Location
Lecture Hall-1
Start Date
27-2-2014 10:05 AM
COinS
Feb 27th, 10:05 AM
Feb 27th, 10:15 AM
Prevalence of Diabetic Foot Syndrome/Disease Amongst Type 2 Diabetic Population in Pakistan
Lecture Hall-1
Description
Objective: To determine the prevalence of Diabetic Foot Syndrome (DFS) in T2DM patients in Pakistan.
Methods: This cross sectional disease registry was conducted in outpatient setting in eight cities of Pakistan. Adult T2DM patients were recruited after giving informed written consent. All the patients underwent Ankle Brachial Pressure Index (ABPI) test for DFS, neurological assessment using 10g monofilament and 128 Hz tuning fork to elicit vibration. Foot examination was conducted as per ADA guidelines. DFS was defined as current or/and healed ulcer or/and gangrene. Patients were also categorized according to ADA “Diabetic Foot Risk Classification” as categories: 0 - no evidence of neuropathy, 1- neuropathy present but no evidence of foot deformity or peripheral vascular disease (PVD), 2 - neuropathy with evidence of deformity or PVD, 3 - history of foot ulceration or lower extremity amputation.
Results:Of 250 patients enrolled between Aug 2010-Mar 2011, data was analyzed for 230 patients (59% females, mean age: 53.8±9.9 years; mean HbA1c: 8.8%±2.0%). Prevalence of DFS was 13.9% (95% CI- 10.0, 18.9). Based on risk classification, category 1 had 16.1% patients, category 2 had 2.6%, category 3 had 13.9% and category 0 had 64.3%. On ABPI assessment, 41% (n=94) patients had impaired ratio (
4.1%; p=0.03). DFS was found across all levels of HbA1c.
Conclusions: In Pakistan, a high prevalence of DFS was observed in a relatively young population. One third of patients assessed were at high-risk of DFS.
Keywords: Diabetic foot syndrome, T2DM, Prevalence, Pakistan