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Endocrine Abstracts (2024) 99 EP812 | DOI: 10.1530/endoabs.99.EP812

Tunisia


Introduction: Diabetic foot is a significant public health issue, and its management remains challenging, emphasizing the importance of prevention through the screening of high-risk feet and educating diabetic patients about preventive care.

Objectives: To assess, using a questionnaire, the knowledge and practices of diabetic patients regarding diabetic foot care and to determine the level of podiatric risk in our diabetic patients according to the International Working Group of the Diabetic Foot (IWGDF) classification.

Methods: We conducted a cross-sectional observational study with 60 diabetic patients hospitalized for uncontrolled diabetes at the Endocrinology Department of CHU Hedi Chaker in Sfax. Each patient underwent an interview, a physical examination, and a questionnaire on foot care knowledge and practices.

Results: The mean age of our patients was 52±13.68 years, with a male-to-female ratio of 0.53. The average duration of diabetes was 12.5±5.9 years. Clinical examination of the feet revealed skin dryness in 63.3% of cases. The knowledge level was poor in 28.3% of cases, satisfactory in 43.3% of cases, and good in 28.3% of cases, with a significant association with the educational level (P< 0.001) and diabetes type (P=0.012). The practice level was poor in 26.7% of cases, satisfactory in 48.3% of cases, and good in 25% of cases, with a significant association with the educational level (P=0.03) and diabetes type (P=0.036). In our study population, the podiatric risk level was high in 18.3% of cases, with a significant association with knowledge level (P=0.029) and practice level (P=0.019).

Conclusion: These results underscore the need to enhance therapeutic education regarding diabetic foot care to improve adherence to foot care among diabetic patients, thereby contributing to better prevention.

Volume 99

26th European Congress of Endocrinology

Stockholm, Sweden
11 May 2024 - 14 May 2024

European Society of Endocrinology 

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