Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes
Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes Part 6: Detection and Prevention of Foot Problems in Type 2 Diabetes
predicting risk of amputation, 2.9 (CI 1.3-6.2), 3.0 (CI 1.3-7.1) and 3.0 (1.4-6.5),respectively.Lehto et al (1996) prospectively followed for 7 years 1,044 people aged 45 to 64 yearswith Type 2 diabetes. During the 7-year follow-up, the incidence of amputation was5.6% in men and 5.3% in women. Compared with people without an amputationduring the follow-up, people who had an amputation were more likely to haveabsence of two or more peripheral pulses (p
questionnaire two years later. There were 219 people who developed a new foot ulcerduring the study period with an annual incidence rate of 2.2%. In this group univariateanalysis showed that the RR of foot ulcer increased as the number of pedal pulsesdiminished. Compared with those with 4 pedal pulses those who had 3, 2, 1 and 0pedal pulses had RR of 1.52 (CI 1.02-2.26), 2.51 (CI 1.87-3.37), 4.03 (CI 2.54-6.37)and 4.72 (CI 3.28-6.78), with p
- Page 1: National Evidence Based Guidelinesf
- Page 4: Research OfficersMs Linda SmithPodi
- Page 7 and 8: 2.2 Issues for Foot Problems in Typ
- Page 9: • Aim to achieve the best possibl
- Page 12 and 13: Background - Peripheral Neuropathy
- Page 14 and 15: proportion of subjects with a durat
- Page 16 and 17: and an OR 1.1-7.8. This study also
- Page 18 and 19: Summary - Peripheral Neuropathy as
- Page 20 and 21: Section 2: Diabetes Foot ProblemsIs
- Page 24 and 25: Summary - Peripheral Vascular Disea
- Page 26 and 27: Section 3: Diabetes Foot ProblemsIs
- Page 28 and 29: Evidence - Foot Deformity and Previ
- Page 30 and 31: people with both LJM and neuropathy
- Page 32 and 33: Summary - Foot Deformity and Previo
- Page 34 and 35: Section 4: Diabetes Foot ProblemsIs
- Page 36 and 37: Also in the Seattle study, 67 peopl
- Page 38 and 39: Summary - Ulcer as a Risk Factor fo
- Page 40 and 41: Section 5: Diabetes Foot ProblemsIs
- Page 42 and 43: The other frequently reported metho
- Page 44 and 45: side; and 82% having the same resul
- Page 46 and 47: Evidence Table: Section 5Detection
- Page 48 and 49: Background - Clinical Detection of
- Page 50 and 51: pulse was bilaterally absent in 1.8
- Page 52 and 53: Evidence Table: Section 6AuthorClin
- Page 54 and 55: Background - Frequency of Foot Exam
- Page 56 and 57: Summary - Frequency of Foot Examina
- Page 58 and 59: Section 8: Diabetes Foot ProblemsIs
- Page 60 and 61: Behaviour assessment scores, measur
- Page 62 and 63: Mazzuca et al (1986) studies 532 pe
- Page 64 and 65: with before the programme, after 1-
- Page 66 and 67: Evidence Table: Section 8AuthorEffe
- Page 68 and 69: Background - Glycaemic Control and
- Page 70 and 71: In a previous Japanese randomised s
questionnaire two years later. There were 219 people who developed a new foot ulcerdur<strong>in</strong>g the study period with an annual <strong>in</strong>cidence rate <strong>of</strong> 2.2%. In this group univariateanalysis showed that the RR <strong>of</strong> foot ulcer <strong>in</strong>creased as the number <strong>of</strong> pedal pulsesdim<strong>in</strong>ished. Compared with those with 4 pedal pulses those who had 3, 2, 1 <strong>and</strong> 0pedal pulses had RR <strong>of</strong> 1.52 (CI 1.02-2.26), 2.51 (CI 1.87-3.37), 4.03 (CI 2.54-6.37)<strong>and</strong> 4.72 (CI 3.28-6.78), with p
Change language