H Connor1, O Z Mahdi. 1. Hereford Diabetes Centre, County Hospital, UK. h.connor@hospital-doctor.net
Abstract
METHODS: In a retrospective study, 83 patients with diabetic neuropathic foot ulceration were classified into two groups: those with a higher rate of ulceration defined as >/=3.5 ulcers per foot per 10 years (group H) and those with a lower rate of <3.5 ulcers per foot per 10 years (group L). RESULTS: Higher risk was associated with neuroarthropathy, higher mean HbA(1c), men who lived alone, alcohol misuse by men, poor compliance with footwear, footcare and with non-foot aspects of diabetic self-care, higher non-attendance rates and, in patients with type 1 diabetes, delay in reporting new foot problems. CONCLUSIONS: Reduction in ulcer recurrence rates will require improved orthotic provision in patients with neuroarthropathy and new methods to achieve behavioural change in other higher risk patients. Copyright 2004 John Wiley & Sons, Ltd.
METHODS: In a retrospective study, 83 patients with diabetic neuropathic foot ulceration were classified into two groups: those with a higher rate of ulceration defined as >/=3.5 ulcers per foot per 10 years (group H) and those with a lower rate of <3.5 ulcers per foot per 10 years (group L). RESULTS: Higher risk was associated with neuroarthropathy, higher mean HbA(1c), men who lived alone, alcohol misuse by men, poor compliance with footwear, footcare and with non-foot aspects of diabetic self-care, higher non-attendance rates and, in patients with type 1 diabetes, delay in reporting new foot problems. CONCLUSIONS: Reduction in ulcer recurrence rates will require improved orthotic provision in patients with neuroarthropathy and new methods to achieve behavioural change in other higher risk patients. Copyright 2004 John Wiley & Sons, Ltd.
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