Foot care knowledge and practices and the prevalence of peripheral neuropathy among people with diabetes attending a secondary care rural hospital in southern India.
Hanu George,P S Rakesh,Manjunath Krishna,Reginald Alex,Vinod Joseph Abraham,Kuryan George,J. Prasad +6 more
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TL;DR: Male gender, low education, and lesser duration of diabetes are associated with poor knowledge scores in knowledge and practices regarding foot care, and the prevalence of diabetic peripheral neuropathy is high.
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Abstract: Background: Diabetes mellitus is a multifaceted disease and foot ulceration is one of its most common complications. Poor foot care knowledge and practices are important risk factors for foot problems among people with diabetes. Aims: To assess the knowledge and practices regarding foot care and to estimate the proportion of people with peripheral neuropathy among people with diabetes. Settings and Design: The cross-sectional study was conducted in 212 consecutive diabetes patients attending the out-patient department of a rural secondary care hospital Materials and Methods: A questionnaire which included demographic details, knowledge questionnaire, and Nottingham assessment of functional foot care was administered. The Michigan Neuropathy Screening Instrument was used to identify peripheral neuropathy. Statistical Analysis Used: Descriptive analysis with frequency distribution for knowledge and practice scores, univariate analysis, and multiple logistic regressions to find significant variables associated with good knowledge and practice scores. Results: About 75% had good knowledge score and 67% had good foot care practice score. Male gender (OR 2.36, 95% CI 1.16-4.79), poor education status (OR 2.40, 95% CI 1.19-4.28), and lesser duration of diabetes (OR 2.24, 95% CI 1.15-4.41) were significantly associated with poor knowledge on foot care. Poor knowledge was associated with poor foot care practices (OR 3.43, 95% CI 1.75-6.72). The prevalence of neuropathy was 47% (95% CI 40.14-53.85) and it was associated with longer duration of the disease (OR 2.18, 95% CI 1.18-4.04). Conclusion: There exist deficiencies in knowledge and practices regarding foot care. Male gender, low education, and lesser duration of diabetes are associated with poor knowledge scores. The prevalence of diabetic peripheral neuropathy is high.
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Community based study to assess the prevalence of diabetic foot syndrome and associated risk factors among people with diabetes mellitus.
TL;DR: The overall prevalence of DFS was high among the study population; hence the screening for foot complications should start at the time of diagnosis of diabetes integrated with sustainable patient education at primary care level by training of health care providers atPrimary care level.
Attitude and knowledge about foot care among diabetic patients in Riyadh, Saudi Arabia.
TL;DR: A high percentage of the surveyed population with good knowledge and good practice of diabetic foot care, however with a poor attitude toward foot care is revealed.
61
Epidemiology of microvascular complications of diabetes in South Asians and comparison with other ethnicities
Ritesh Gupta,Anoop Misra +1 more
TL;DR: In this paper, the authors found that Type 2 diabetes mellitus is widely prevalent in South Asians, and has a significant effect on health, as well as the economies of South Asian countries, particularly when the disease is associated with complications.
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Knowledge, attitude, and practice of foot care in patients with diabetes at central rural India.
TL;DR: It is necessary to firstly develop awareness of diabetes mellitus and the related complications, one amongst which is foot care, to create awareness for effective foot care in patients with DM in central rural India.
45
Diabetes self-care in primary health facilities in India - challenges and the way forward.
Saurav Basu,Nandini Sharma +1 more
TL;DR: There is a need for government initiatives to be directed towards the provision of comprehensive outpatient care that is inclusive of uninterrupted supply of drugs, provision of essential laboratory investigators, training and availability of qualified diabetes educators andavailability of specialist support when required.
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