Endocrine Abstracts

Background and aims: Diabetic foot ulcers are a common problem and result in lower extremity amputations. Research on the prevalence of diabetic foot syndrome (DFS), food ulcers, and high amputations reflects the state of diabetic aid.

Materials and methods: The data from the Moscow Region DM register on the detectability of DFS, the number of high amputations, the presence of late complications that enable the development of ulcer defects – diabetic neuropathy (DN) and diabetic macro-angiopathy (DMA) for 2004 is presented. The DM register is made up of 124 281 patients.

Results: DFS is registered among 11.22% of T1D patients and 5.58% of T2D patients. Conditions with an increased risk for DFS developing: DN is discovered among 37.1% of T1D patients, 19.14% of T2D patients, whereas DM is discovered among 15.66% of T1D patients and 11.54% of T2D patients. The frequency of high amputation in 2004 made up 0.85% of T1D patients and 0.61% of T2D patients. The total percent of patients who previously had high amputations with T1D was 2.38%, and 2.87% for T2D. Small amputations were conducted among 1.76% of T1D patients, and 1.2% of T2D patients in 2004. Morbidity as the result of sepsis from gangrene among patients with DFS made up 3.15% among T1D patients and 2.74% among T2D patients.

Conclusion: The analysis of attained data showed that the prevalence of diabetic foot corresponds to the average European figures. However, the frequency with which diabetic macro-angiopathy is encountered requires intensification of the amount medical aid for this category of patients.