Loss of sensation and trophic lesions in the feet of people with type 2 diabetes mellitus
DOI:
https://doi.org/10.56294/saludcyt2024617Keywords:
Diabetic Foot, Diabetes Mellitus, Complications Of Diabetes, Semmes–Weinstein Monofilament, Wagner–Meggitt ClassificationAbstract
Introduction: diabetic foot is one of the most common complications in patients with diabetes, and early diagnosis is crucial to carry out therapeutic interventions that prevent its progression to advanced or irreversible stages that generate changes in people's quality of life.
Objective: identify the loss of protective sensitivity and trophic lesions in the feet of people living with type 2 diabetes mellitus treated at a health center in the Tuxtlas region, Veracruz.
Methods: descriptive and cross-sectional study. The sampling was non-probabilistic for convenience in which 91 people participated. Information was collected on personal data, clinical data on podiatric characteristics, loss of foot protective sensitivity and presence of trophic lesions. Descriptive analysis was used in the SPSS statistical package.
Results: the average age was 52,59 years with a greater predominance in the group of 50 to 59 years. The foot disorders that occurred were calluses (65,9 %), onychomycosis (65,9 %) and pain (56 %). Regarding the quantification of trophic lesions, 13,2 % presented some degree of injury and 60,5 % presented loss of protective sensitivity in at least one of the six points evaluated in the lower limbs.
Conclusions: In the present study, a low prevalence of trophic lesions was identified according to the Wagner scale, but a high prevalence of neuropathy defined by monofilament; in addition, there are podiatric characteristics that can favor the presence of ulcers such as dermal and morphological alterations of the participants
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