ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)
Footwear in a population of diabetic patients
Soumaya Elarem 1 , Imen Dorgham 1 , Aymen Haj Salah 1 , Bessem Krifa 1 , Nedra Feni 2 , Mouna Sghir 1 & Wassia Kessomtini 1
1Taher Sfar Hospital, Physical Medicine and Rehabilitation, Tunisia; 2Ibn El Jazzar Hospital, Physical Medicine and Rehabilitation, Tunisia
Introduction: Diabetic foot is one of the major complications of diabetes. Footwear has been found to be a precipitating cause of injury leading to lower extremity ulceration and amputation in people with diabetes. The aim of this study was to determine the suitability of footwear in a population of diabetic patients.
Methods: A cross sectional study including 150 patients with diabetes mellitus was conducted. Patients were asked about their follow-up during the previous year. An evaluation of risk of foot ulceration was performed based on the International Working Group on diabetic foot (IWGDF) classification. Podiatric and footwear examination were performed.
Results: The mean evolution of diabetes in these patients was 10.5±7.8 years with a six-month follow-up rate in 66% of cases. Education on glycemic balance, lifestyle and dietary measures was done in 73.3% of cases. While education of podiatric risk of diabetes was only done in 16.7% of patients. Foot examination during the previous year was noted in only 12.7% of cases and 10% had a screening for diabetic neuropathy. Three-quarters of the population (74.7%) had no idea about the impact of diabetes on the foot. Regarding footwear, 89.3% of patients had no idea about the criteria for choosing a good shoe and 80.7% wore inappropriate commercial shoes. Appropriate therapeutic footwear was noted in 18% of patients and even among high-risk patients (grade 2 or grade 3 of IWGDF), only 6.9% wore orthopedic shoes for diabetic feet.
Conclusion: Majority (80.7%) of the participants wore inappropriate footwear and had no idea about the impact of diabetes on the foot. during follow-up, foot examination and patient education on podiatric risk were insufficient.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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