Abstract：
BACKGROUND:Diabetes is especially common in the United Arab Emirates. Its complications in patients residing in the region have yet to be fully explored. This study reports on foot problems in our diabetic patients, with emphasis on the impact of illiteracy on foot care and complications due to diabetes. METHODS:Adults were randomly recruited from the Diabetes Center at Tawam-John Hopkins affiliated hospital. A questionnaire addressing foot care and problems was completed for all patients. In addition, an examination was performed by a trained nurse, an endocrinologist, and a podiatrist. RESULTS:Four hundred twenty-two adults with type 2 (93%) or type 1 (7%) diabetes were enrolled; 67% were females. Patients' mean age was 52 ± 13 years and duration of diabetes ≥ 1 year. Illiterate patients were 51% and were less likely to practice foot care (p=0.002), recognize foot risk factors (p=0.004), use proper footwear (p=0.010), and being physically active (p<0.001). In addition, they were more likely to have diabetic complications, such as neuropathy (p=0.027), eye disease (p=0.032), hypertension (p<0.001), obesity (p=0.003), increased body fat percentage (p<0.001), reduced capillary refill time (p=0.002), reduced monofilament (p=0.003), and reduced vibration (p<0.001). Logistic regression analysis revealed literates [OR=2.4, CI=1.1-5.4, p=0.031], female gender [OR=2.7, CI=1.1-6.2, p=0.023], and history of foot ulcer [OR=6.0, CI=2.1-17.2, p=0.001] were predictors of practicing foot care. CONCLUSION:Illiteracy invoked significant challenges to diabetic attentiveness and imposed increased foot complications. Physicians should realize that illiterate patients are vulnerable and require effective strategies to improve their education about the disease and reduce their diabetic complications.
journal_name
Prim Care Diabetesjournal_title
Primary care diabetesauthors
Al-Kaabi JM,Al Maskari F,Cragg P,Afandi B,Souid AKdoi
10.1016/j.pcd.2015.04.008subject
Has Abstractpub_date
2015-12-01 00:00:00pages
465-72issue
6eissn
1751-9918issn
1878-0210pii
S1751-9918(15)00070-4journal_volume
9pub_type
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更新日期：2015-08-01 00:00:00
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pub_type： 杂志文章
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journal_title：Primary care diabetes
pub_type： 杂志文章
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更新日期：2009-08-01 00:00:00
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pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章
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pub_type： 杂志文章,多中心研究
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更新日期：2018-04-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2020-12-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2013-07-01 00:00:00
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pub_type： 杂志文章
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更新日期：2017-02-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-12-03 00:00:00
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更新日期：2020-10-01 00:00:00
