Searchable abstracts of presentations at key conferences in endocrinology
Endocrine Abstracts (2011) 26 P693

ECE2011 Poster Presentations Diabetes complications (23 abstracts)

Diabetic foot with risk for ulceration associated with diabetic retinopathy in type 2 diabetes

I Ahmeti , N Laban - Guceva , B Jovanovska , T Milenkovic & K Adamova


Clinic of Endocrinology, Diabetes and Metabolic Disorders, Skopje, Former Yugoslav Republic of Macedonia.


Aim: To define impact of diabetic retinopathy as a risk factor at peoples with type 2 diabetes and diabetic foot.

Material and methods: One hundred hospitalized patients with type 2 diabetes, screened for diabetic foot and diabetic retinopathy for 1 year. Clinical examination and laboratory investigations were evaluated.

Results: From 100 patients, 53% were female and 47% male, duration of diabetes 10.47±4.77 years. Mean HbA1c was 8%±1.2%. HbA1c<7% had 18%, HbA1c 7–8% had 43% and HbA1c >8% had 49% of patients. At visit 1, risk score for diabetic foot ulceration is: low risk (0) 29%, medium risk (1) 35%, high risk (2) 18% and very high risk (3) 18%). Retinopathy was present with 68% – 53% non prolypherative and 15% prolypherative. According the risk score at visit 1 retinopathy had: in score 0 – 15% non-prolipherative and 0% prolipherative, score 1 – 18% non-prolypherative and 1% prolypherative, score 2 – 11% non-prolypherative and 6% prolypherative, and score 3 – 9% non-prolypherative and 8% prolypherative. After 12 months risk score for diabetic foot was: 0 – 17%; 1 – 39%; 2 – 19% and 3 – 27%. Diabetic retinopathy was present after 12 months 72% of which 51% non-prolypherative and 21% prolypherative. According the risk score after 1 year diabetic retinopathy were present: in score 0 – 6% non-prolyherative and 0% prolypherative, score 1 – 22% non-prolypherative and 3% prolypherative, score 2 – 10% non-prolypherative and 7% prolypherative, and score 3 – 13% non-prolypherative and 11% prolypherative.

Conclusion: Association between risk score for foot ulceration and diabetic retinopathy was present. Group with risk score 0 and 1 have more non-prolypherative retinopathy and group with score 2 and 3 have more prolypherative retinopathy (Cross tabulation. Kruskal Wallis test P<0.01).

Keywords: diabetic foot, score, diabetic retinopathy.

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