Prevalence of Foot Complications in People With Type 2 Diabetes Mellitus: A Community-Based Survey in Rural Udupi

Author:

Maiya Arun Gundmi1,Gundmi Shubha1ORCID,Matpady Prabhath1,Jadhav Radhika1,Lingadakai Ramachandra1,Hande Manjunatha1,Kamath Veena G.1,Shivashankar K. N.1,Chinmayee P.1,Hazari Animesh1,Shastri Nagarathna2,Hande Rohini3,Loftager Mads Mundt4,Veluswamy Sundar Kumar5,Jude Edward6

Affiliation:

1. Manipal Academy of Higher Education, Udupi, Karnataka, India

2. Taluka Health Office, Udupi, Karnataka, India

3. District Health and Family Welfare Office, Udupi, Karnataka, India

4. World Diabetes Foundation, Gentofte, Denmark

5. MS Ramaiah Medical College, Bangalore, Karnataka, India

6. Tameside Hospital, NHS Foundation Trust, Ashton-under-Lyne, England, UK

Abstract

The objective of the study was to determine the prevalence of foot complications among people with type 2 diabetes mellitus in the rural part of Udupi district, Karnataka, India. A cross-sectional observational study design was conducted in the rural area of Udupi district. In the study, accredited social health activists were trained to screen people with type 2 diabetes mellitus for diabetic foot complications at a community level. Adults over 35 years of age were screened for the presence of type 2 diabetes mellitus by accredited social health activists who reside in the rural part of Udupi district. Participants with type 2 diabetes mellitus were included in the study. Blood glucose level was measured using a glucometer. Foot examination was done by visual inspection, monofilament, tuning fork, and pedal pulse. In the present study, 2110 among the total participants were found to have type 2 diabetes mellitus. The prevalence of musculoskeletal foot complications was 1218 (58%), vascular problem 466 (22.2%), sensory neuropathy 634 (30.2%), autonomic neuropathy 1729 (81.9%), ulcer 134 (6.38%), and infection 561 (26.7%) among people with type 2 diabetes mellitus. In the current study, we found 84.7% of people residing in rural Udupi had type 2 diabetes mellitus. Hence, there is a strong need to create awareness about diabetic foot care in these people.

Publisher

SAGE Publications

Subject

General Medicine,Surgery

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