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Introduction: Diabetes mellitus is a major public health problem with rising prevalence worldwide and in the year 2015 around 415 million people were known to have diabetes. This estimate is expected to increase to 642 million of the population by 2040. Further, it is the 6th leading cause of death, attributing to 5 million deaths globally in 2015. Aims and objectives: The basic aim of the study is to find the prevalence of diabetic foot syndrome with type 2 diabetes among local population of Pakistan. Material and methods: This descriptive study was conducted at Hospitals of Layyah in 2018. In this descriptive analytical study all patients with diabetes type 2 under 70 years referred to the hospital were studied.A questionnaire including age, sex, BMI, diabetes duration, type of treatment, HbA1C, deformity, neuropathy symptoms, vascular symptoms, history of foot ulcer, previous training regarding foot care, smoking, history of retinopathy and nephropathy was completed for all patients. Results: The mean age of the total sample was 55.5 years. The majority of the sample was male (51.1%), non-smokers (95.6%) and did not have hypertension (67.8%). The average duration after diagnosis of diabetes mellitus was 6.1 (SD 6.3) years. The overall prevalence of DFS was 51.8% in our population. According to IGWDF Risk Classification, Out of the study population, 48.2% were normal (category 0) while the remaining 51.8% had foot at risk.About 51.8% subjects had foot at risk, 31.3% had foot at risk category 1; 11.9% patients had foot at risk category 2, in which 10.8% PAD and 10.4% patients had deformity. Conclusion: It is concluded from our results that the screening for foot complications should start at the time of diagnosis of diabetes and integrated with sustainable patient education at primary care level by training of health care providers at primary care level. |
