Endocrine Abstracts (2017) 49 EP570 | DOI: 10.1530/endoabs.49.EP570

Risk factors of diabetic foot complications

Radhouane Gharbi, Melika Chihaoui, Ons Rejeb, Meriem Yazidi, Ibtissem Oueslati, Fatma Chaker & Hedia Slimane

University of Tunis El Manar, Faculty of Medicine of Tunis, La Rabta Hospital, Department of Endocrinology, Tunis, Tunisia.

Introduction: Diabetic foot disease is a major health problem. The identification of its risk factors should guide preventive measures. The aim of this study was to determine the factors associated with diabetic foot complications.

Patients and methods: It is a retrospective study including 47 patients admitted at the department of Endocrinology in La Rabta hospital for diabetic foot complications during the years 2015 and 2016. Clinical and para-clinical data were collected.

Results: The mean age was 51 years (27 to 78). There were 39 men (83%). It was a type 2 diabetes in 85% of patients. The mean duration of the disease was 13 years (0 to 30 years). Patients were illiterate or had a primary school level in 73%. Hypertension was present in 23% of the patients, smoking in 61% and dyslipidemia in 29%. Diabetes was complicated with peripheral neuropathy in 81% of the patients, retinopathy in 54% and nephropathy in 53%. Coronary artery disease was present in 15%, stroke in 6% and peripheral artery disease in 46%.

Conclusions: Diabetes foot problems occur more often in men with a long duration of diabetes, peripheral neuropathy and peripheral artery disease.

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