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August 2021 -
Volume 19, Issue 8


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From the Editor

Editorial
A. Abyad (Chief Editor)

Special Editorial :
Bashing and murder of doctors and health care workers in Myanmar
Lesley Pocock
[pdf]
DOI: 10.5742/MEWFM.2021.940104
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Regional Policy and Covid

Primary Health Care in Pandemics: Barriers, Challenges and Opportunities
Tawfik A M Khoja, Waris Qidwai, Salman Rawaf, Faisal A Alnaser, Kashmira Nanji, Abdullah T Khoja, Nabil Yasin Al Kurashi, Nagwa Eid Sobhy Saad, Wafa Halasa, Taghreed M Farahat, Mohammed Al Shafaee, Mariam Al Shetti, Muntazar Bashir, Wadeia Alsharief, Rihab AlWotayan, Saied Alimky, Huda al-duwaisan
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94090

Effect of the COVID-19 pandemic on career perceptions among medical students in (IMSIU)
Abdulmalk Abdullah Almadhi, Abdulaziz H Alhorishi, Abdullah Z Alnamshan, Faris A Alkhamis, Ruba S Alosaimi, Turki Y Alassaf, Fahad A Alateeq
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94091

Public willingness to receive COVID-19 vaccine in Saudi Arabia
Abdulrahman Alamri, Noura Ali Alshahrani, Alaa Abdulrahman Al Bakita, Anhar saud alqahtani, Jamilah Hassan Aldaleel Alshahrani, Maram saad Alshahrani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94092

Original Contribution

A Multicenter Cross-sectional Study to Assess the Knowledge of Oral Health Problems Among Diabetes Patients in Saudi Arabia
Afnan A. Malibari, Mariann H. Al-Jehani, Dareen A. Qattan, Noor S. Alharbi, Morooj H. Alharbi, Hanan S. Bin Yahib, Abdullah M Alzahrani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94093

Prevalence and Co-occurrence of Major Depression and Generalized Anxiety Disorders Among Adolescents in Qatar
Muneera Al-Muhannadi, Khalid Al-Karbi, Hashed Ahmed Ali Amran, Amr Faisal Alsharafi, Omar Taha Alabbas, Khalid Al-Marri, Mohamed Salem
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94094

Efficacy of curcumin on inflammatory pain across different disorders: a systematic review and meta-analysis of Randomized controlled trials
Khalid Al-Karbi, Muneera Al-Muhannadi, Yosaf Al-Rabeei, Rashed J. Al-Kubaisi, Ahamad Bawazir, Mohamed H Mahmoud
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94095

Teachers' awareness regarding first-aid management and control of epistaxis inside schools in Taif region, Saudi Arabia
Sattam Aljuaid, Rahaf A. Alqahtani, Sarah H. Alqasem, Yara T. Alsulaimani, Shahad A. Alqahtani, Shmookh M. Alsalmi, Rawan M. Altowairqi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94096

Relationship between Socioeconomic Status and Parental Feeding Practices for Children 3-5 years old
Eman Elsayed Sedik Ibrahim, Rasha Saad Alkholy, Heba Galal Elnahas, Marwa Sayed Mohamed Said
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94097

Perception, feedback regarding post-surgical complications of tracheostomy
Ali Maeed Suliman Al-Shehri, Alaa Abdulrahman H Alshehri, Wajd Abdulwahab Saeed Almathami, Zoha Saleh A Alghamdi, Afnan Sultan M Alshehri, Azza Mofareh Obaid Almarir, Raghad Abdullah Y Asiri, Rehab Saleh M Al doban, Shuruq Zafer A Alshehri
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94098

Assessment of Health Care Workers' Knowledge and Practice Toward Infection Standard Precautions in Primary Health Care setting, Buraidah, Saudi Arabia
Hanein Saad ALjohani, Amel Abdalrahim Sulaiman
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.940103

Population and Community Studies

Special Editorial: Bashing and murder of doctors and health care workers in Myanmar
Lesley Pocock
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.940104

Prevalence, Awareness and Perception of Influenza Vaccine among Geriatrics in Abha region, Saudi Arabia
Mona Majrashi, Abdulrahman Majrashi, Amani Osman, Safar Abadi Al-Saleem
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94099

The pattern of diabetic foot and its complications in Albaha, Saudi Arabia
Ahmed H AlGhamdi, Ali G AlGhamdi, Anwar A AlGhamdi, Mohammed A Aldokhi, Amal M AlZahrani, Ebtehal S AlGhamdi, Ahmed A AlZahrani, Riyadh Abdullah Alghamdi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.940105

Awareness regarding diabetic peripheral neuropathy and its risk factors among diabetics in Muhayil City, Saudi Arabia
Mosa Bahhary, Yahia M. Alkhaldi, Safar A Alsaleem
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94100

Prevalence, determinants and impact of migraine on quality of life of healthcare workers at primary healthcare centers in Abha City, Saudi Arabia
Fahad Jaber Salman Alfaifi, Mohammed Yahia Qasim, Adel Mushref Al-Harban, Saeed Saad A Alqahtani, Nasser Mubarak S Alshahrani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94101

Burnout among the Directors of the Internal Medicine Residency Training Program in Saudi Arabia
Mohammed Abdulrahman Basheikh
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94102

Review

Barriers to Premarital Thalassemia Screening in Asia
Nazish Jaffar, Laaraib Khan, Urooba Imran Ahmed, Nimra Hussain Vistro, Amna khan, M. Yousuf Memon
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94106

Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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August 2021 - Volume 19, Issue 8

The pattern of diabetic foot and its complications in Albaha, Saudi Arabia

Ahmed H AlGhamdi (1)
Ali G AlGhamdi (2)
Anwar A AlGhamdi (3)
Mohammed A Aldokhi (4)
Amal M AlZahrani (5)
Ebtehal S AlGhamdi (5)
Ahmed A AlZahrani (6)
Riyadh Abdullah Alghamdi (7)

(1) Associated Professor of pediatric endocrinology, AL Baha Medical College-KSA
(2) Assistant Professor of General Surgery, AL Baha Medical Collage-KSA
(3) Pediatric resident - Saudi board program of pediatric- Albaha -KSA(4) Medical Intern, AL Baha Medical College-KSA
(5) Medical Student, AL Baha Medical College-KSA
(6) Nursing Specialist, AL Baha Diabetic Center,
(7) Family medicine resident -Saudi Board Program of Family Medicine Al-Baha.KSA

Corresponding author:
Ahmed Hassan Alghamdi,
Associated Professor of pediatric endocrinology,
AL Baha Medical College,
Kingdom of Saudi Arabia
Tel: 00966556777015
Email: ahsaeed@bu.edu.sa

Received: June 2021; Accepted: July 2021; Published: August 1, 2021. Citation: Ahmed H AlGhamdi et al. The pattern of diabetic foot and its complications in Albaha, Saudi Arabia. World Family Medicine. 2021; 19(8): 102-111 DOI: 10.5742/MEWFM.2021.940105

Abstract


The progressive increase in the incidence of diabetes mellitus (DM), both worldwide and in Saudi Arabia, is associated with progressive complications rates development. Diabetic foot ulcerations and complications are major morbidities associated with progressions of DM neuropathies and vasculopathies. They contribute to marked health expenditure and efforts. Our study aimed at measuring the magnitude of the problem of diabetic foot in the special area of Albaha in Saudi Arabia.

Material and method: We included 53 patients who presented to the diabetic foot center in Al Baha, Saudi Arabia over 1 year. The included patients were assessed by meticulous clinical examination including eye examination and foot assessment for ulcer, neuropathy, skin manifestations like abscesses, and foot deformities. Investigations included fasting blood glucose, hemoglobin A1C (HbA1C), lipid profile, and Doppler Ultrasonography of the lower limbs.

Results: 52 (98.1%) had type II DM, duration of DM was 17.0 (10.0-25.0) years, fasting blood glucose 10.1 (7.6-14.8) mmol/L, and HbA1C 9.1±1.3%. Hypertension was found in 24 (45.3%), atherosclerotic cardiovascular disorders (ASCVD) in 27 (50.9%)and eye complications in 20 (37.7%) of cases. ASCVDs were found to be significantly higher (p 0.009) in patients aged >66 years (18 (69.2%)) in comparison to those <66 years (8 (30.8%)). Regarding foot complications; ulcers were found in 44 (83.0%), foot deformities in 4 (7.6%), skin complications in 28 (52.8%), infections in 20 (37.7%) and gangrene in 10 (18.9%) of cases. Interestingly, diabetic foot ulcers were found to be significantly higher (p 0.038) in patients aged <66 years (24 (88.9%)) in comparison to those aged >66 years (20 (76.9%)). Surgical management including debridement, abscess drainage, dressings, and a skin graft was required in 25 (47.2%) of cases and amputation in 7 (13.2%) of cases.

In conclusion; diabetic foot ulcers and complications are a major health problem contributing to devastating morbidities up to amputations. Poor glycemic control is a major contributing factor for diabetic foot problems. Good glycemic control, diabetic foot meticulous care, and early interventions are recommended health practice strategies.

Key words: Diabetes, Foot, ulcer, complications







 


 
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