1084-P: The Trend of Korean Diabetes Patients’ Foot EMG Wave Pattern Age over 65

Abstract

Depending on the healthcare system, ethnicity, and diet, delaying complications related to diabetes differ in each country. Diabetic ulcer accompanied by neuropathy of the foot is the key indicator for the development of complications. Therefore finding the total number of impaired feet with foot muscle dystrophy may understand how the diabetes progression of the patients is controlled by public health organization structures. Korea is one of the nations which adopted a national wide government-organized healthcare insurance system compared with private. In this study, we examined how Korean diabetic feet are controlled by the Korean public health care system. To figure out this, diabetes subjects' foot EMG were examined by STEMG-2 (STUFProject EMG Device-2) by checking 3-second foot up and down movement. Age over 65 who suffered from 50 male and female diabetes patients and 50 male and female nondiabetic patients the foot EMG was tested. After finishing the test results EMG was converted into a digital signal by 1024 arbitrary units and plotted wave pattern with subtracting reference. As a result, 98% of nondiabetics showed constant wave patterns corresponding to muscle relaxation and contraction. Whereas, 86% of diabetes patients have constant EMG wave patterns and only 14% have inconsistent EMG wave patterns. 84% of male and 78% of female diabetes patients have similar wave patterns to nondiabetes individuals Also patients who are BMI less than 23 have 96% of constant patterns. 80% of patients' glucose levels below 180 mg/dl have constant wave patterns. However, 60% of patients over 180mg/dl glucose level have inconsistent patterns. In the conclusion, 86% of Korean diabetes patients are controlling muscle destruction could happen a chronic effect of diabetes. Even 13% of diabetes patients who showed abnormal wave patterns, may have some acute cramp with the foot but visually all toes are intact. This may means the progression of diabetic complications is controlled by the Korean national health system. Disclosure W. Kim: None. M. Park: None. Funding National Research Foundation of Korea (HNU X-Corps)