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Apelqvist, J., Bakker, K., van Houtum, W.H., Schaper, N.C., on behalf of the International Working Group on the Diabetic Foot (IWGDF) Editorial Board. (2008) Practical Guidelines on the Management and Prevention of the Diabetic Foot. Diabetes/Metabolism Research and Reviews, 24, S181-S187.
https://doi.org/10.1002/dmrr.848

has been cited by the following article:

  • TITLE: Assessment of the Podiatric Risk on Diabetics in Dakar Hospital Area: Cross-Sectional Study in Regard to 142 Patients

    AUTHORS: Abdoulaye Leye, Ngone Diaba Diack, Yakham Mohamed Leye, Nafy Ndiaye, Alex Bahati, Ameth Dieng, Daouda Thioub, Maïmouna Senghor, Maouly Fall, Samira Elfajri

    KEYWORDS: Foot Risk, Diabetes, Dakar

    JOURNAL NAME: Journal of Diabetes Mellitus, Vol.8 No.1, January 16, 2018

    ABSTRACT: The prevention of diabetic foot goes through a systematic podiatric assessment of diabetic patients permitting to identify the foot at risk. Then, we realized a study in the Internal Medicine Department at Pikine Teaching Hospital in Dakar with the assessment of foot risk on admitted diabetic patients as our main objective. Methods: It was about a prospective cross-sectional, descriptive and analytic study done on 18 months period. Results: Overall, 142 patients were gathered. The average age was 56.22 years and the sex-ratio was 0.67. 87.2% of the patients were running type 2 diabetes. The capillary blood glucose and glycated hemoglobin were respectively around 3.24 g/L and 9%. High Blood Pressure was found in 62% of cases. The type of footwear most used by our patients was sandals (96.3%). Also, 30.6% of patients walked barefoot. Prior ulceration and/or amputation were noted in 30% of cases. During the foot examination, a lesion was found in 15.5% of patients. Loss of monofilament sensitivity was about 66.7%. The Ankle-Brachial Index (ABI) less than 0.9 was recorded in 34% of patients and at least a quarter of patients were posteriorly tibial pulselessness. The gradation of the foot risk according to the International Working Group of the Diabetic Foot (IWGDF) was established as follow: grade 0 (58%), grade 1 (9.8%), grade 2 (14.3%), grade 3 (17.3%). The presence of neuropathy (OR 12. 162 [3.368 - 43.923]; p = 0.000), plantar keratosis (OR 2.87 [1.119 - 7.399]; p = 0.024) and the absence of pulse perception (OR 9.00 [3.205 - 25.414]; p = 0.000) were significant associated factors of foot injury occurrence on our patients. Conclusion: The prevention of diabetic foot in emerging countries is accessible by a systematic clinical examination of all diabetic feet and the awareness of adapted footwear.