Risk of Foot Ulcer and its Determinants among Type 2 Diabetic Subjects

Foot ulceration is one of the major consequences experienced by the patients with diabetes in any time of their life course. Available evidence indicated that diabetic patients have up to 25% lifetime risk of developing a foot ulcer. It has major economic consequence for patients, their families and society that turn towards a poor quality of life. The commonest causes of foot ulcers in people with diabetes are peripheral neuropathy, foot deformity, Charcot joint, external trauma, peripheral vascular disease and peripheral edema. However, no study was found to explore the overall risk for foot ulcer among diabetic subjects in our population. An analytical cross-sectional study was therefore carried out to determine risk of foot ulcer and its determinants among type 2 diabetic subjects through a multi-center hospital based study in Bangladesh. A total of 1200 type 2 diabetic subjects were screened from sixteen different hospitals or centers in Dhaka and Northern part of Bangladesh. And in result, we found almost all the risk factors (nine out of fourteen risk factors) for diabetic foot ulcer were present in higher proportion in rural diabetic subjects.