Prevalence and awareness of functional and structural foot abnormalities in children and adolescents with type 1 diabetes

A. Wever*, B. G. Schickenberg-Werrij, J. Willems, N. C. Schaper, D.A. Schott

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

2 Citations (Web of Science)

Abstract

Background: The ISPAD guideline 2011/2014 advises annual podiatric screening to detect foot complications and identify other possible risk factors such as functional and structural foot abnormalities. The aim of this study was to assess the prevalence and awareness of neurovascular, functional and structural foot abnormalities in children and adolescents with type 1 diabetes mellitus (T1DM). Methods: All patients aged 0-18 years with T1DM were invited for a foot examination and structured questionnaire by a certified podiatrist. Results: Three of the examined patients (n = 128) showed signs of possible long-term complications. Structural and functional foot problems were observed in 71.9% (n = 92). Of all patients, 38.3% (n = 49) required further treatment by a podiatrist. Conclusions: Functional and structural foot abnormalities are a frequent problem in children with T1DM in the southern part of the Netherlands. These abnormalities are an additional risk factor for developing long-term foot complications. Education in and implementation of the guideline are necessary.
Original languageEnglish
Pages (from-to)1019-1024
JournalJournal of Pediatric Endocrinology & Metabolism
Volume29
Issue number9
DOIs
Publication statusPublished - Sep 2016

Keywords

  • adolescent
  • child
  • diabetes complications
  • diabetes mellitus
  • diabetic foot

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