ECE2022 Poster Presentations Diabetes, Obesity, Metabolism and Nutrition (202 abstracts)
Assessment of risk of foot ulceration in a group of long-standing type 1 diabetic patients
Emna Bornaz 1 , Haifa Abdesselem 1 , Manel Dridi 1 , Yosra Hasni 2 , Kamilia Ounaissa 1 , Fatma Boukhayatia 1 , Imene Sebai 1 , Asma Ben Brahim 1 , Rim Yahiaoui 1 & Chiraz Amrouche 1
1National Institute of Nutrition, Outpatient Department and functional explorations, tunis, Tunisia; 2Farhat Hached Hospital, Department of Endocrinology, Tunisia
Background: Diabetic foot represents a serious complication due to its prevalenceas well as its impact on functional and vital prognosis of the diabetic patient. The aim of our study was to assess the risk of foot ulceration in a group of long-standing type 1 diabetics.
Methods: We conducted a descriptive observational cross-sectional study including type 1 diabetic patients who had diabetes for more than 20 years, followed at the National Institute of Nutrition of Tunis. The risk of foot ulceration was determined according to the International Working Group of the Diabetic Foot (IWGDF) grading. Then, we devided patients into two groups: patients with low podiatric risk (grade 0 or 1) and patients with moderate to high podiatric risk (grade 2 or 3).
Results: Sixty patients were included in this study. The mean age was 38.92 ± 8.17 years. The mean duration of diabetes was 26.98 ±5.95 years [ext : 20–48 years]. A history of amputation and plantar puncture was found in two patients. Foot deformity was noted in 31.7% of participants. Thirty-eight percent of the patients had sensory neuropathy. Obliterative arteriopathy of the lower limbs was diagnosed in 5% of the patients. According to the IWGDF classification; 53.3%, 23.3%, 20% and 3.4% of patients had grade 0,1,2 and 3 respectively. Univariate analysis showed that risk of foot ulceration was associated with age (P=0.001) and duration of diabetes (P=0.004). Only the association with age persisted after multivariate analysis (P=0.013).
Conclsion: Our study highlights the importance of screening of diabetic foot as well as prevention of foot abnormalities, particularly in long-standing type 1 diabetics.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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