Diabetic foot in patients at the Tulcán Sur and Tajamar health centers. 2023
Keywords:
COMPLICACIONES DE LA DIABETES; DIABETES MELLITUS; FACTORES DE RIESGO; PIE DIABÉTICO., DIABETES COMPLICATIONS; DIABETES MELLITUS; RISK FACTORS; DIABETIC FOOT., COMPLICAÇÕES DO DIABETES; DIABETES MELLITUS; FATORES DE RISCO; PÉ DIABÉTICO.Abstract
Introduction: Diabetic foot is one of the most relevant chronic complications of diabetes mellitus, increasing the risk of ulcers, infections, and amputations.
Objective: To characterize risk conditions and self-care practices related to diabetic foot in patients with diabetes mellitus treated at Tulcán Sur and Tajamar health centers during 2023.
Methods: An observational, descriptive, cross-sectional study was conducted with an intentional sample of 75 patients diagnosed with diabetes mellitus, treated at Tulcán Sur and Tajamar health centers. A structured questionnaire was administered to collect information on clinical history, self-care habits, and preventive practices. Data were processed through descriptive statistical analysis, respecting ethical principles of confidentiality and informed consent.
Results: Most patients had been diagnosed after five to ten years with the disease (59 %). Regarding physical activity, 51 % practice it occasionally, while 39 % do not meet fasting blood glucose targets. Concerning foot care, 84 % have never received a podiatric exam and 59 % do not regularly check the integrity of their feet; additionally, 55 % do not moisturize them and 40 % do not perform daily hygiene, although 81 % use appropriate footwear.
Conclusions: The findings reveal significant deficiencies in self-care and preventive attention for diabetic foot, which increases the risk of severe complications. Implementation of comprehensive promotion and prevention strategies and programs is required to strengthen therapeutic adherence, glycemic control, and podiatric monitoring of patients.
Downloads
References
1. Wilson P, Patton D. The tip of the iceberg: an overview of diabetic foot disease. Br J Community Nurs [Internet]. 2021 Mar 1 [Citado 20/05/2025]; 26(Sup3): S14-S18. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33688759/
2. Pérez-Panero AJ, Ruiz-Muñoz M, Fernández-Torres R, Formosa C, Gatt A, Gónzalez-Sánchez M. Diabetic foot disease: a systematic literature review of patient-reported outcome measures. Qual Life Res [Internet]. 2021 Dec [Citado 20/05/2025]; 30(12): 3395-3405. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34109501/
3. Fang M, Hu J, Jeon Y, Matsushita K, Selvin E, Hicks CW. Diabetic foot disease and the risk of major clinical outcomes. Diabetes Res Clin Pract [Internet]. 2023 Aug [Citado 20/05/2025]; 202: 110778. Disponible en: https://doi.org/10.1016/j.diabres.2023.110778
4. Lazzarini PA, Raspovic KM, Meloni M, van Netten JJ. A new declaration for feet's sake: Halving the global diabetic foot disease burden from 2% to 1% with next generation care. Diabetes Metab Res Rev [Internet]. 2024 Mar [Citado 20/05/2025]; 40(3): e3747. Disponible en: https://onlinelibrary.wiley.com/doi/10.1002/dmrr.3747
5. Rehman ZU, Khan J, Noordin S. Diabetic Foot Ulcers: Contemporary Assessment And Management. J Pak Med Assoc [Internet]. 2023 Jul [Citado 20/05/2025]; 73(7):1480-1487. Disponible en: https://jpma.org.pk/index.php/public_html/article/view/6634
6. Forsythe RO, Brownrigg J, Hinchliffe RJ. Peripheral arterial disease and revascularization of the diabetic foot. Diabetes Obes Metab [Internet]. 2015 May [Citado 20/05/2025]; 17(5): 435-44. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25469642/
7. Zou J, Zhang W, Chen X, Su W, Yu D. Data mining reveal the association between diabetic foot ulcer and peripheral artery disease. Front Public Health [Internet]. 2022 Aug 18 [Citado 20/05/2025]; 10: 963426. Disponible en: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.963426/full
8. Sharma S, Schaper N, Rayman G. Microangiopathy: Is it relevant to wound healing in diabetic foot disease? Diabetes Metab Res Rev [Internet]. 2020 Mar [Citado 20/05/2025]; 36 (Suppl1): e3244. Disponible en: https://onlinelibrary.wiley.com/doi/10.1002/dmrr.3244
9. van Netten JJ, Bus SA, Apelqvist J, Lipsky BA, Hinchliffe RJ, Game F, et al. Definitions and criteria for diabetic foot disease. Diabetes Metab Res Rev [Internet]. 2020 Mar [Citado 20/05/2025]; 36 (Suppl 1): e3268. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31943705/
10. Morbach S, Eckhard M, Lobmann R, Müller E, Reike H, Risse A, et al. Diabetic Foot Syndrome. Exp Clin Endocrinol Diabetes [Internet]. 2023 Feb [Citado 20/05/2025]; 131(1-02): 84-93. Disponible en: https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1946-3838
11. Rigato M, Pizzol D, Tiago A, Putoto G, Avogaro A, Fadini GP. Characteristics, prevalence, and outcomes of diabetic foot ulcers in Africa. A systemic review and meta-analysis. Diabetes Res Clin Pract [Internet]. 2018 Aug [Citado 20/05/2025]; 142:63-73. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29807105/
12. McDermott K, Fang M, Boulton AJM, Selvin E, Hicks CW. Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers. Diabetes Care [Internet]. 2023 Jan 1 [Citado 20/05/2025]; 46(1): 209-221. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36548709/
13. Tang WH, Zhao YN, Cheng ZX, Xu JX, Zhang Y, Liu XM. Risk factors for diabetic foot ulcers: A systematic review and meta-analysis. Vascular [Internet]. 2024 Jun [Citado 20/05/2025]; 32(3): 661-669. Disponible en: https://journals.sagepub.com/doi/10.1177/17085381231154805
14. Núñez Álvarez D, Martinella Portuondo I, Cruz Setién R, Mourlot Ruiz A, García Despaigne VG. Clinical epidemiological characterization of patients affected by diabetic foot. Rev Cub Med Mil [Internet]. 2017 Dic [citado 13/12/2025]; 46(4): 337-348. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572017000400004&lng=es
15. Prieto-Gómez B, Aguirre-Castañeda A, Saldaña-Lorenzo JA, et al. Síndrome metabólico y sus complicaciones: el pie diabético. Rev Fac Med UNAM [Internet]. 2017 [Citado 20/05/2025]; 60(4): 7-18. Disponible en: https://www.medigraphic.com/pdfs/facmed/un-2017/un174b.pdf
16. Couselo Fernández I, Rumbo-Prieto JM. Riesgo de pie diabético y déficit de autocuidados en pacientes con Diabetes Mellitus Tipo 2. Enferm Univ [Internet]. 2018 Apr 24 [citado 13/12/2025]; 15(1). Disponible en: https://revista-enfermeria.unam.mx/ojs/index.php/enfermeriauniversitaria/article/view/478
17. Vite Solórzano FA, Flores García JH, Salazar Morillo AV, Sornoza Párraga JA. Prácticas de autocuidado en pacientes con diabetes mellitus tipo 2. Revista Sinapsis [Internet]. 2020 [Citado 20/05/2025]; 1(16): 1–8. Disponible en: https://dialnet.unirioja.es/descarga/articulo/8474696.pdf
18. Tran MM, Haley MN. Does exercise improve healing of diabetic foot ulcers? A systematic review. J Foot Ankle Res [Internet]. 2021 Mar 20 [Citado 20/05/2025]; 14(1):19. Disponible en: https://onlinelibrary.wiley.com/doi/10.1186/s13047-021-00456-w
19. Medeiros S, Rodrigues A, Costa R. Physiotherapeutic interventions in the treatment of patients with diabetic foot ulcers: a systematic literature review. Physiotherapy [Internet]. 2023 Mar [Citado 20/05/2025]; 118: 79-87. Disponible en: https://doi.org/10.1016/j.physio.2022.09.006
20. Uccioli L, Giurato L. The role of footwear in the prevention of diabetic foot problems. In: Veves A, Giurini JM, Schermerhorn ML, editors. The diabetic foot [Internet]. Cham: Humana; 2024 [Citado 20/05/2025]. Disponible en: https://doi.org/10.1007/978-3-031-55715-6_31
21. Reardon R, Simring D, Kim B, Mortensen J, Williams D, Leslie A. The diabetic foot ulcer. Aust J Gen Pract [Internet]. 2020 May [Citado 20/05/2025]; 49(5): 250-255. Disponible en: https://www1.racgp.org.au/ajgp/2020/may/diabetic-foot-ulcer
22. Chin YF, Yeh JT, Yu HY, Weng LC. Knowledge of the Warning Signs of Foot Ulcer Deterioration Among Patients With Diabetes. J Nurs Res [Internet]. 2018 Dec [Citado 20/05/2025]; 26(6): 420-426. Disponible en: https://journals.lww.com/jnr-twna/fulltext/2018/12000/knowledge_of_the_warning_signs_of_foot_ulcer.8.aspx
23. Lael-Monfared E, Tehrani H, Moghaddam ZE, Ferns GA, Tatari M, Jafari A. Health literacy, knowledge and self-care behaviors to take care of diabetic foot in low-income individuals: Application of extended parallel process model. Diabetes Metab Syndr [Internet]. 2019 Mar-Apr [Citado 20/05/2025]; 13(2): 1535-1541. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1871402119300840?via%3Dihub
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Alexandra Patricia Abata Erazo

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
