The Relationship between Omentin-1, Fibrinogen and Glycemic Control in Diabetic Foot Ulceration in Babylon Province

2021 ◽  
Keyword(s):  
Glycemic Control ◽  
Diabetic Foot ◽  
Foot Ulceration ◽  
The Relationship

scholarly journals Factors associated with diabetic foot among type 2 diabetes in the region of Monastir (Tunisia)

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Abroug ◽  
M Ben Fredj ◽  
M Kacem ◽  
C Bennasrallah ◽  
W Dhouib ◽  
...  
Keyword(s):  
Risk Factors ◽  
Glycemic Control ◽  
Diabetic Foot ◽  
Disease Duration ◽  
Significant Risk ◽  
Multivariate Logistic Regression Analysis ◽  
Poor Glycemic Control ◽  
P Value ◽  
Validated Questionnaire ◽  
The Relationship

Abstract Background The diabetic foot (DF) has actually a high rate of disability leading to impaired quality of life and even mortality. Glycemic control among Tunisian adults with diabetes mellitus remains poor. However the relationship between glycemic control and foot complication have not been clearly established. The aim of the present study was to assess the relationship between diabetic foot lesions and glycemic control and the diabetic duration in the people with DT2. Methods A cross-sectional survey was conducted in five Primary Health care Centers (PHC) in the region of Monastir (Tunisia) from March 2016 to April 2017. Data were collected using interviewer administered structured questionnaire. Validated questionnaire was used to assess diabetic foot diseases.nA multivariate logistic regression analysis was conducted to assess the relationship between glycemic control, diabetic duration and the DF lesions. A p-value of < 0.05 was considered statistically significant. Results In total 383 patients were recruited, of whom 258 (67.9%) were men. The mean age of participants was 60.7±11.3. Poor glycemic control (HbA1c ≥ 7.0%) increased the risk of abnormal patellar reflex (aOR=7.07; CI95% 1.65-30.1; p = 0.03) and calf claudication (aOR=7.07; CI95% 1.65-30.1). The long duration of diabetes (10 years and more) was a significant factor associated with an abnormal Achill reflex (aOR=2.31; CI95% 1.12-4.76; p = 0.02), a needle-stick perceptual disorder(aOR=2.08; CI95% 1.14-3.78; p = 0.01), a vibration sensibility perceptual disorder (aOR=2.02; CI95% 1.01-4.08; p = 0.04), a negative monofilament test (aOR=2.69; CI95% 1.04-5.16; p = 0.003), an absent dorsalis pedis artery pulsation(aOR=2.35; CI95% 1.09-5.05;p=0.02) and an absent posterior tibial artery pulsation (aOR=3.06; CI95% 1.28-7.28; p = 0.01). Conclusions This study identified that disease duration and poor glycemic control are significant risk factors related to DF development in the current T2DM population. Key messages Disease duration and poor glycemic control are significant risk factors related to DF development in the T2DM population in the region of Monastir. Prevention programs should be focused on patient education about modifiable risk factors in particular glycemic control and adequate and regular foot care.

scholarly journals Exploring the Relationship of Health Beliefs and Self-Care Behaviors Related to Diabetic Foot Ulcers of Type II Diabetes Mellitus Patients: A Cross-Sectional Study

2021 ◽  
Vol 18 (13) ◽  
pp. 7207
Author(s):  
Meng-Chien Tsai ◽  
Hsiao-Ling Chuang ◽  
Cheng-Yi Huang ◽  
Shu-Hsin Lee ◽  
Wen-Chun Liao ◽  
...  
Keyword(s):  
Health Beliefs ◽  
Diabetic Foot ◽  
Self Care ◽  
Health Belief ◽  
Living Alone ◽  
School Level ◽  
High School Level ◽  
Cross Sectional ◽  
The Relationship ◽  
Care Behavior

Objective: Diabetic foot ulcers are an invasive complication of diabetes and are increasing. This study investigates the relationship between health beliefs and foot self-care behaviors, among people with type II diabetes. Methods: A cross-sectional design was adopted, and 98 patients were recruited from outpatient clinics of the endocrine department. The questionnaires of Demographic, Diabetes Foot Ulcer Health Belief Scale (Health Beliefs, DFUHBS), and Diabetes Foot Self-Care Behavior Scale (Self Care, DFSBS) were used to collect data. Results: Among the subjects living alone or who had diabetes less than ten years, the score of DFSBS was significantly lower than among those living with families or who had diabetes for ten years or more. The frequency of performing diabetes foot self-care behavior, among males was lower than among females significantly. Although there was no significant difference in the Health Belief total score, there were differences in the benefit subscale. Those who had junior high school level or less or had diabetes less than ten years, their score was significantly lower than those with senior high school level or more or had diabetes ten years or more. In a multivariable regression model, living with family, diabetes duration, and health beliefs explained 42.9% of the variance of diabetic-foot self-care behaviors. Conclusions: Living alone, shorter duration of diabetes, male gender, and lower health belief scores predict less adequate diabetic foot self-care behavior. Health care providers should assess these factors when designing individual care plans.

scholarly journals Importance of Time Spent Standing for Those at Risk of Diabetic Foot Ulceration

Diabetes Care ◽  
2010 ◽  
Vol 33 (11) ◽  
pp. 2448-2450 ◽  
Author(s):  
B. Najafi ◽  
R. T. Crews ◽  
J. S. Wrobel
Keyword(s):  
At Risk ◽  
Diabetic Foot ◽  
Foot Ulceration

Discordance Between Physician and Patient Perceptions in the Treatment of Diabetes Mellitus: A Pilot Study of the Relationship to Adherence and Glycemic Control

1996 ◽  
Vol 22 (5) ◽  
pp. 493-499 ◽  
Author(s):  
Bret A. Boyer ◽  
Caryn Lerman ◽  
Thomas E. Shipley ◽  
John McBrearty ◽  
Andrew Quint ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Pilot Study ◽  
Glycemic Control ◽  
Patient Perceptions ◽  
Treatment Of Diabetes ◽  
The Relationship

Increased forefoot to rearfoot plantar pressure ratio in South Indian patients with diabetic foot ulceration

2004 ◽  
Vol 21 (4) ◽  
pp. 396-397 ◽  
Author(s):  
V. Viswanathan ◽  
M. Sivagami ◽  
R. Seena ◽  
C. Snehalatha ◽  
A. Ramachandran ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Plantar Pressure ◽  
Pressure Ratio ◽  
Foot Ulceration ◽  
Indian Patients ◽  
South Indian

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.

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