Identification of Risk Factors for the Complicated Diabetic Foot
Issue: 3/1998
Author: H. Bohchelian, L. Koeva, Clinic of Endocrinology, Medical University – Varna
Abstract:
The aim of the study is the identification of the risk for complicated diabetic foot. A case – control study is carried out. The object of investigation are 182 type 1 and 2 diabetics subdivided into two groups: group A (cases) -42 patients with present and former foot ulceration; group В (controls) – 140 diabetics without ulceration. The degree of control and diabetic complications are assessed. Blood glucose level, HbA-1C, lipid profile are investigated. Osteodensitometry, electromyography, x-ray and isotopic investigation of the feet are carried out. The ulcerative risk in the two groups is analysed. Data are obtained, that poor diabetic control, chronic diabetic complications and osteopenia are predictors for foot ulceration. Osteometry could be one of obligatory investigations in assessment of diabetic control. Bone density measurement is necessary for early diagnosis and prevention of diabetic foot complications.
Keywords: diabetic foot, foot ulceration, risk factors.
