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    This study examined the history and risk factors of diabetic foot ulcers in Norway. The researchers found that 10.4% of participants reported a history of foot ulcers requiring more than 3 weeks to heal. Several factors were associated with this adverse outcome, including greater height and waist circumference, less physical activity, higher HbA1c levels, use of insulin, longer duration of diabetes, and presence of other diabetes-related complications. Men and women with waists of 102cm or greater and 88cm or greater, respectively, were more likely to have a history of foot ulcers. The results suggest that diabetic foot complications may be more common in Norway due to genetic factors related to height and a relative lack of preventive foot care

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    This study examined the history and risk factors of diabetic foot ulcers in Norway. The researchers found that 10.4% of participants reported a history of foot ulcers requiring more than 3 weeks to heal. Several factors were associated with this adverse outcome, including greater height and waist circumference, less physical activity, higher HbA1c levels, use of insulin, longer duration of diabetes, and presence of other diabetes-related complications. Men and women with waists of 102cm or greater and 88cm or greater, respectively, were more likely to have a history of foot ulcers. The results suggest that diabetic foot complications may be more common in Norway due to genetic factors related to height and a relative lack of preventive foot care

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    This study examined the history and risk factors of diabetic foot ulcers in Norway. The researchers found that 10.4% of participants reported a history of foot ulcers requiring more than 3 weeks to heal. Several factors were associated with this adverse outcome, including greater height and waist circumference, less physical activity, higher HbA1c levels, use of insulin, longer duration of diabetes, and presence of other diabetes-related complications. Men and women with waists of 102cm or greater and 88cm or greater, respectively, were more likely to have a history of foot ulcers. The results suggest that diabetic foot complications may be more common in Norway due to genetic factors related to height and a relative lack of preventive foot care

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    33 views9 pages

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    This study examined the history and risk factors of diabetic foot ulcers in Norway. The researchers found that 10.4% of participants reported a history of foot ulcers requiring more than 3 weeks to heal. Several factors were associated with this adverse outcome, including greater height and waist circumference, less physical activity, higher HbA1c levels, use of insulin, longer duration of diabetes, and presence of other diabetes-related complications. Men and women with waists of 102cm or greater and 88cm or greater, respectively, were more likely to have a history of foot ulcers. The results suggest that diabetic foot complications may be more common in Norway due to genetic factors related to height and a relative lack of preventive foot care

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    of 9

    History of and factors associated

    with diabetic foot ulcers in Norway


    Scandinavian Journal of Public
    Health, 2008; 36:62-68
    Background
    The occurrence of diabetes is increasing
    rapidly
    The condition is currently a major health
    problem. Norway has a high occurrence of
    type 1 diabetes
    The prevalence of type 2 diabetes has been
    increasing
    Foot ulceration is a common & disabling
    complication of diabetes.
    A history of previous diabetic foot ulceration
    places the foot at risk of new ulceration.
    Foot ulcers precede approximately 85% of all
    diabetic lower extremity amputations & the
    mortality following amputation surgery is high.
    In the prevention of diabetic foot ulcers it is
    therefore important to give priority & address
    risk factors
    Aims
    To determine the proportion of self-reported
    foot ulcers that required > than 3 weeks to
    heal
    To identify key factors associated with this
    adverse outcome.
    Results
    A history of foot ulcer requiring 3 or more weeks
    to heal was 10.4%
    Height, waist circumference, < 1 hour of physical
    activity per week, HbA1C, insulin treatment,
    duration of diabetes, self reported stroke,
    peripheral vascular surgery, any lower limb
    amputation, microalbuminuria, eye problems
    related to diabetes were significantly associated
    with a history of foot ulcer.
    Men & women having waist circumferences
    102 and 88 cm, respectively were
    significantly more likely to report a history of
    foot ulcer.
    Those using insulin were 1.6 times as likely to
    report a history of foot ulcer.
    The proportion of foot ulcer history was twice
    as high among those reporting macrovascular
    complications
    Significant correlates of report of foot ulcer
    history were male gender, age older than 75
    years, height above the median, using insulin &
    the presence of macrovascular complications.
    Height: > 175cm (males), > 161 cm (females)
    Height associated with foot ulcer history &
    neuropathy as height is associated with the
    length of axons & longer axons are more prone to
    metabolic disturbances.
    Norwegian may have higher risk of neuropathy
    than Asians.

    Macrovascular complications probably reflect
    disease severity receive primary focus &
    the state of the feet may easily be overlooked.
    Preventive care, foot inspection and care has
    had a relatively low priority relatively
    uncommon event.

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