neamţu, Suzana Dănoiu - University of Medicine and Pharmacy of Craiova
      Diana Păun, Denisa Margină - “Carol Davila“ University of Medicine and Pharmacy, Bucharest
      PREVALENCE OF FOOT ULCER IN DIABETIC PATIENTS (Abstract): Diabetic foot is a serious complication of diabetes which have significant social and economic impact for the patients, their families and society. The aim of the study is to identify the prevalence of food ulcer in diabetic patients. Material and Method: 112 diabetic patients with type 2 diabetes (T2DM) participated in this observational study. All patients were evaluated by physical examination of the foot. The diagnosis of peripheral vascular disease was made clinically on the basis of absence of pedal pulses and/or an ankle-brachial pressure index of <0.9. The diagnosis of distal symmetric polyneuropathy is supported by clinical tests. Biochemical parameters: the fastind plasma glucose (FPG), acid glycosylated hemoglobin (HbA1c), were measured. Results. The prevalence of food ulcer in diabetic patients was 9.01%. Median age of the patients was 70.55±1.81 years in diabetic patients with food ulcer and 62.77±3.96 years in patients without food ulcer. They had an evolution of diabetes between 3 and 24 years. There were statistically significant differences in the recorded parameters in diabetic patients with and without food ulcer. Conclusions: Our study demonstrates positive associations between diabetes and foot ulcers. Also, for the study group, results prove that the increase of the diabetes duration and also, the prevalence of peripheral vascular disease are factors associated with an increased risk of foot ulcer. Very importantly, we pointed out that, for patients with statisticaly similar levels of FPG, a poor glycemic control illustrated by HbA1c leads to the risk of diabetes complications.
Key words: FOOD ULCER, TYPE 2 DIABETES, RISK FACTORS
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