ECE2018 ePoster Presentations Diabetes, Obesity and Metabolism (56 abstracts)
Institut National De Nutrition De Tunis, Tunis, Tunisia.
Introduction: The diabetic foot is a public health problem in Tunisia. The objective of our study is to evaluate the knowledge of diabetic patients on this entity.
Material and method: This is a prospective study involving 60 diabetic patients hospitalized at C service of diabetology and nutritional diseases at the National Institute of Nutrition of Tunis. The knowledge of these diabetics was assessed using a pre-established questionnaire.
Results: The mean age was 57.35 years±11.22. The average BMI was 29.45 kg/m2± 4.55. Diabetes was type 2 in most cases, poorly balanced in all patients with an average HbA1C of 10.23%±1.55. The cardiovascular risk factors associated with diabetes in our patients were: sedentary lifestyle (90%), obesity (76.6%), menopause (61.6%), hypertension (46.6%), dyslipidemia (41%), 6%) and smoking (15%). Only 26.6% of patients received a prior education in foot hygiene. 58.3% associate this foot injury with arterial disease (43.3%) and neuropathy (15%). All patients report foot infection as a triggering factor. The clinical signs according to our patients are: mycotic infections, trolling bacterial infections, amputations, gangrenes and plantar perforators. The mistakes made by our patients were: the lack of daily inspection of the feet (100%),
Conclusion: Regular diabetic foot education sessions are extremely important in teaching patients simple and practical actions that limit potentially serious complications.