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
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A current ulcer is a high risk <strong>in</strong>dicator for amputation197 people with diabetes (89% with <strong>Type</strong> 2 diabetes) who presented with a new footulcer were followed up until outcome was noted eg heal<strong>in</strong>g, amputation (Oyibo et al,2001). The mean age <strong>and</strong> duration <strong>of</strong> diabetes was 56.6 ± 12.6 <strong>and</strong> 15.4 ± 9.9 yearsrespectively. At the end <strong>of</strong> the study 65% <strong>of</strong> ulcers healed completely, 16% were stillunhealed <strong>and</strong> 15.5% had resulted <strong>in</strong> an amputation. The rema<strong>in</strong><strong>in</strong>g 3.5% <strong>of</strong> patientsdied. The size <strong>of</strong> the ulcer at presentation was significantly higher <strong>in</strong> the group whorequired amputation compared with the group who did not 3.9 (1.4-5.4) cm v 1.1 (0.5-2.6) cm (p
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