Endocrine Abstracts

Objective: We will analyze various characteristics of the patients who attend the HUMV Diabetic Foot Unit for a week. The variables studied are sex, age, type of diabetes, years of evolution, type of current treatment, last glycosylated hemoglobin, presence of other cardiovascular risk factors and existence of previous ulcerations and amputations

Material and Methods: We worked with Microsoft Excel to coollect the data and perform the statistical study.

Results: We analyze 64 patients, with a mean age of 69.78 ± 3.13 years with the following distribution by sex: 57.81% of men and 42,19% of women. Regarding the type of diabetes, we found 89.06% of type 2 diabetes and 10.94% of type 1 diabetes. We observed an average of 16.45 ± 1.73 years of diabetes evolution with a last HbA1c mean of 7.73 ± 0.36%. The treatment followed included insulin therapy in 70.31% of patients compared to an exclusively oral treatment in 29.69%. About the existence of other cardiovascular risk factors: arterial hypertension was present in 87.50%, dyslipidemia in 76.56% and patientes who had the three cardiovascular risk factors reached 70.31%. Regarding smoking, 14,06% of the patients declared active consumption, 34.38% reported being former smokers and 51.56% denied their use. There are other predisposing factors of diabetic foot, 35% of patients were diagnosed with peripheral arterial disease and 21.67% with diabetic neuropathy; both pathologies were in 10% of patients and only 33.33% had none of them. Focusing on the pathological history of history of his lower extremities, 62.50% had presented previous ulcerations, while for 37.50% of the patients it was their first diabetic ulcer. The incidence of amputations reached 34.38% representing 55% in patients with a previous history of ulcerations. Regarding the origin of the patients, 40.35% had been referred from Endocrinology and Nutrition Department, 21.05% from Primary Care, 8% from Cardiocascular Surgery Department and the remaining 14.04% came from other specialties.

Conclusions: We verify that patients treated in this unit have a very high cardiovascular risk, so it would be necessary to consolidate multidisciplinary teams of diabetic foot to work on the prevention of risk factors and treat concomitant pathologies that avoid the high number of amputations with important human, social, and economic consequences.