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Discovery module overview

Phase of evidence support involved developing ten practical recommendations for foot care extracted from clinical statement from a total of literatures by PubMed, Medline search approximately In the Evidence — support phase, 20 experts critically reviewed the foot care guidelines and made relevant comments.

The findings from these four phases were used to develop the nursing practice recommendation for foot care for diabetic patients in Thailand. Conclusion: The poster will further explore the implication of using this model for developing the foot care guidelines. It will discuss the practical issues of using this framework and the implementation of the foot care guideline in Prapkkloa Hospital.

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A diabetic foot ulcer is one of the most important complications of long term diabetes. Diabetic foot ulcers can severely affects the quality of life, increase the morbidity and mortality and the cost of health care services. Aim: This study aims to explore the incidence and prevalence of diabetic foot ulcers among diabetic patients in a District Hospital in the province of Chantaburi: Thailand. Method: A cross sectional study in the diabetic foot clinic in Prapokklao Hospital, Chantaburi Province, Thailand was carried out from to Patients in Out Patient Department were screened by nurses.

Sample size diabetic patients were analyzed.

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A diabetic foot ulcer was diagnosed if ulceration involved full-thickness penetration of the dermis of the foot in a person with diabetes. Ulcer severity was classified using the Wagner system.

Result: The findings indicate that the prevalence of diabetic foot ulcer in Prapokkloa Hospital in — was 4. Incidence of diabetic foot ulcers in diabetes patients in is 8. This incidence and prevalence are implicated for practice. Conclusion: 15 percent of diabetic patients will develop to Diabetic foot ulcer which WHO predicted the number of diabetic people rise to million in Trend of diacritic foot ulcer is increasing.

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This poster will present the implications of these findings. Dixon1, J. Lu1, C. An OGTT was performed with measurements of glucose and insulin at 0, 30, 60, 90 and minutes after ingestion of 75g glucose. Statistical analysis was performed using t-Student and Pearson correlation tests.

Conclusion: The increased cardiovascular risk in patients with subclinical hypothyroidism and AIT may be related to the inter-relationships between lipid profile, homocysteine and insulin resistance. Petkova1, S. Background: The first step recommendations for patients with Type 2 Diabetes Mellitus T2DM are lifestyle changes, aiming to improve metabolic control of the diseases. Self-measurement of blood glucose SMBG is an easy tool for evaluation the effect of lifestyle modification on blood glucose levels.

Both groups were given a manual with basic information about healthy lifestyle. At baseline and after 12 weeks glucometabolic parameters were assessed in both groups. Both groups managed to improve their glucometabolic control, reduction of HbA1c Cardiovascular risk factors such as BMI, waist circumference, blood pressure, triglycerides and cholesterol levels improved significantly also. Neeser, C. This study was conducted to determine the cost share of self-measurement of blood glucose SMBG by comparing the direct costs of reduced diabetic complications in SMBG users versus nonusers in the Swedish statutory health insurance system.

By increasing the number of patients using SMBG, the Swedish statutory health insurance system might save several million Euros annually. Weber, F. Heister, S. Kocher, K. Aim of this study was to assess the potential economic effects of an inclusion of PPG in diabetes models.

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Methods: Under the assumptions that 1 high PPG values represent a strong risk factor for the development of cardiovascular complications, and 2 high PPG values are not necessarily reflected by a higher HbA1c level, we applied an additional risk factor to the outcomes of the UKPDS risk engine. This adapted risk calculator was employed in a Markov model, comparing two type 2 diabetic cohorts. In scenario 1, we assumed a HbA1c improvement of 0. In scenario 2, an additional reduction of PPG was assumed in the treatment group. In scenario 2, the mean life expectancy was 8. This fact may lead to a restricted use or even to the refusal of valuable health care technologies.

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Scheen, J. Philips, M. Patients taking antihypertensive agents or with renal insufficiency were excluded. The negative influence of much longer diabetes duration might be compensated for by the positive influence of lower BMI and less insulin resistance in T1DM patients, leading finally to comparable cardiovascular risk markers as in T2DM.

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To study the risk of Dyslipidemia in subjects with Diabetes plus hypertension, compared with Diabetics DM and hypertensive. The Chilean diabetes study is a population based cross-sectional study done in in a national representative sample of people mean age 40,6y rangey.

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After informed consent all the participants underwent home interviews including socioeconomic characteristics, history of chronic diseases and blood pressure, weight, height and waist circumference measurements. Plasma glucose, insulin and lipid profile was performed in a venous fasting blood sample. ADA criteria were used for the diagnosis of diabetes. Logistic regression models were used to adjust the results by age, sex and BMI. When compared with normal group, the OR for elevated triglycerides was 1.

No differences for cholesterol were observed between the groups. Considering the high risk of dyslipidemia that hypertension imposes over diabetes, its tight control at primary care in diabetics is compulsory. Svacina1, M. Matoulek1, J. Lajka2, P. Sex difference in type 2 diabetes and hypertension risk factors was analysed.

Mean BMI of men was There is no difference in the obesity dependent hypertension prevalence in both sexes. Both diabetes and hypertension are waist dependent and there is no difference between sexes. In both sexes there is a negative relation of hypertension and diabetes prevalence to height.

We conclude: In both sexes was shown that low body height is a risk factor for diabetes and hypertension. Waist is a very good universal measure of hypertension and diabetes risk in both sexes. In controversy BMI is therefore not a universal diabetes risk marker for men and women and for high and low body height. This indicates that theweight -height relation is perhaps influenced by social factors and that small people are at high risk of diabetes and hypertension today. Milenkovic1, V. Percan2, G. Petrovski3 1Medical Faculty, Clinic of endocrinology, diabetes and metabolic disorders, Skopje, Macedonia.

Background and aims: The most important risk factors may predict the transition from borderline to established hypertension and primary prevention has to focus on identifying individuals who are at highest risk to develop hypertension.