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A comprehensive diabetic foot screening and risk stratification programme in Kuwait

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A comprehensive diabetic foot screening and risk stratification programme in Kuwait

Abdulaziz Al-Muzaini
25 February 2020

The authors introduced a foot screening and risk stratification model that included a 20-minute health education video, implementation of recommendations and a one-to-one consultation. A review and follow-up appointment was offered where appropriate. During the first 12 months, 728 patients attended for foot screening. Patients were generally older (mean: 63.5 years), had a long duration of diabetes (mean: 17.5 years) and overall, 51% were treated with insulin. Three per cent had an active foot ulcer and 9.5% had a history of ulceration. Seventy-one per cent of patients were at increased risk of developing an ulcer. Levels of deformity (25.5%), callus (43%), xerosis (76%), loss of protective sensation (48%), painful neuropathy (53.3%) and comorbidities (70% were hypertensive, 22% had coronary artery disease and 20% had retinopathy) were very high in this patient group.

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