A prospective study on risk of diabetic foot in diabetes with micro and macro vascular complications

Author(s): Ashok Gopinath1, Vivin Thomas Varghese2, Aquib Shaick2, SM Rajapradeep1
1Professor, Department of General Surgery, SUT AMS Hospital, Trivandrum Kerala, India.
2Associate professor, Department of General Surgery, SUT AMS Hospital, Trivandrum Kerala, India.
Copyright © Ashok Gopinath, Vivin Thomas Varghese, Aquib Shaick, SM Rajapradeep. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diabetes mellitus affects approximately 13 million people and is associated with various vascular complications. Microvascular and macrovascular problems are common in diabetes, with the latter being similar in both diabetic and non-diabetic patients. The study aimed to estimate the incidence of diabetic foot in patients with diabetes and vascular complications. The study included 330 patients (M:F 170:160) who underwent tests for retinopathy, nephropathy, neuropathy, peripheral vascular disease (PVD), and cardiovascular disease. The results showed that nephropathy was present in 9% of patients, CHD in 12.5%, PVD (diabetic foot) in 12.4%, and neuropathy in 12.5%. Diabetes duration was significantly correlated with neuropathy, nephropathy, and PVD, while higher HbA1C levels were associated with an increased risk of nephropathy and neuropathy. The study highlights the high incidence of diabetic foot in patients with vascular complications.

Keywords: Diabetes; Diabetic foot; Ulcer; Neuropathy; Nephropathy; Intermittent claudication.