Diabetic foot self-care: associated risk factors, awareness and practice among type II diabetic patients

Objective: To evaluate associated risk factors, awareness and practice level of diabetic foot self-care among type II diabetic patients.Methodology: A cross-sectional study was conducted at outpatient departments of Akbar khan Niazi teaching hospital and PIMS hospital from June to December, 2018. All adult patients diagnosed as Diabetes Mellitus (DM) type 2 for at least one year without any foot related complication were selected. The questionnaire included on demographics and questions related to diabetes, awareness and practice of foot self-care.Results: A total of 196 patients were enrolled, majority 116 (59.18%) of which had age of 41-60 years with 105 (53.57%) of male participants, 76 (38.78%) patients were illiterate and 93 (47.45%) were unemployed or retired. Majority of the participants 109 (55.61%) had monthly income of 25000-50000. Eighty-eight (44.90%) patients were overweight and 32 (16.33%) obese. Majority 113 (57.65%) had diabetes from 5-10 years. On the basis of HbA1c level only 58 (29.59%) patients had HbA1c level of less than 7.0%. Significant number of patients had poor knowledge (41.3%) and practice level (39.8%) regarding foot care.Conclusion: Almost half of our patients attending primary healthcare centers have limited awareness and practice regarding diabetic foot self-care