Evaluation of Blood Sugar, Blood Pressure and Foot Health in Individuals Not Diagnosed with Diabetes, Hypertension

Abstract

Objective: Diabetes Mellitus constitutes a significant health concern given its incidence and associated complications. Furthermore, obesity, being a chronic disease, represents a risk factor for hypertension, cardiovascular diseases, and diabetes. In light of these considerations, our study aims to perform a public screening for conditions that are closely related, including hypertension, obesity, diabetes, and foot health. Methods: The study was conducted over a three-day period from September 12 to September 15, 2017, between the hours of 09:00-17:00. The sample comprised of volunteers who passed by the established stands and were not diagnosed with diabetes or hypertension. Blood glucose levels (BG) were measured using a glucometer, while weight and height were measured using a scale. Waist circumference was measured using a tape measure, and foot examinations were conducted using a podoscope. In addition, a questionnaire was administered to gather sociodemographic information and health-related data from participants. Measurements were taken of random capillary BG, blood pressure (BP), height, weight, and waist circumference. A general foot examination was performed, and any pressing foot issues were evaluated with a podoscope. Results: In our study, the mean BG level of 428 participants was 126 g/dl, with 7% of them recording BG levels above 200 g/dl. During foot examinations, 29% of participants reported experiencing pain, while 26% had issues with false nail clipping. Pes planus was detected in 14% of individuals during podoscopic examination, and it was observed that those who used sports shoes and those who had previous foot examinations had fewer foot health problems. Additionally, individuals with high BMI values exhibited a higher prevalence of claudication findings, ingrown nails, and dryness and cracks in the skin. Participants with higher systolic BP were found to have more instances of ingrown nails and other nail problems, including interdigital maceration. Conclusion: The selection of appropriate footwear and regular foot examinations are crucial in the prevention of foot health problems. Our study found a significant association between foot health problems and high BMI and systolic blood pressure levels.