Abstract
ObjectiveTo determine the risk of diabetic foot in patients with typeII diabetes mellitus (DM) seen in a Family Medicine Unit. MethodsThe study included typeII DM patients with a disease duration ≥5years seen in a Family Medicine Unit, Tijuana, Mexico, during September-December 2011. Neuropathy was assessed with the Diabetic Neuropathy Symptom questionnaire, and pressure sensation using a 10-g Semmes-Weinstein monofilament. A patient had a high risk of diabetic foot if there was sensitivity loss, foot deformities, and non-palpable pedal pulses. ResultsWe studied 205patients with an average (±SD) age and DM duration of 59±10years and 10.7±6.7years, respectively. Ninety one patients (44%) had a high risk of developing diabetic foot, and it was associated with; an education of less than 6years (OR 2.3; 95%CI: 1-1-4.1), DM disease duration ≥10years (OR 5.1; 95%CI: 2.8-9.4), female gender (OR 2.0; 95%CI: 1.1-3.6), monthly familiar income <236euros (OR 2.0; 95%CI: 1.1-3.8), and a glycosylated hemoglobin ≥7.0% (OR 2.8; 95%CI: 1.5-5.0). ConclusionsIt is necessary that all DM patients seen in a family medicine clinic have a yearly screening for the early detection of diabetic neuropathy, since they have a high risk of diabetic foot.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
