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Abstract
A prospective study was undertaken of 80 diabetic patients over the age of 50 years,
with the aim of determining which factors were important in the development of foot
lesions. It was found that factors associated with diabetic management, including
HbAlc levels and frequency of previous admissions to hospital for diabetic control, appeared
to play little part in the development of foot lesions. However, both vascular impairment
and cigarette smoking were significantly associated with an increased incidence of
lesions, while neuropathy was found to occur commonly in control subjects as well
as patients with foot lesions. There was also a significant relationship between the
level of patient understanding as measured by a questionnaire and the development
of foot lesions. The importance of the education of both patients and doctors concerning
the significance of diabetic foot lesions is emphasized.
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References
- Evaluation of glycosylated haemoglobin in diabetic patients.Diabetes. 1981; 30: 613-617
- Vertical forces acting on the feet of diabetic patients with neuropathic ulceration.Br J Surg. 1981; 68: 608-614
- Lesions of the feet in patients with diabetes mellitus.S Afr J Surg. 1970; 8: 29-45
- Foot lesions in diabetic patients: Pathogenesis and management.Med J Aust. 1977; 1: 628-633
- Pathogenesis of macrovascular disease in the human diabetic.Diabetes. 1980; 29: 931-942
- Br Med J. 1977; 1: 1555-1556
- The relation between the minor components of whole normal human adult hemoglobin as isolated by chromatography and starch block electrophoresis.J Am Chem Soc. 1961; 83: 1472-1478
- Glycosylation of human collagen in aging and diabetes mellitus.J Clin Invest. 1980; 66: 1179-1181
- Smoking and vascular surgery.Br J Surg. 1981; 68: 601-604
- Association of foot lesions with retinopathy in patients with newly diagnosed diabetes.Lancet. 1975; 1: 878-880
- The pancreas.in: Textbook of endocrinology. WB Saunders, Philadelphia1974: 566-585
Article info
Publication history
Accepted:
May 14,
1982
Identification
Copyright
© 1983 Published by Elsevier Inc.