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foot care in type 2 DM

Andrea M Mahon, Garrett D Moore, Michael I Gazes, Eileen Chusid, Claire MacGilchrist
Management of diabetes mellitus (DM) involves podiatrists as the primary practitioners engaged in prevention and treatment of lower limb pathology. Patients must first possess adequate knowledge to engage in effective self-management. A knowledge assessment of a DM cohort has never before been conducted in Ireland. The primary research objective was to determine the existence of gaps in specific areas of DM-related knowledge between type 2 DM (T2DM) patients in Galway (GW) and New York (NY). A cross-sectional study compared DM-related knowledge levels between 2 cohorts over a 10-week period...
September 2016: International Journal of Lower Extremity Wounds
M Gizaw, A D Harries, S Ade, K Tayler-Smith, E Ali, N Firdu, H Yifter
SETTING: The Black Lion Referral Hospital, Addis Ababa, Ethiopia. OBJECTIVE: To document indications for admission, complications and outcomes of patients with diabetes mellitus (DM) admitted between 2010 and 2013. DESIGN: A descriptive retrospective study using medical files. RESULTS: Of 8048 admissions, 523 (6.5%) had DM; of these, 418 medical records were retrieved: 301 (72%) patients had type 2 and 104 (28%) type 1 disease, with male sex (62%) and older age (median age 60 years) being features of type 2 disease...
March 21, 2015: Public Health Action
Alehe Seyyedrasooli, Kobra Parvan, Leila Valizadeh, Azad Rahmani, Maryam Zare, Tayyebeh Izadi
BACKGROUND: Diabetes mellitus (DM) is one of the most common metabolic and non-communicable disorders worldwide and the mortality rates caused by the complications associated with the disease, such as diabetic foot ulcer, is increasing dramatically. Patient education is considered as an essential part of controlling DM. Therefore, we aimed to compare the effects of individual and group training methods on self-efficacy in foot care among the patients with DM. METHODS: In this single-blinded, randomized controlled clinical trial, we enrolled 150 patients with type 1 and 2 DM...
April 2015: International Journal of Community Based Nursing and Midwifery
Denise H Iunes, Carmélia B J Rocha, Nathália C S Borges, Caroline O Marcon, Valéria M Pereira, Leonardo C Carvalho
UNLABELLED: The objective of this study was to verify self-care guidelines together with lower limb home exercises alter ankle and foot plantar pressure and alignment in patient with Type 2 Diabetes Mellitus (DM) measuring health and sociodemographic factors. The health factors analyzed were sensitivity and circulation aspects, risk rating, and neuropathy symptom score, ankle and foot alignment (photogrammetry), plantar pressures, and postural stability (baropodometry) before and after administering these guidelines and home exercises in 97 patients type 2 DM during 10 months...
2014: PloS One
Cheryl A Jay, Marylou V Solbrig
Even at a time when HIV/AIDS and immunosuppressive therapy have increased the number of individuals living with significant immunocompromise, diabetes mellitus (DM) remains a major comorbid disorder for several rare but potentially lethal infections, including rhino-orbital-cerebral mucormycosis and malignant external otitis. DM is also a commonly associated condition in patients with nontropical pyomyositis, pyogenic spinal infections, Listeria meningitis, and blastomycosis. As West Nile virus spread to and across North America over a decade ago, DM appeared in many series as a risk factor for death or neuroinvasive disease...
2014: Handbook of Clinical Neurology
H M Şen, H Şen, M Aşık, A Özkan, E Binnetoglu, G Erbağ, H I Ö Karaman
OBJECTIVE: Our aim is to research the effect of the knowledge and routine gained from the diabetic foot (DF) care education program given to patients with Type 2 Diabetes Mellitus (DM) with diabetic neuropathy. MATERIALS AND METHOD: A total of 104 patients with Type 2 DM and diabetic neuropathy participated in a survey to evaluate standards of DF care, and knowledge of and behavior relating to personal care. The difference in knowledge and personal care between the group who had received education on diabetes and the group who had not was researched...
March 2015: Experimental and Clinical Endocrinology & Diabetes
Sandra B Dunbar, Brittany Butts, Carolyn M Reilly, Rebecca A Gary, Melinda K Higgins, Erin P Ferranti, Steven D Culler, Javed Butler
Studies show 30% to 47% of people with heart failure (HF) have concomitant diabetes mellitus (DM). Self-care for persons with both of these chronic conditions is conflicting, complex, and often inadequate. This pilot study tested an integrated self-care program for its effects on HF and DM knowledge, self-care efficacy, self-care behaviors, and quality of life (QOL). Hospitalized HF-DM participants (N = 71) were randomized to usual care or intervention using a 1:2 allocation and followed at 30 and 90 days after intervention...
March 2014: Nursing Outlook
Omer Salahuddin, Muhammad Azhar, Aqsa Imtiaz, Munawer Latif
OBJECTIVES: To evaluate the functional outcome, morbidity, and viability of foot salvage in diabetic patients. MATERIALS AND METHODS: This prospective case series was conducted from March 2007 to December 2012 at the department of surgery Pakistan Ordnance Factories Hospital, Wah Cantt, Pakistan. 123 males and 26 female patients were included in the study. All the patients were treated after getting admitted in the hospital and wounds were managed with daily dressings, nursing care and debridement of necrotic tissue with adequate antibiotic coverage...
2013: Diabetic Foot & Ankle
Andrew E Edo, Gloria O Edo, Ignatius U Ezeani
BACKGROUND: The objective was to determine the risk factors, ulcer grade, and management outcome of patients with diabetic foot ulcers (DFU) managed in a tropical tertiary hospital. MATERIALS AND METHODS: This is a prospective observational study of all consecutive diabetes mellitus (DM) patients with DFU admitted in the University of Benin Teaching Hospital, Benin City, Nigeria over a 26-month period. Data documented included age, gender, type of DM, duration of DM, risk factors of DFU, duration of DFU, Wagner's ulcer grade, and the blood glucose at presentation and management outcome...
January 2013: Nigerian Medical Journal: Journal of the Nigeria Medical Association
Maira Sayuri Sakay Bortoletto, Selma Maffei de Andrade, Tiemi Matsuo, Maria do Carmo Lourenço Haddad, Alberto Durán González, Ana Maria Rigo Silva
AIMS: To identify the prevalence of higher risk of foot ulceration and associated factors among patients with diabetes mellitus (DM) at primary health care services. METHODS: Individuals with DM, registered at primary health care services in a municipality in southern Brazil, were interviewed and underwent foot examinations. Their risk of ulceration was classified in accordance with the recommendations of the International Working Group on the Diabetic Foot. Poisson bivariate and multivariate analyses were performed and adjusted prevalence ratios (PR) and 95% confidence intervals (CI) were calculated...
April 2014: Primary Care Diabetes
Megan Brown, Dan Kuhlman, Lance Larson, Kara Sloan, Elizabeth Ablah, Kurt Konda, Christopher Scott Owings
AIMS: The purpose of this study was to assess compliance with American Diabetes Association screening recommendations at Salina Family Healthcare (SFHC) in Salina, Kansas, a large rural town, and to evaluate the impact of point-of-care (POC) dilated eye exams for uninsured patients. POC exams are those performed in the location where patients are treated. METHODS: There were 462 type II diabetic (DM2) patients seen at SFHC in 2009 and 537 DM2 patients seen in 2010...
July 2013: Primary Care Diabetes
Le Ma, Pingsong Li, Zehong Shi, Tuanjie Hou, Xiao Chen, Jin Du
Although hyperbaric oxygen (HBO) therapy has been reported to help heal chronic foot ulcers in patients with diabetes mellitus (DM), production of HBO-related oxidative stress is a concern. To assess the therapeutic effect and oxidative stress of HBO, a 2-week, prospective, randomized, controlled clinical study was conducted from January 1, 2010 to January1, 2012 among 36 consecutively admitted patients with diabetic foot ulcers (DFU). Average patient age was 60.08 ± 5.97 years and average DM duration was 16...
March 2013: Ostomy/wound Management
Larisa Gavran, Muharem Zildzic, Olivera Batic-Mujanovic, Alma Alic, Ibrahim Gledo, Subhija Prasko
AIM: To analyse the difference in documentation of standard parameters for monitoring DM type 2 between Family Medicine Teams (FMT) and Teams on Program Additional Training (PAT). METHODS: Study was conducted as 20 medical chart audits of diabetic type 2 patients randomly selected per 3 FMT from Zenica and 3 PAT from Kakanj. According to the chart, we assess sex, age, glucose in blood-GB, blood pressure-BP, total cholesterol-TC, body mass index-BMI, HbA1c, foot exam, eye exam and urinoanalisis and have any of the tests been done in the past year...
2012: Medical Archives
Tracy M Frech, Gordon Smith, Melissa Reily, James Chamberlain, Maureen A Murtaugh, Jason Penrod, Michael J Battistone, Barry M Stults
We performed bedside testing for peripheral neuropathy in our systemic sclerosis (SSc) population to determine whether foot care guidelines should be developed for SSc. Twenty consecutive SSc patients and 20 healthy control (HC) patients were evaluated for peripheral neuropathy in both feet using the 10-g Semmes-Weinstein monofilament examination (SWME) and 128 Hz vibration sensation using the on-off method. Independent, blinded, vibratory sensation, and SWME evaluations were performed on each subject by two investigators who had completed a training session to standardize each exam...
June 2013: Clinical Rheumatology
H Hamidah, L P Santhna, R D Ruth Packiavathy, A M Suraya, W C Yap, M Samsiah, Srijit Das
BACKGROUND AND AIMS: Diabetic foot ulcer is one of the major health problems that accounts for increased morbidity among the diabetic patients. Having good knowledge, good attitude and practice of managing the foot prevents the impending chronic co-morbidities of the disease. MATERIALS AND METHODS: This cross-sectional study was performed to assess the knowledge, attitude and practice on foot care among the newly diagnosed diabetic type 2 patients with low education and socio economic background...
November 2012: La Clinica Terapeutica
Farzana Saleh, Shirin J Mumu, Ferdous Ara, Housne A Begum, Liaquat Ali
BACKGROUND: Levels of knowledge about diabetes mellitus (DM) among newly diagnosed diabetics in Bangladesh are unknown. This study assessed the relationship between knowledge and practices among newly diagnosed type 2 DM patients. METHODS: Newly diagnosed adults with type 2 diabetes (N = 508) were selected from 19 healthcare centers. Patients' knowledge and self-care practices were assessed via interviewer-administered questionnaires using a cross-sectional design...
2012: BMC Public Health
Shyam S Jaiswal, R P S Gambhir, Amit Agrawal, S Harish
BACKGROUND: Lower extremity ulcers are a serious complication of diabetes mellitus (DM). These ulcers show decreased angiogenic response and production of growth factors. Recombinant human platelet derived growth factor (rhPDGF) has been found to decrease the time to healing. This study was conducted to evaluate its efficacy in the treatment of diabetic foot ulcers. METHODS: A total of 50 patients with type 1 or type 2 DM and chronic ulcers, of at least 4 weeks duration, were studied...
February 2010: Indian Journal of Surgery
Assim Alfadda, Khalid A Bin Abdulrahman
BACKGROUND: There is rapid increase in the incidence of Diabetes Mellitus (DM) in the Kingdom of Saudi Arabia (KSA), as in other countries. An optimal care of diabetic patients depends on the health care providers as well as the type of health care setting. Due to the severity of chronic complications in Type 2 diabetic patients, it is essential to assess both the practices of the providers and the patient outcomes at any clinical setting. OBJECTIVES: To assess the screening patterns of diabetes associated health care problems in primary care clinics of King Khalid University Hospital (KKUH) and while compare them to the current diabetes clinical practice recommendations of American Diabetes Association (ADA)...
January 2006: Journal of Family & Community Medicine
Andrew E Uloko, Esther N Ofoegbu, Sunday Chinenye, Olufemi A Fasanmade, Adesoji A Fasanmade, Anthonia O Ogbera, Osi-Ogbu Ogbu, Johnnie M Oli, Bakari A Girei, Abdullahi Adamu
BACKGROUND: Diabetes Mellitus is the commonest endocrine-metabolic disorder in Nigeria similar to the experience in other parts of the world. The aim was to assess the clinical and laboratory profile, and evaluate the quality of care of Nigerian diabetics with a view to planning improved diabetes care. MATERIALS AND METHODS: In a multicenter study across seven tertiary health centers in Nigeria, the clinical and laboratory parameters of diabetic out-patients were evaluated...
July 2012: Indian Journal of Endocrinology and Metabolism
I I Dedov, V Iu Kalashnikov, S A Terekhin, K V Melkozerov
Despite obvious progress in management of diabetes mellitus, the DM-related complications rate remains inadmissibly high. Macroangiopathy is known to rank first amongst complications of diabetes mellitus, and coronary artery disease remains to be the major cause of death. Analysed herein are peculiarities of the clinical course in diabetic patients presenting with coronary artery disease and lower limb critical ischaemia, followed by discussing the issues concerning drug therapy, preoperative examination, and methods of diagnosis in this cohort of patients prior to vascular operations, assessment of the preoperative risk, indications for coronarography and myocardial revascularization...
2012: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
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