RISK FACTORS OF DIABETIC FOOT ULCER AT A TERTIARY CARE HOSPITAL AMONG DIABETIC PATIENTS
Keywords:Diabetes, foot ulcers, neuropathy
Introduction: Diabetes is a metabolic disorder which affects not only carbohydrate but also protein and fat metabolism. Diabetes is also associated with acute as well chronic complications. Almost most of the organs, tissues and systems are affected due to long standing diabetes mellitus. Thus, adult and elderly with long standing diabetes patients often present to the clinics with multiple complications. Among all these well-known complications, diabetic foot ulcer is the most common. It affects as many as 15% of patients with diabetes mellitus during their lifetime
Material and Method: The study was a hospital based cross sectional study. Present study was carried out at outpatient department of General Surgery. After their verbal informed consent after explaining them the nature of the study. Patient confidentiality was maintained. The patients diagnosed with diabetic foot ulcer were given appropriate treatment, follow up and health education. The study patients were not subjected for any kind of invasive procedure for the present study purpose.
Results: 64.0% patients were having peripheral neuropathy, 73% were having >10 years of diabetes, 49% were having peripheral arterial disease, 34% patients were having diabetic Charcot joint & 26% were having uncontrolled hyperglycemia.
Conclusion: Diabetes Mellitus is a lifelong disease and diabetic foot complications can be life threatening, physically incapacitating, costly to treat and result in extensive morbidity.
Keywords: Diabetes, foot ulcers, neuropathy