Endocrine Abstracts

Introduction: The diabetic foot is a major public health problem with a significant socio-economic impact. In the presence of a trophic disorder land filling is a key element of care. The objective of our study is to identify the means and indications, to evaluate the contribution of the discharge in the prevention and the cicatrization of lesions of the diabetic foot.

Methods: This was a prospective study conducted from September 2017 to July 2018. Included were 102 diabetic patients followed for diabetic foot in the service of Endocrinology and Metabolic Diseases having a diabetic medical foot. The data was collected based on an exploitation sheet. The statistical analysis was performed using SPSS software version 25.0.

Results: A 63% male predominance, a mean age of 51 years, T2D was 85%, with an average seniority of 16 years, 72% were insulinotrates. Neuropathy was found in half of the cases. Lesions were 40% of cases of mixed ulceration, MPP accounted for 30%, 23% of patients had osteitis, 5% of acute phase Charcot foot. The Barouk shoe was the most used means of discharge in 66% of cases with an average duration of 1 month mainly in the MPP. Bed rest was indicated in 28% of cases in bilateral lesions and acute Charcot on average 2 weeks with orthopedic shoe prescription thereafter. Healing was complete in 83% of the patients who complied with the discharge. In addition, other measures such as glycemic control and diabetic foot education have been combined.

Conclusion: The land fill of the diabetic foot is the first treatment essential for the healing of foot lesions, requiring awareness of patients, caregivers and consultation with podiatry status for better optimization.