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Screening of Foot at Risk in Diabetic Patients

¹ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
² Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
³ Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
⁴ Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
⁵ Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
⁶ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
⁷ Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
⁸ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
⁹ Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
¹⁰ Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
¹¹ Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
¹² Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali
¹³ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
¹⁴ CHR Internal Medicine Department of Kaya, Kaya, Burkina Faso
¹⁵ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
¹⁶ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
¹⁷ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
¹⁸ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
¹⁹ Department of Internal Medicine, The Mother and Children Hospital “Luxembourg”, Bamako, Mali
²⁰ Department of Internal Medicine, The University Teaching Hospital of Point G, Bamako, Mali
Department of Internal Medicine and Endocrinology, The Mali Hospital, Bamako, Mali

Open Journal of Internal Medicine·Volume 09 (2019)·Pages 62–71·Published 2 August 2019·DOI10.4236/ojim.2019.93009

Abstract

Introduction: The term “diabetic foot” refers to all conditions that affect the foot and are directly related to the impact of diabetes. Objective: Screen the foot at risk in diabetic patients at the hospital of Mali. Methods: It was a cross-sectional study from January 1 st , 2016 to June 30, 2016, at the Department of Internal Medicine and endocrinology of the Hospital of Mali. It was focused on all hospitalized diabetic patients. Results: Thirty-two (32) patients had a foot at risk among 76 diabetic patients during the study period representing 42.10%. The sex ratio was 0.52. Type 2 diabetes accounted for 82%. A glycemic imbalance (HBA1C > 7%) was observed in 88.15%. Eighteen percent (18%) of patients had a history of ulceration or amputation; 33% were walking barefoot; 78.9% had tingles in the foot; 31.6% had intermittent claudication; 64.5% had foot cleanliness; 8% claw toes; 42% had abolition or reduction of superficial tenderness to monofilament and 21% had mixed foot (neuropathy + arteriopathy). In our study, 58.9% of patients had no risk of podiatry. Conclusion: Screening of foot at risk is essential in the management of diabetes because it determines the podiatric risk enabling to minimize future functional disabilities.

KeywordsFoot at RiskDiabetesHospital of Mali

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Screening of Foot at Risk in Diabetic Patients

Abstract

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