Abstract

Diabetes mellitus has become a global epidemic of 21st century with dispro- portionately high socioeconomic burden in the developing world. Foot ulcerations secondary to peripheral neuropathy and peripheral vascular disease have led to devastating health outcomes including amputations. A descriptive survey targeting a sample size of 301 was drawn from the selected health facility. Majority of the respondents were female and aged between 40 and 70 years old. The duration that a patient had lived with diabetes, history of smoking and respondents age was significantly associated with foot ulcers at P-value < 0.05. Walking bare foot in and out of the house, breaking into new shoes, poor inspection of feet were associated with the development of foot ulcers while dressing of blisters with sterile dressings was associated with the prevention of foot ulcers.

Highlights

  • Diabetes mellitus (DM) is a common disease worldwide public health problem and diabetic foot ulcer (DFU) is among the complex and complications in patients with diabetes mellitus [1]

  • Walking bare foot in and out of the house, breaking into new shoes, poor inspection of feet were associated with the development of foot ulcers while dressing of blisters with sterile dressings was associated with the prevention of foot ulcers

  • Out 14 who never walked bare foot only 5 developed foot ulcer but those who sometimes walked bare foot out of 209,116 developed foot ulcer. These results concur with those reported by Taksande, Thote, & Jajoo [16] in a study on attitude, practice, and knowledge on foot care among patients with diabetes at central rural India which showed that bare foot walking increases chance of developing foot ulcer

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Summary

Introduction

Diabetes mellitus (DM) is a common disease worldwide public health problem and diabetic foot ulcer (DFU) is among the complex and complications in patients with diabetes mellitus [1]. Epidemiological diabetes survey done by World Health Organization [3] indicated the figure had gone up to 422 million worldwide by 2014. Diabetes mellitus is a chronic disease and is among the top four non-communicable diseases [NCDs]. Just like the other three NCDs (cardiovascular diseases (CVD), cancers, and chronic respiratory diseases), diabetes is of long duration and generally of gradual progression, World Health Organization [3]

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