The North-West Diabetes Foot Care Study: incidence of, and risk factors for, new diabetic foot ulceration in a community-based patient cohort

2002 ◽  
Vol 19 (5) ◽  
pp. 377-384 ◽  
Author(s):  
C. A. Abbott ◽  
A. L. Carrington ◽  
H. Ashe ◽  
S. Bath ◽  
L. C. Every ◽  
...  
Keyword(s):  
Risk Factors ◽  
Diabetic Foot ◽  
Foot Care ◽  
Community Based ◽  
Foot Ulceration ◽  
North West ◽  
Patient Cohort ◽  
The North ◽  
Care Study

scholarly journals Foot Ulcer Risk Is Lower in South-Asian and African-Caribbean Compared With European Diabetic Patients in the U.K.: The North-West Diabetes Foot Care Study

Diabetes Care ◽  
2005 ◽  
Vol 28 (8) ◽  
pp. 1869-1875 ◽  
Author(s):  
C. A. Abbott ◽  
A. P. Garrow ◽  
A. L. Carrington ◽  
J. Morris ◽  
E. R. Van Ross ◽  
...  
Keyword(s):  
South Asian ◽  
Foot Ulcer ◽  
Diabetic Patients ◽  
Foot Care ◽  
North West ◽  
The North ◽  
African Caribbean ◽  
Care Study

scholarly journals Diabetic Foot Ulceration in a Secondary Health Facility

2020 ◽  
pp. 10-15
Author(s):  
Ayuba Affi ◽  
David Mancha ◽  
Pam Stephen ◽  
Amusa Ganiyu ◽  
S. A. Longwap
Keyword(s):  
Risk Factors ◽  
Glycaemic Control ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Serum Glucose ◽  
Diabetic Patients ◽  
Foot Care ◽  
Foot Ulceration ◽  
Poor Glycaemic Control

Aims: To determine the prevalence, pattern and presentation of the diabetic foot ulcer. Background: A diabetic foot ulcer is a major complication in diabetes mellitus and probably the major component of diabetic foot. It occurs in 15% of all patients with diabetes and precedes 84% of all lower leg amputations. Poverty, low economic status and ignorance have resulted in this devastating disease. It may worsen in the next decade. There are multiple risk factors that predispose an individual to DM foot ulcer; they include age, gender(male), type of DM, glycaemic (HbA1c) or FBG level, duration of DM (>10yrs) occupational status particular habits of self-foot care and infection. Patients and Methods: This consists of 69 diabetic patients; male and female included done between the months of January 2019 to March 2019. A demographic data questionnaire and social history were obtained. Overnight fasting serum glucose was obtained. Serum glucose was determined by enzymatic glucose oxidase method. Data obtained were subjected to Stata Version 11 Software to determine the graphical representation, mean, standard deviation of the analysis. Results: Thirty-Five 35 were male and 34 were female had type 2 diabetes. Forty-Three 43 patients had foot ulcer, 21 patients had gangrene and 5 had infection. The number of patients with peak glucose values 10 mmol/L and least glucose at 20-25 mmol/L. Those of duration 4-6 years were the most affected the age group most affected is between 40-59 yrs. Discussion and Conclusion: Risk factors for foot ulceration discovered among a host other factors identified in this study, were the infection, low socioeconomic status, improper footwear, poor glycaemic control, structural foot deformity and untreated gangrene. The role of poor glycaemic control in the genesis of diabetic complications cannot be overemphasized as the mean FPG was noted to be considerably higher in patients with foot ulceration As part of a comprehensive foot care programme, education on foot care should be directed at patients, family members and healthcare providers. Not less than 85% of all diabetic foot-related problems are preventable. This can be achieved through a combination of good care of foot, provided by an inter-professional diabetes care team, and appropriate education for people with diabetes.

scholarly journals Differences in initial versus recurrent diabetic foot ulcers at a specialized tertiary diabetic foot care center in China

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098739
Author(s):  
Yuxia Cheng ◽  
Ping Zu ◽  
Jie Zhao ◽  
Lintao Shi ◽  
Hongyan Shi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Diabetic Foot ◽  
Blood Glucose Control ◽  
Diabetes Duration ◽  
Chinese Patients ◽  
Foot Care ◽  
Vascular Intervention ◽  
History Of ◽  
Independent Risk Factors ◽  
Recurrence Group

Objective To investigate the characteristics of diabetic foot ulcer (DFU) recurrence. Methods A total of 573 patients with DFUs were recruited and divided into an initial group (395 patients) and a recurrence group (178 patients). The factors related to recurrence were analyzed using multivariate regression. Results The recurrence group had longer diabetes duration (odds ratio [OR] 192; 95% confidence interval 120, 252 vs. 156; 96, 240); lower glycated hemoglobin levels (OR 8.1; 95% CI 6.8, 9.6 vs. 9.1; 7.4, 10.5), and higher rates than the initial group of amputation (37.5% vs. 2.0%), history of vascular intervention (21.3% vs. 3.9%), retinopathy (77.7% vs. 64.7%), callus (44.4% vs. 20.8%), foot deformity (51.2% vs. 24.6%), and outdoor sports shoe wearing (34.0% vs. 21.2%). Multiple factor logistic regression analysis showed that diabetes duration (OR 1.004), callus (OR 2.769), vascular intervention (OR 2.824) and amputation (OR 22.256) were independent risk factors for DFU recurrence. Conclusion Diabetes duration, callus, history of vascular intervention, and amputation were independent risk factors for recurrent DFUs in a cohort of Chinese patients with active DFU. The prevention and treatment of DFUs, especially callus treatment, foot care, and blood glucose control, should be improved in China.

scholarly journals Depression and health risk factors in the North West Adelaide Health Study

2006 ◽  
Vol 18 (6) ◽  
pp. 304-305
Author(s):  
N Potts ◽  
D Wilson ◽  
A Taylor ◽  
T Gill ◽  
G Schrader ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Risk ◽  
Health Study ◽  
Health Risk Factors ◽  
North West ◽  
The North

Goat farmers production objectives and trait preferences in the North West province of South Africa: An approach to identify selection criteria for community-based breeding program

2021 ◽  
Vol 12 (2) ◽  
pp. 64-75
Author(s):  
Fortunate Mtshali Thobile ◽  
Ntanganedzeni Mapholi Olivia ◽  
Tebogo Ncube Keabetswe ◽  
Farai Dzomba Edgar ◽  
C. Matelele Tlou ◽  
...  
Keyword(s):  
South Africa ◽  
Selection Criteria ◽  
Breeding Program ◽  
Community Based ◽  
North West ◽  
The North ◽  
North West Province ◽  
Trait Preferences ◽  
Production Objectives

scholarly journals Diabetic Foot Care Plan

2000 ◽  
Vol 11 (suppl d) ◽  
pp. 15D-21D
Author(s):  
Gordon Dow ◽  
The Diabetic Foot Care Plan Working Group
Keyword(s):  
Diabetes Mellitus ◽  
Antibiotic Therapy ◽  
Diabetic Foot ◽  
Economic Loss ◽  
Care Plan ◽  
Foot Care ◽  
Foot Ulceration ◽  
General Management ◽  
Clinical Scenarios ◽  
Therapeutic Guidelines

Diabetes mellitus is the number one cause of limb loss in North America, and is associated with growing, unacceptable rates of morbidity, mortality and economic loss. Approximately 80% of these amputations are preceded by the development of foot ulceration. Various disciplines have studied the prevention and management of foot ulceration in those with diabetes. The present care plan was constructed to incorporate the important contributions from these disciplines into practical therapeutic guidelines. The care plan has been divided into three basic sections: assessment, general management and antibiotic therapy. Each of these sections is described in detail and borrows heavily from previous Canadian position papers. Application of the care plan is illustrated by multiple diabetic foot clinical scenarios, which have been categorized according to the Wagner classification.

scholarly journals Interdisciplinary joint clinical activity between Diabetologist and Orthopedic for the treatment of diabetic foot in the North West Tuscany

2021 ◽  
Vol 24 (3) ◽  
pp. 192
Author(s):  
Casadidio, I.
Keyword(s):  
Key Words ◽  
Multidisciplinary Team ◽  
Diabetic Foot ◽  
Professional Growth ◽  
Clinical Case ◽  
Integrated Management ◽  
Clinical Activity ◽  
North West ◽  
Know How ◽  
The North

The diabetic foot can be treated only if you know how to work as a team and the diabetologist, the natural referent of the clinical case, has to create a multiprofessional/multidisciplinary team that can manage the patient to prevent injuries and treat them if they show up. The creation of structured diagnostic-therapeutic paths guarantees a better coordination of the professional figures involved, optimizes the management of the direct and indirect resources required to manage such a clinically challenging complication. After many years of activity we have built a solid integration between diabetologist and orthopedic, between hospital and territory and we have simplified a complex path. The fulcrum of this activity is the joint orthopaedic clinic that guarantees the correct care of the patient and allows the professional growth of the whole team. KEY WORDS diabetic foot; integrated management; PDTA; team.

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