Podological aspects in diabetes: A comparative study between insulin-dependent diabetes and non-insulin dependent diabetes, through a series of 154 cases




Objective


Diabetic foot includes all foot abnormalities in diabetics; they are secondary to several pathophysiological mechanisms. Few studies have compared the two types of diabetes for podiatric complications. The objective of this work is to make a comparative study of podiatry profile, clinical, optical and electronic podoscopique between insulin-dependent diabetes (IDDM) and non-insulin dependent (NIDDM).


Materials/Patients and methods


This is a prospective study over one year, including diabetic patients who have been made, an optical podocopique review and static and dynamic electronics. We performed a comparative study of podoscopiques parameters between the DID and NIDDM.


Results


154 diabetic feet were evaluated, with 33.8% DID and 66.2% NIDDM. Both IDDM and NIDDM groups were compatible for different socio-demographic parameters. Statistical analysis was objectified a significant difference between the two groups in terms of podoscopiques evaluated parameters.


Discussion/Conclusion


The occurrence of podiatric complications is more common in NIDDM, this can be explained by late diagnosis of this type of diabetes that allows time for these complications to settle. Although the duration of the evolution of DID is long, early diagnosis in these patients allows preventing various podiatric complications that prevention requires a clinical examination, optical and electronic podoscopique that make the most correct possible support.


Disclosure of interest


The authors declare that they have no competing interest.

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Apr 20, 2017 | Posted by in PHYSICAL MEDICINE & REHABILITATION | Comments Off on Podological aspects in diabetes: A comparative study between insulin-dependent diabetes and non-insulin dependent diabetes, through a series of 154 cases

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