Tip 2 Diabetes Mellitus’lu Olgularda Glisemik Kontrol Düzeyinin Fonksiyonel Mobilite ve Ayak Fonksiyonuna Etkisi

Abstract

Aim: The purpose of the study was to investigate the effect of glycemic control, fasting blood glucose level and duration of diabetes on functional mobility and foot function in type 2 diabetic cases. Material and Methods: The study was conducted among 138 consecutive cases with type 2 diabetes mellitus such that 65 of them had a good glycemic control and a mean age of 53.91 ± 9.28 years and 73 of them had poor glycemic control and a mean age of 54.90±8.60 years. Demographic characteristics, duration of diabetes, fasting blood glucose levels and HbA1c values of the subjects were recorded and the subjects were divided into two groups according to their HbA1C valuues. Subjects with HbA1c value below 7% were put into good glycemic control group and subjects with HbA1c values above were put into poor glycemic control. Functional mobility levels of each case in the groups were evaluated with “Timed Up and Go Test” and foot functions were evaluated with “Foot Function Index” and the groups were compared. Results: It was found that among groups with good and poor glycemic control, there was no significant difference between the Time Up and Go Test and the Foot Function Index, in terms of pain, disability, activity limitation and total scores (p>0.05). There was a significant but minor positive correlation between the duration of diabetes and the Timed Up and Go Test (r=0.172, p=0.040), and no significant correlation was seen between the fasting blood sugar and the HbA1c values and Foot Function Index scores (p>0.05). It was found that there was a significant mediocre positive correlation between the Timed Up and Go Test and the Foot Function Index scores (r=0.336, r=0.393, r=0.357, r=0.413, p<0.001). Conclusion: The results of our study indicates that glycemic control does not affect functional mobility and foot function, whereas functional mobility level is associated with diabetes duration in type 2 diabetic cases. Besides, functional mobility of diabetic individuals was found to be related to foot functions in terms of pain, disability and limitation. The importance of conserving foot functions in the early stages for diabetic individuals should be taken into consideration for good functional mobility.