Prevalence and risk assessment of Diabetic Foot complications in a Primary Health Care unit in the Midwest of Santa Catarina, Brazil

Gustavo Del Sent  Batista; Gabriela Bordignon  Wagner; Nathalia Moreira Ramos; Arnaldo Paulino Dantas Neto; Elizama Gregório

doi:10.18593/evid.36566

Authors

Gustavo Del Sent Batista UNIARP
Gabriela Bordignon Wagner
Nathalia Moreira Ramos
Arnaldo Paulino Dantas Neto https://orcid.org/0009-0005-0930-4654
Elizama Gregório Universidade Alto Vale do Rio do Peixe

DOI:

https://doi.org/10.18593/evid.36566

Keywords:

Diabetes Mellitus, Complications, Peripheral Neuropathy, Diabetic Foot, Quality of Life

Abstract

Abstract: The worldwide high prevalence of diabetes mellitus raises significant concern regarding foot complications in these individuals. Objective: To analyze the prevalence and risk of developing diabetic foot in patients with type 1 and 2 diabetes mellitus in a municipality in the midwestern region of Santa Catarina. Methods: This is a cross-sectional, observational, quantitative study conducted through the application of the Feet Examination Manual from the Santa Casa University of Belo Horizonte. The study population consists of 61 individuals from the community of Caçador who are users of the Nossa Senhora da Salete Primary Health Care Unit, selected based on indicators regarding the proportion of individuals with diabetes who have appointments and present hemoglobin A1c levels above 6.5%. Results: After evaluating the total score on the Feet Examination Manual, which indicates the risk of developing diabetic foot, we observed that out of the 61 participants, 39.34% showed no predictive signs of neuropathy, 37.70% with neuropathic pain, 18.03% with painful diabetic polyneuropathy, and 4.91% at risk of ulceration, totaling 60.66% with polyneuropathic alterations. Conclusions: This study identified a high prevalence of sensory alterations in the feet, highlighting the importance of annual foot examinations in primary health care for patients with diabetes mellitus.

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