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We developed and validated a survey of foot self-care education and behaviors in 772 diabetic patients with high-risk feet at eight Department of Veterans Affairs medical centers. Principal components analysis identified six subscales with satisfactory internal consistency: basic foot-care education, extended foot-care education, basic professional foot care, extended professional foot care, basic foot self-care, and extended foot self-care (alpha = 0.77-0.91). Despite high illness burden, adherence to foot self-care recommendations was less than optimal; only 32.2% of participants reported looking at the bottom of their feet daily. Independent predictors of greater adherence to basic foot self-care practices included African-American or Hispanic background, perceived neuropathy, foot ulcers in the last year, prior amputation (beta = 0.08- 0.12, p < 0.04-0.001), and provision of greater basic and extended education (beta = 0.16, p < 0.004, and beta = 0.15, p < 0.007). The survey subscales can now be used for evaluating foot care and education needs for persons with high-risk feet.
The following are some figures I dug up for a Uni project a while ago. I think they related to 2002 and I'm not now sure of the source(my filing system is not perfect!) Are there any later verified figures around?
Quote:
A lower limb is lost once every 30 seconds somewhere in the world as a result of diabetes. This problem is not only confined to developing countries; there are as many as 1.4 million people in the UK diagnosed as diabetic. Of these 210,000 (15 percent) will develop a foot ulcer and of these 31,000 (15 percent) will result in amputation in any one year. With an ageing population these figures are expected to double by 2010.
Regards,
Martin
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Darn it Jim, I'm just an old country Chiropodist - not a miracle worker