scholarly journals THE KNOWLEDGE REGARDING FOOT CARE AMONG THE DIABETES PATIENTS

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Mr. Kailash Chandra Saini Mr. Kailash Chandra Saini ◽  
I Dr. Rajendra Prasad Sharma I Dr. Rajendra Prasad Sharma

Diabetes Mellitus is recognized as one of the leading causes of death & disability worldwide. India is in leading position with largest number of Diabetes cases. The physical, social & economic factors involved in the occurrence & management of diabetes mellitus. Besides morbidities & increased health care expenditures, diabetes is related to many catastrophic life-threatening complications such as neuropathy [24.6%], coronary heart disease [23.6%], renal disease [21.1%], retinopathy [16.6%], foot ulcers [5.5%], stroke. Similarly, body fat percentage, greater than 25% in males & 30% in females, waist circumference more than 80 cm in females & 90 cm in males is associated with increased of diabetes in Indian population.

2018 ◽  
Vol 178 (5) ◽  
pp. 513-521 ◽  
Author(s):  
Sung Keun Park ◽  
Jae-Hong Ryoo ◽  
Chang-Mo Oh ◽  
Joong-Myung Choi ◽  
Ju Young Jung

Background Body fat plays the significant role in maintaining glucose homeostasis. However, it is not fully identified how body fat percentage (BF%) has an impact on the development of type 2 diabetes mellitus (T2DM). Thus, this study was to evaluate the incidental risk for T2DM according to BF% level. Methods In a community-based Korean cohort, 5972 Korean adults were divided into quintile groups by BF% and followed up for 10 years to monitor the development of T2DM. Cox proportional hazard model was used to evaluate the hazard ratios (HRs) for T2DM according to BF% quintile. Additionally, subgroup analysis was conducted by low and high level of BF% (cut-off: 25 in men and 35 in women) and body mass index (BMI). Results In adjusted model, compared to the BF% quintile 1 group, the risk for T2DM significantly increased over BF% of 22.8% in men and 32.9% in women (≥quintile 4). The level of BF% related to the increased risk for T2DM was lower in non-obese men (22.8%) than obese men (28.4%). In subgroup analysis, men with low BMI (<25) and high BF% (≥25) had the highest risk for T2DM than other subgroups (HRs: 1.83 (1.33–2.52)). However, this association did not show the statistical significance in women (HRs: 1.63 (0.98–2.72)). Conclusion The incidental risk for T2DM significantly increased over the specific level of BF%, which was lower in non-obese population than obese population. Gender difference was suggested in the incidental relationship between BF% and T2DM.


2020 ◽  
Vol 48 (3) ◽  
pp. 030006051989748
Author(s):  
Yinghui Zhang ◽  
Lemeng Ren ◽  
Fengjie Zheng ◽  
Xianghua Zhuang ◽  
Dongqing Jiang ◽  
...  

Objectives To evaluate skeletal muscle mass in patients with both type 2 diabetes mellitus (T2DM) and concomitant lower extremity arterial disease (LEAD) and determine the contribution of skeletal muscle mass to macrovascular diseases. Methods In total, 112 patients with T2DM were divided into the T2DM and T2DM + LEAD groups. Hepatic function, renal function, uric acid, blood glucose, and glycated hemoglobin (HbA1C) were measured. Dual-energy X-ray absorptiometry was used to measure visceral fat area and skeletal muscle mass index (SMI). Results Waist-to-hip ratio, uric acid, and body fat percentage were significantly higher in the T2DM+LEAD group than in the T2DM group; SMI was significantly lower in the T2DM+LEAD group than in the T2DM group. There were no significant differences in albumin, creatinine, fasting blood glucose, HbA1C, or blood lipids. Uric acid, SMI, and body fat percentage were significantly positively correlated with T2DM and concomitant LEAD. Logistic regression analyses suggested that SMI is an independent risk factor for LEAD in T2DM (odds ratio = 1.517; 95% confidence interval: 1.082–2.126). Conclusions Skeletal muscle mass is lower in patients with T2DM and concomitant LEAD than in patients with T2DM who do not exhibit LEAD. SMI is an important risk factor for LEAD.


2013 ◽  
Vol 45 (4) ◽  
pp. 1544-1547 ◽  
Author(s):  
K. Tokodai ◽  
N. Amada ◽  
H. Kikuchi ◽  
I. Haga ◽  
T. Takayama ◽  
...  

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