Risk factors of the diabetic foot syndrome in patients with type 2 diabetes

Abstract

Background. Diabetic food syndrome is one of the most serious complications in diabetes which may lead to disability. The main objective of my study was to evaluate the presence of: diabetic food syndrome; the risk of diabetic foot syndrome; and to define the selected factors predisposing to diabetic foot syndrome.

Material and methods. The group 231 consecutive type 2
diabetics, age 63 ± 8 years, duration of diabetes 5 ±
± 2 years, sex 66% F/34% M, BMI 31 ± 4 kg/m2, WHR
0,93 ± 0,073, waist circumference 104 ± 9 cm was
identified.
According to clinical examination of diabetic foot
risk factors 3 subgroups were identified: 1. low risk
of diabetic foot syndrome (n = 141); 2. high risk of diabetic foot syndrome (n = 65); 3. diabetic foot
syndrome (n = 25).

Results. 1. Patients with diabetic foot syndrome were
older and had higher FPG than patients with low
risk of diabetic foot syndrome (p < 0.05), the
remaining parameters did not differ significantly
between the subgroups. 2. No significant relation
of the diabetic foot syndrome prevalence with
diabetes duration (< 5 years and > 5 years) was
observed. 3. Coexistence of microangiopatic
complications significantly increases the risk of
diabetes foot syndrome [OR (odds ratio) 6,11;
CI (circumferens interval) 2.05–18.1; p = 0.001].

Conclusions. 1. Risk of diabetic foot syndrome in type 2
diabetes patients occurs independently from the
disease duration. 2. The coexistence of microangiopatic
complications determines the diabetic foot syndrome
risk.