E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India

Sumit Kumar Gupta, Rakesh Kumar, Debasis Basu, Deval Parekh, Boudhayan Das Munshi, Kajal Hansda, Nikhil Kumar.

Abstract
Background: Globally, about 425 million people are suffering from diabetes mellitus (DM) which will be about 629 million by 2045. India is popularly known as “World Diabetes Capital” and is presently home of about 72.9 million diabetes patients. Poorly managed DM will increase the burden of both microvascular and macrovascular complications. One of the most common complications among them is diabetic foot ulcer (DFU) which affects about 7%–24% of DM patients.

Aims and Objectives: This study was planned to determine the burden of DFU and its determinants among Type 2 diabetes mellitus (T2DM) patients attending integrated diabetes and gestational diabetes clinic.

Materials and Methods: An institution-based, observational, cross-sectional study was conducted from July to September 2018. A pre-designed, pre-tested, semi-structured schedule was used to collect clinicosocial data. Blood pressure of the study subjects was measured and classified as per Joint National Committee-8 guidelines. Peripheral vascular assessment of the feet was done by calculating “ankle-brachial index (ABI)” in both lower limbs using “Diabetik Foot Care India Pvt. Limited” vascular Doppler instrument having 8 MHz transducer. ABI ≤0.9 and absence of pulse in dorsalis pedis and/or posterior tibial arteries were considered as peripheral artery disease (PAD). Vibration perception threshold for peripheral sensory neuropathy was tested with the help of Diabetik Foot Care Pvt. Limited Digital Biothesiometer using 50 Hz frequency.

Results: Data were collected from 338 study participants. The frequency of DFU was found to be 9.5%. Increasing age, longer duration of diabetes, poor educational status, overweight/obesity, poor glycemic control, treatment with insulin, PAD, diabetic peripheral neuropathy, hypertension, ischemic heart disease, and hypothyroidism were significantly associated with DFU.

Conclusion: There is high frequency of DFU among T2DM patients. Most of the risk factors are modifiable and if taken care of the occurrence of DFU can be prevented and/or delayed.

Key words: Diabetic Foot Ulcer; Integrated Diabetes Care; Diabetic Peripheral Neuropathy; Diabetic Foot Syndrome; Peripheral Arterial Disease


 
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Pubmed Style

Gupta SK, Kumar R, Basu D, Parekh D, Munshi BD, Hansda K, Kumar N. The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India. Int J Med Sci Public Health. 2019; 8(8): 654-660. doi:10.5455/ijmsph.2019.0514503062019


Web Style

Gupta SK, Kumar R, Basu D, Parekh D, Munshi BD, Hansda K, Kumar N. The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India. http://www.ijmsph.com/?mno=49933 [Access: December 06, 2019]. doi:10.5455/ijmsph.2019.0514503062019


AMA (American Medical Association) Style

Gupta SK, Kumar R, Basu D, Parekh D, Munshi BD, Hansda K, Kumar N. The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India. Int J Med Sci Public Health. 2019; 8(8): 654-660. doi:10.5455/ijmsph.2019.0514503062019



Vancouver/ICMJE Style

Gupta SK, Kumar R, Basu D, Parekh D, Munshi BD, Hansda K, Kumar N. The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India. Int J Med Sci Public Health. (2019), [cited December 06, 2019]; 8(8): 654-660. doi:10.5455/ijmsph.2019.0514503062019



Harvard Style

Gupta, S. K., Kumar, . R., Basu, . D., Parekh, . D., Munshi, . B. D., Hansda, . K. & Kumar, . N. (2019) The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India. Int J Med Sci Public Health, 8 (8), 654-660. doi:10.5455/ijmsph.2019.0514503062019



Turabian Style

Gupta, Sumit Kumar, Rakesh Kumar, Debasis Basu, Deval Parekh, Boudhayan Das Munshi, Kajal Hansda, and Nikhil Kumar. 2019. The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India. International Journal of Medical Science and Public Health, 8 (8), 654-660. doi:10.5455/ijmsph.2019.0514503062019



Chicago Style

Gupta, Sumit Kumar, Rakesh Kumar, Debasis Basu, Deval Parekh, Boudhayan Das Munshi, Kajal Hansda, and Nikhil Kumar. "The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India." International Journal of Medical Science and Public Health 8 (2019), 654-660. doi:10.5455/ijmsph.2019.0514503062019



MLA (The Modern Language Association) Style

Gupta, Sumit Kumar, Rakesh Kumar, Debasis Basu, Deval Parekh, Boudhayan Das Munshi, Kajal Hansda, and Nikhil Kumar. "The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India." International Journal of Medical Science and Public Health 8.8 (2019), 654-660. Print. doi:10.5455/ijmsph.2019.0514503062019



APA (American Psychological Association) Style

Gupta, S. K., Kumar, . R., Basu, . D., Parekh, . D., Munshi, . B. D., Hansda, . K. & Kumar, . N. (2019) The BDFOOT- IDGDC study: Burden of diabetic foot ulcers and its determinants among type 2 diabetes patients attending an “Integrated Diabetes and Gestational Diabetes Clinic” of Eastern India. International Journal of Medical Science and Public Health, 8 (8), 654-660. doi:10.5455/ijmsph.2019.0514503062019





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