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Relationship Between the Grade of Diabetic Foot Ulcer Based on Texas Classification with The Severity of Complications and Hba1c Levels in Patients Referred to Besat Hospital During 2017-2021
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| Author:
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REZA SHOJA, SOHEILA ABOLGHASEMI, MAJID NOORI, MOHAMMAD DARVISHI
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| Abstract:
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Background: Diabetes mellitus is the most common endocrine disorder in the world that can increase the incidence of complications and mortality in patients. So, it is necessary to identify the factors affecting the incidence of diabetes complications, especially the diabetic foot. This study aimed to investigate the relationship between the grade of diabetic foot ulcer based on the HbA1C levels and severity of complications based on the Texas classification.
Materials and Methods: This study was performed on 245 patients with diabetic foot ulcers. Demographic information of patients was recorded and HbA1C levels and the severity of complications were also recorded based on the Texas classification. Data obtained were compared using Chi-square, independent t-test, and Mann-Whitney.
Results: The results of our study showed that the mean level of HbA1C was highest (8.23%) and lowest (7.34%) in patients with grades III and I diabetic foot ulcers, respectively based on the Texas classification. This difference was statistically significant, which remained significant by grouping based on demographic and clinical characteristics.
Conclusion: High HbA1C (poor blood sugar control) is associated with an increased incidence of the higher grades of diabetic foot ulcers. Educating patients about proper glycemic control and regular HbA1C testing can prevent the progression of diabetic foot ulcers. However, this requires further investigation in future studies.
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| Keyword:
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Diabetes, Blood sugar, Texas classification, HbA1C level, Diabetic foot ulcer.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.741
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| Download:
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Request For Article
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