Prevalence of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients Who Attend the Diabetic Follow-Up Clinic at the University of Gondar Referral Hospital, North West Ethiopia, 2016: Institutional-Based Cross-Sectional Study.

Abstract:

:Diabetes mellitus is a metabolic disorder which is characterized by multiple long-term complications that affect almost every system in the body. Foot ulcers are one of the main complications of diabetes mellitus. However, there is limited evidence on the occurrence of foot ulcer and influencing factors in Ethiopia. An institutional-based cross-sectional study was conducted in Gondar University Hospital, Ethiopia, to investigate foot ulcer occurrence in diabetic patients. Systematic random sampling was used to select 279 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with diabetic foot ulcer. Odds ratio with 95% confidence interval was computed to determine the level of significance. Diabetic foot ulcer was found to be 13.6%. Rural residence [AOR = 2.57; 95% CI: 1.42, 5.93], type II diabetes mellitus [AOR = 2.58; 95% CI: 1.22, 6.45], overweight [AOR = 2.12; 95% CI: 1.15, 3.10], obesity [AOR = 2.65; 95% CI: 1.25, 5.83], poor foot self-care practice [AOR = 2.52; 95% CI: 1.21, 6.53], and neuropathy [AOR = 21.76; 95% CI: 8.43, 57.47] were factors associated with diabetic foot ulcer. Diabetic foot ulcer was found to be high. Provision of special emphasis for rural residence, decreasing excessive weight gain, managing neuropathy, and promoting foot self-care practice would decrease diabetic foot ulcer.

journal_name

J Diabetes Res

authors

Mariam TG,Alemayehu A,Tesfaye E,Mequannt W,Temesgen K,Yetwale F,Limenih MA

doi

10.1155/2017/2879249

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

2879249

eissn

2314-6745

issn

2314-6753

journal_volume

2017

pub_type

杂志文章
  • NGAL as an Early Predictive Marker of Diabetic Nephropathy in Children and Young Adults with Type 1 Diabetes Mellitus.

    abstract:AIMS:Type 1 diabetes (T1D) is often associated with early microvascular complications. Previous studies demonstrated that increased systolic (SAP) and diastolic arterial blood pressures (DAP) are linked to microvascular morbidity in T1D. The aim of the study was to investigate the predictive role of neutrophil gelatina...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2017/7526919

    authors: Papadopoulou-Marketou N,Margeli A,Papassotiriou I,Chrousos GP,Kanaka-Gantenbein C,Wahlberg J

    更新日期:2017-01-01 00:00:00

  • Artificially Cultivated Ophiocordyceps sinensis Alleviates Diabetic Nephropathy and Its Podocyte Injury via Inhibiting P2X7R Expression and NLRP3 Inflammasome Activation.

    abstract:Background/Aims:It is known that chronic low-grade inflammation contributes to the initiation and development of both diabetes and diabetic nephropathy (DN), so we designed this study to investigate the role of P2X7R and NLRP3 inflammasome in DN pathogenesis and the antagonistic effects of artificially cultivated Ophio...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2018/1390418

    authors: Wang C,Hou XX,Rui HL,Li LJ,Zhao J,Yang M,Sun LJ,Dong HR,Cheng H,Chen YP

    更新日期:2018-11-11 00:00:00

  • Vitamin status as a determinant of serum homocysteine concentration in type 2 diabetic retinopathy.

    abstract::We investigated the association of serum homocysteine levels and vitamin status with type 2 diabetic retinopathy. This study included 65 patients with and 75 patients without diabetic retinopathy. Patients with diabetic retinopathy had significantly higher serum homocysteine levels (P < 0.001), higher prevalence of hy...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2014/807209

    authors: Fotiou P,Raptis A,Apergis G,Dimitriadis G,Vergados I,Theodossiadis P

    更新日期:2014-01-01 00:00:00

  • Effect of Dapagliflozin on Glycemic Variability in Patients with Type 2 Diabetes under Insulin Glargine Combined with Other Oral Hypoglycemic Drugs.

    abstract:Aim:To evaluate the effect of an inhibitor of sodium-glucose cotransporter 2 (SGLT-2 inhibitor, dapagliflozin) on glycemic variability in type 2 diabetes mellitus (T2D) under insulin glargine combined with oral hypoglycemic drugs, using a continuous glucose monitoring system (CGMS). Methods:This prospective, self-cont...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2020/6666403

    authors: Luo M,Kong X,Wang H,Zhai X,Cai T,Ding B,Hu Y,Jing T,Su X,Li H,Ma J

    更新日期:2020-11-24 00:00:00

  • Alteration of mevalonate pathway in proliferated vascular smooth muscle from diabetic mice: possible role in high-glucose-induced atherogenic process.

    abstract::The proliferation of vascular smooth muscle cells (VSMCs) is one of the main features of atherosclerosis induced by high glucose. Mevalonate pathway is an important metabolic pathway that plays a key role in multiple cellular processes. The aim of this study was to define whether the enzyme expression in mevalonate pa...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2015/379287

    authors: Chen GP,Zhang XQ,Wu T,Li L,Han J,Du CQ

    更新日期:2015-01-01 00:00:00

  • Ethanol at low concentration attenuates diabetes induced lung injury in rats model.

    abstract::To observe the changes of lung injury when diabetic rats were treated with low concentration of ethanol (EtOH) and analyze the related mechanisms, male Sprague-Dawley (SD) rats were divided into control, diabetic (DM), and EtOH+DM groups. Diabetic rat was mimicked by injection of streptozotocin intraperitoneally. Fast...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2014/107152

    authors: Hu JF,Zhang GJ,Wang L,Kang PF,Li J,Wang HJ,Gao Q,Chen YQ

    更新日期:2014-01-01 00:00:00

  • A Cross-Sectional Study Demonstrating Increased Serum Amyloid A Related Inflammation in High-Density Lipoproteins from Subjects with Type 1 Diabetes Mellitus and How this Association Was Augmented by Poor Glycaemic Control.

    abstract::Inflammatory atherosclerosis is increased in subjects with type 1 diabetes mellitus (T1DM). Normally high-density lipoproteins (HDL) protect against atherosclerosis; however, in the presence of serum amyloid-A- (SAA-) related inflammation this property may be reduced. Fasting blood was obtained from fifty subjects wit...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2015/351601

    authors: McEneny J,Daniels JA,McGowan A,Gunness A,Moore K,Stevenson M,Young IS,Gibney J

    更新日期:2015-01-01 00:00:00

  • Decreased plasma nesfatin-1 level is related to the thyroid dysfunction in patients with type 2 diabetes mellitus.

    abstract:AIMS:Thyroid dysfunction is frequently observed in patients with type 2 diabetes mellitus (T2DM), but the underlying mechanism is still poorly understood. The present study aimed to investigate whether nesfatin-1 played a role in the thyroid dysfunction in patients with T2DM. METHODS:55 euthyroid patients were enrolle...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2014/128014

    authors: Liu F,Yang Q,Gao N,Liu F,Chen S

    更新日期:2014-01-01 00:00:00

  • Impact of Real-Time Continuous Glucose Monitoring Use on Glucose Variability and Endothelial Function in Adolescents with Type 1 Diabetes: New Technology--New Possibility to Decrease Cardiovascular Risk?

    abstract::Children with type 1 diabetes (T1DM) are the high-risk group of accelerated atherosclerosis. Real-time continuous glucose monitoring (RT-CGM) provides possibilities for the detection of glycaemic variability, newly recognized cardiovascular risk factor. The aim of the study was to assess the usefulness of RT-CGM as an...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2016/4385312

    authors: Jamiołkowska M,Jamiołkowska I,Łuczyński W,Tołwińska J,Bossowski A,Głowińska Olszewska B

    更新日期:2016-01-01 00:00:00

  • Influence of Aluminium and EGCG on Fibrillation and Aggregation of Human Islet Amyloid Polypeptide.

    abstract::The abnormal fibrillation of human islet amyloid polypeptide (hIAPP) has been implicated in the development of type II diabetes. Aluminum is known to trigger the structural transformation of many amyloid proteins and induce the formation of toxic aggregate species. The (-)-epigallocatechin gallate (EGCG) is considered...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2016/1867059

    authors: Xu ZX,Zhang Q,Ma GL,Chen CH,He YM,Xu LH,Zhang Y,Zhou GR,Li ZH,Yang HJ,Zhou P

    更新日期:2016-01-01 00:00:00

  • Do Nonsuicidal Severely Depressed Individuals with Diabetes Profit from Internet-Based Guided Self-Help? Secondary Analyses of a Pragmatic Randomized Trial.

    abstract:Introduction:Diabetes mellitus type 1 and type 2 are linked to higher prevalence and occurrences of depression. Internet-based depression- and diabetes-specific cognitive behavioral therapies (CBT) can be effective in reducing depressive symptom severity and diabetes-related emotional distress. The aim of the study was...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2019/2634094

    authors: Schlicker S,Weisel KK,Buntrock C,Berking M,Nobis S,Lehr D,Baumeister H,Snoek FJ,Riper H,Ebert DD

    更新日期:2019-05-14 00:00:00

  • Prospective Randomized Controlled Study of Hemostatic Efficacy with Kaolin-Impregnated Dressings in Diabetic Foot Ulcers Taking Anticoagulants Undergoing Debridement in an Outpatient Clinic.

    abstract:Background:The effective hemostasis after minor debridement in an outpatient clinic is important and essential. This study is aimed at evaluating the hemostatic efficacy and safety of the kaolin-impregnated dressing for diabetic foot ulcer patient who take an anticoagulant. Methods:A prospective, randomized, clinical ...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章,随机对照试验

    doi:10.1155/2019/9316380

    authors: Hwang YG,Lee JW,Won EA,Han SH

    更新日期:2019-11-11 00:00:00

  • Influence of Acute and Chronic Exercise on Glucose Uptake.

    abstract::Insulin resistance plays a key role in the development of type 2 diabetes. It arises from a combination of genetic predisposition and environmental and lifestyle factors including lack of physical exercise and poor nutrition habits. The increased risk of type 2 diabetes is molecularly based on defects in insulin signa...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章,评审

    doi:10.1155/2016/2868652

    authors: Röhling M,Herder C,Stemper T,Müssig K

    更新日期:2016-01-01 00:00:00

  • Chronic treatment with Ang-(1-7) reverses abnormal reactivity in the corpus cavernosum and normalizes diabetes-induced changes in the protein levels of ACE, ACE2, ROCK1, ROCK2 and omega-hydroxylase in a rat model of type 1 diabetes.

    abstract::Angiotensin-(1-7) [Ang-(1-7)] may have beneficial effects in diabetes mellitus-induced erectile dysfunction (DMIED) but its molecular actions in the diabetic corpus cavernosum (CC) are not known. We characterized the effects of diabetes and/or chronic in vivo administration of Ang-(1-7) on vascular reactivity in the r...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2014/142154

    authors: Yousif MH,Makki B,El-Hashim AZ,Akhtar S,Benter IF

    更新日期:2014-01-01 00:00:00

  • GLP-1 Receptor Agonists and Cardiovascular Disease in Patients with Type 2 Diabetes.

    abstract::Diabetes mellitus is a chronic disease prevalence of which is high and continually growing. Cardiovascular disease continues to be the leading cause of death in patients with T2DM. The prevention of cardiovascular complications and the cardiovascular safety of treatments should be a primary objective when selecting tr...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章,评审

    doi:10.1155/2018/4020492

    authors: Del Olmo-Garcia MI,Merino-Torres JF

    更新日期:2018-04-02 00:00:00

  • Potent Oral Hypoglycemic Agents for Microvascular Complication: Sodium-Glucose Cotransporter 2 Inhibitors for Diabetic Retinopathy.

    abstract::The purpose of this study was to investigate the effects of sodium-glucose cotransporter 2 inhibitors (SGLT2i) on the progression of diabetic retinopathy (DR) in patients with type 2 diabetes. The medical records of 21 type 2 diabetic patients who used a SGLT2i and 71 patients with sulfonylurea (control) were reviewed...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2018/6807219

    authors: Cho EH,Park SJ,Han S,Song JH,Lee K,Chung YR

    更新日期:2018-12-05 00:00:00

  • Early-Stage Diabetic Neuropathy Reduces Foot Strength and Intrinsic but Not Extrinsic Foot Muscle Size.

    abstract:Background:Tracking progression of diabetic peripheral polyneuropathy (DPN) is usually focused on sensory nerves and subjective testing methods. Recent studies have suggested that distal muscle atrophy may precede sensation loss. Methods to objectively measure distal muscle size and strength are needed to help understa...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2020/9536362

    authors: Henderson AD,Johnson AW,Rasmussen LG,Peine WP,Symons SH,Scoresby KA,Ridge ST,Bruening DA

    更新日期:2020-03-12 00:00:00

  • Sulodexide Protects Renal Tubular Epithelial Cells from Oxidative Stress-Induced Injury via Upregulating Klotho Expression at an Early Stage of Diabetic Kidney Disease.

    abstract::The hypoalbuminuric effect of sulodexide (SDX) on diabetic kidney disease (DKD) was suggested by some clinical trials but was denied by the Collaborative Study Group. In this study, the diabetic rats were treated with SDX either from week 0 to 24 or from week 13 to 24. We found that 24-week treatment significantly dec...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2017/4989847

    authors: Liu YN,Zhou J,Li T,Wu J,Xie SH,Liu HF,Liu Z,Park TS,Wang Y,Liu WJ

    更新日期:2017-01-01 00:00:00

  • Longitudinal Screening for Diabetic Retinopathy in a Nationwide Screening Program: Comparing Deep Learning and Human Graders.

    abstract:Objective:To evaluate diabetic retinopathy (DR) screening via deep learning (DL) and trained human graders (HG) in a longitudinal cohort, as case spectrum shifts based on treatment referral and new-onset DR. Methods:We randomly selected patients with diabetes screened twice, two years apart within a nationwide screeni...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2020/8839376

    authors: Limwattanayingyong J,Nganthavee V,Seresirikachorn K,Singalavanija T,Soonthornworasiri N,Ruamviboonsuk V,Rao C,Raman R,Grzybowski A,Schaekermann M,Peng LH,Webster DR,Semturs C,Krause J,Sayres R,Hersch F,Tiwari R,Liu Y,

    更新日期:2020-12-15 00:00:00

  • Effects of a Novel Glucokinase Activator, HMS5552, on Glucose Metabolism in a Rat Model of Type 2 Diabetes Mellitus.

    abstract::Glucokinase (GK) plays a critical role in the control of whole-body glucose homeostasis. We investigated the possible effects of a novel glucokinase activator (GKA), HMS5552, to the GK in rats with type 2 diabetes mellitus (T2DM). Male Sprague-Dawley (SD) rats were divided into four groups: control group, diabetic gro...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2017/5812607

    authors: Wang P,Liu H,Chen L,Duan Y,Chen Q,Xi S

    更新日期:2017-01-01 00:00:00

  • The Relationship of Metabolic Syndrome Traits with Beta-Cell Function and Insulin Sensitivity by Oral Minimal Model Assessment in South Asian and European Families Residing in the Netherlands.

    abstract::Background. There are different metabolic syndrome traits among patients with different ethnicities. Methods. We investigated this by studying 44 South Asians and 54 Europeans and classified them in three groups according to the occurrence of metabolic syndrome (MetS) and Type 2 Diabetes (T2D). Insulin sensitivity ind...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2016/9286303

    authors: Geragotou T,Jainandunsing S,Özcan B,de Rooij FW,Kokkinos A,Tentolouris N,Sijbrands EJ

    更新日期:2016-01-01 00:00:00

  • Nutrient induced type 2 and chemical induced type 1 experimental diabetes differently modulate gastric GLP-1 receptor expression.

    abstract::T2DM patients demonstrate reduced GLP-1 receptor (GLP-1R) expression in their gastric glands. Whether induced T2DM and T1DM differently affect the gastric GLP-1R expression is not known. This study assessed extrapancreatic GLP-1R system in glandular stomach of rodents with different types of experimental diabetes. T2D...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2015/561353

    authors: Bloch O,Broide E,Ben-Yehudah G,Cantrell D,Shirin H,Rapoport MJ

    更新日期:2015-01-01 00:00:00

  • Coupling of the Functional Stability of Rat Myocardium and Activity of Lipid Peroxidation in Combined Development of Postinfarction Remodeling and Diabetes Mellitus.

    abstract::Coupling of the functional stability of rat myocardium and activity of lipid peroxidation processes in combined development of postinfarction remodeling and diabetes mellitus has been studied. The functional stability of myocardium was studied by means of the analysis of inotropic reaction on extrasystolic stimulus, t...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2016/2548689

    authors: Afanasiev SA,Kondratieva DS,Rebrova TY,Batalov RE,Popov SV

    更新日期:2016-01-01 00:00:00

  • The Association between Monocyte Surface CD163 and Insulin Resistance in Patients with Type 2 Diabetes.

    abstract:Aim:To investigate the association between monocyte CD163 and insulin resistance in patients with type 2 diabetes. Methods:One hundred sixty-six patients with type 2 diabetes without inflammatory or chronic kidney disease were recruited. The monocyte CD163 levels were measured by flow cytometry and soluble CD163 (sCD1...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2017/6549242

    authors: Kawarabayashi R,Motoyama K,Nakamura M,Yamazaki Y,Morioka T,Mori K,Fukumoto S,Imanishi Y,Shioi A,Shoji T,Emoto M,Inaba M

    更新日期:2017-01-01 00:00:00

  • Risk Factors for the Requirement of Antenatal Insulin Treatment in Gestational Diabetes Mellitus.

    abstract::Poor maternal glycemic control increases maternal and fetal risk for adverse outcomes, and strict management of gestational diabetes mellitus (GDM) is recommended to prevent neonatal and maternal complications. However, risk factors for the requirement of antenatal insulin treatment (AIT) are not well-investigated in ...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2016/9648798

    authors: Watanabe M,Katayama A,Kagawa H,Ogawa D,Wada J

    更新日期:2016-01-01 00:00:00

  • Measuring the Quality of Life in Diabetic Patients: A Scoping Review.

    abstract:Background:Diabetes mellitus is a widely diffused chronic condition which impacts on several aspects of patients' lives. In the current clinical practice, the implementation in the clinical routine of monitoring systems of patients' outcomes has led to an increased generation and use of several measures for the assessm...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2020/5419298

    authors: Palamenghi L,Carlucci MM,Graffigna G

    更新日期:2020-05-20 00:00:00

  • Epigenetic Studies Point to DNA Replication/Repair Genes as a Basis for the Heritable Nature of Long Term Complications in Diabetes.

    abstract::Metabolic memory (MM) is defined as the persistence of diabetic (DM) complications even after glycemic control is pharmacologically achieved. Using a zebrafish diabetic model that induces a MM state, we previously reported that, in this model, tissue dysfunction was of a heritable nature based on cell proliferation st...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2016/2860780

    authors: Leontovich AA,Intine RV,Sarras MP Jr

    更新日期:2016-01-01 00:00:00

  • Making sense in antisense: therapeutic potential of noncoding RNAs in diabetes-induced vascular dysfunction.

    abstract::The rapid rise of type II diabetes mellitus and its accompanying vascular complications call for novel approaches in unravelling its pathophysiological mechanisms and designing new treatment modalities. Noncoding RNAs represent a class of previously unknown molecular modulators of this disease. The most important feat...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章,评审

    doi:10.1155/2013/834727

    authors: Eken SM,Jin H,Chernogubova E,Maegdefessel L

    更新日期:2013-01-01 00:00:00

  • Dietary Genistein Influences Number of Acetylcholine Receptors in Female Diabetic Jejunum.

    abstract:BACKGROUND:Intestinal dysfunction in the ob/ob mouse model of diabetes mimics that seen clinically. METHODS:We determined the effects of a 4-week genistein diet (600 mg genistein/kg food) on intestinal function (contractility, morphology, AChR, and motility) in female ob/ob and lean mice. RESULTS:Contractility of the...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章

    doi:10.1155/2017/3568146

    authors: Schacht S,Masood F,Catmull S,Dolan R,Altabtabaee R,Grow W,Al-Nakkash L

    更新日期:2017-01-01 00:00:00

  • The LDL Receptor-Related Protein 1: At the Crossroads of Lipoprotein Metabolism and Insulin Signaling.

    abstract::The metabolic syndrome is an escalating worldwide public health concern. Defined by a combination of physiological, metabolic, and biochemical factors, the metabolic syndrome is used as a clinical guideline to identify individuals with a higher risk for type 2 diabetes and cardiovascular disease. Although risk factors...

    journal_title:Journal of diabetes research

    pub_type: 杂志文章,评审

    doi:10.1155/2017/8356537

    authors: Au DT,Strickland DK,Muratoglu SC

    更新日期:2017-01-01 00:00:00