Frequency of foot pathologies among patients with diabetes in Wroclaw

Abstract

Background. The increase in life expectancy, because
of better hyperglycemia treatment, is the main
reason we observe growing number of patients with
chronic diabetes complications. Peripheral neuropathy
and leg ischaemia result in chronic foot ulcerations.

Materials and methods. Were analyzed 851 medical
records from Wroclaw Diabetes Foot Center (453 from
women, 398 from men). Mean patients age was 64.9:
65.9 for ladies and 63.8 for gentlemen.

Results. The following pathologies among population
were found: 7.28% peripheral neuropathy,
35.37% calluses, 24.2% foot deformities, 17.39%
ABPI < 0.9. The results show also that: foot deformities
within women with diabetes not every time
coexist with peripheral neuropathy, foot deformities
within men with diabetes coexist with peripheral
neuropathy, calluses and foot deformities are much
more frequent within women population, ABPI > 1.3
often coexists with peripheral neuropathy; ABPI < 0.9,
calluses, foot deformities are most common among
elderly population.

Conclusions. 1. The most common foot pathologies
among patients with diabetes mellitus are calluses
and foot deformities, mainly among women population.
2. Both of this pathologies are easily detectable,
by medical staff but also by patients, and should
be actively searching during consultations.
3. Foot deformities complete with peripheral neuropathy
are characteristic for men population. 4. Since
ABPI > 1.3 coexists with peripheral neuropathy,
to detect ischaemia for patients with confirmed neuropathy
we should to use other then ABPI objective
tests.