ECE2022 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (318 abstracts)
Assessment of the Podiatric Risk on Diabetics: Cross-Sectional Study in Regard to 200 Patients
El Amri Abir 1 , Nadia Ben Amor 1 , Rihab Yamoun 2 , Faten Mahjoub 2 , Sirine Nsir 3 , Amany Amorri 3 , Ramla Mizouri 1 , Rym Ben Othman 1 , Olfa Berriche 1 & Jamoussi Henda 1
1National Institute of Nutrition, Tunisia; 2Faculty of Medicine Of Tunis, Tunisia; 3University of Tunis El Manar, Tunisia
Introduction: The diabetic foot is a frequent, serious and costly complication of diabetes. The prevention of diabetic foot involves a systematic podiatric evaluation of diabetic patients to identify the foot at risk. The aim of our study was to determine the podiatric risk in a Tunisian diabetic population according to the classification of the International Working Group on the Diabetic Foot (IWGDF) and the factors associated with podiatric risk.
Methods: It was a prospective cross-sectional, descriptive and analytical study conducted over a three-month period including patients aged 18 years and older with a confirmed diagnosis of type 1 and type 2 diabetes, hospitalized in nutrition department A between 1 August and 31 October 2021. Subjects under 18 years of age or hospitalized for conditions other than diabetes were excluded from the study.
Results: The study enrolled 200 patients and the sex-ratio was 0.72. The average age of the cohort was 53 years. 74.2% of the patients were running type 2 diabetes. Of them, 75% had dyslipidemia and 82% were overweight or obese. High Blood Pressure was found in 51% of cases. The capillary blood glucose and glycated hemoglobin were respectively around 12.26 mmol/l and 10.8%. Prior ulceration and/or amputation were noted in 9% of cases. The gradation of the foot risk according to the International Working Group on the Diabetic Foot (IWGDF) was established as follow: grade 0 (76.3%), grade 1 (12.6%), grade 2 (6.3%), grade 3 (4.8%). Risk factors most associated with foot injury occurrence included diabetic peripheral neuropathy (P = 0.000), the absence of pulse perception (P = 0.000), chronic peripheral artery occlusive disease (PAOD) (P = 0.000), diabetic retinopathy (P = 0.002) and diabetic nephropathy (P = 0.017).
Conclusion: The prevention of diabetic foot in emerging countries is accessible by a systematic clinical examination of all diabetic feet and the awareness of adapted footwear. Long-term studies are needed to evaluate whether the intervention of podiatrists starting at an early phase would lead to a reduction in major foot problems.
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Endocrine Abstracts
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