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• W2021006522 abstract "Conocer el riesgo para desarrollar pie diabético en pacientes con diabetes mellitus (DM) tipo 2 (DM2). Se incluyeron pacientes con DM2 con una evolución ≥ 5 años que acudieron a la consulta externa en una Unidad de Medicina Familiar en Tijuana (México) durante septiembre a diciembre de 2011. Se aplicó el cuestionario síntomas de neuropatía diabética (SND) y se evaluó la sensibilidad con el monofilamento de Semmes-Weinstein. Se consideró paciente de alto riesgo para pie diabético si tuvo pérdida de la sensibilidad, deformidad en pies o ausencia de pulsos pedios. Se estudiaron 205 pacientes, con una edad y evolución de la DM promedio (± DE) de 59 ± 10 y 10,7 ± 6,7 años, respectivamente. Noventa y un pacientes (44%) tuvieron alto riesgo para desarrollar pie diabético, y este se asoció con escolaridad menor de 6 años (OR: 2,3; IC 95%: 1,1-4,1), evolución de la DM mayor a 10 años (OR: 5,1; IC 95%: 2,8-9,4), sexo femenino (OR: 2,0; IC 95%: 1,1-3,6), ingreso mensual familiar < 236 euros (OR: 2,0; IC 95%: 1,1-3,8) y una hemoglobina glucosilada (HbA1c) ≥ 7,0% (OR: 2,8; IC 95%: 1,5-5,0). Es necesario que a todo paciente con DM que acude a su clínica familiar se le realice anualmente exploración para la detección temprana de neuropatía diabética debido al alto riesgo de desarrollo de pie diabético. To determine the risk of diabetic foot in patients with type II diabetes mellitus (DM) seen in a Family Medicine Unit. The study included type II DM patients with a disease duration ≥ 5 years seen in a Family Medicine Unit, Tijuana, Mexico, during September-December 2011. Neuropathy was assessed with the Diabetic Neuropathy Symptom questionnaire, and pressure sensation using a 10-g Semmes-Weinstein monofilament. A patient had a high risk of diabetic foot if there was sensitivity loss, foot deformities, and non-palpable pedal pulses. We studied 205 patients with an average (± SD) age and DM duration of 59 ± 10 years and 10.7 ± 6.7 years, respectively. Ninety one patients (44%) had a high risk of developing diabetic foot, and it was associated with; an education of less than 6 years (OR 2.3; 95% CI: 1-1-4.1), DM disease duration ≥ 10 years (OR 5.1; 95% CI: 2.8-9.4), female gender (OR 2.0; 95% CI: 1.1-3.6), monthly familiar income < 236 euros (OR 2.0; 95% CI: 1.1-3.8), and a glycosylated hemoglobin ≥ 7.0% (OR 2.8; 95% CI: 1.5-5.0). It is necessary that all DM patients seen in a family medicine clinic have a yearly screening for the early detection of diabetic neuropathy, since they have a high risk of diabetic foot." @default.
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• W2021006522 date "2014-05-01" @default.
• W2021006522 modified "2023-10-16" @default.
• W2021006522 title "Riesgo de pie diabético en pacientes con diabetes mellitus tipo2 en una unidad de medicina de familia" @default.
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• W2021006522 doi "https://doi.org/10.1016/j.semerg.2013.10.004" @default.
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