JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v3i4.2260 jpsim.v3i4.2260 Original Research Risk of Diabetic Foot Ulcer in Patients of Diabetes Mellitus Visiting a Private Setting of South Punjab, Pakistan Ali Qazi Masroor masroorqazi@outlook.com * Anjum Saba Shafique Sadaf Hamza Hareem Imran Ali Khan Raheel Tariq Muhammad Sohail Masroor Maria Ullah Hafiz Muhammad Kaleem Chaudhary Ghulam Muhy-u-Din Aleena Hospital, Bahawalpur Shahida Islam Teaching Hospital, Lodhran Bahawal Victoria Hospital, Bahawalpur Royal Alex Hospital, Canada Quaid-e-Azam Medical College, Bahawalpur Shaikh Zayed Hospital, Rahim Yar Khan Nishtar Medical University, Multan *Correspondence: Qazi Masroor Ali (masroorqazi@outlook.com) 18 12 2022 2022 3 4 301 305 10 08 2022 26 09 2022 Copyright © 2022 The Author(s) 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

To evaluate the risk of diabetic foot ulcer (DFU) among diabetes mellitus (DM) patients visiting outpatient department of a private healthcare setting.

 Methodology

A cross-sectional study performed at the outpatient department of medicine, Aleena Hospital, Bahawalpur, Pakistan from 1st July 2021 to 30th June 2022. We included patients of both genders aged above 18 years and known cases of DM with disease duration of ≥ 6 months. Medical record was checked while clinical history was taken and foot examination was performed.

 Results

In a total of 781 patients, 394 (50.4%) were female. The mean age, weight, height and BMI were 50.19±12.21 years, 74.08±16.41 kg, 5.52±0.31 feet and 30.80±7.07 kg/m2 respectively. Residential status of 498 (63.8%) patients was rural. There were 778 (99.6%) cases that had type-2 DM (T2DM). There were 443 (56.7%) patients who had no risk for DFU while neuropathy, PAD/foot deformity and neuropathy + PAD/foot deformity were identified among 205 (26.2%0, 97 (12.4%) and 36 (4.6%) patients respectively. Increasing age (p

 Conclusion

High proportion of DM patients were at risk of DFU. Increasing age, rural residential status, higher BMI, increased disease duration of DM, hypertension and smoking had significant association with the risk of DFU.

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