ABSTRACT
Introduction: Plantar fasciitis (PF) is a degenerative syndrome of the plantar fascia resulting from repeated trauma at its origin on the calcaneus. PF is reported to be the most common cause of inferior heel pain in diabetic and non diabetic patient population. Calcaneal spurs (CS) have commonly been implicated as a risk factor for PF. To this purpose we have evaluated the frequency of Calcaneal spur (CS) in obese patients with Type-2 diabetes. Method: Study was designed as a cross sectional Analytical study . Male and female study subjects who were Obese (BMI ≥30 kg/m2), Having Diagnosed type 2 diabetes & above the age of 18 years, with a history of plantar heel tenderness and/or pain were included in the study Information was analysed by using the Microsoft Excel and SPSS . Chi square test was used for analysis. Results:Atotal of 65 obese diabetic patients were included into the study. The mean age of the patients was 54±5.8 years. There were 25 males and 40 females. The median duration of diabetes was 4.2 years (1-10 years). The mean HbA1c was 8.4±0.9. 78% were having plantar fasciitis. Conclusion: Poor diabetes control Peripheral Neuropathy seems to be the main reasons Existence seems to be in a relationship with diabetic complications; therefore, obese diabetic patients may be more prone to these complications. Therefore, weight reduction should be encouraged in these patients
ABSTRACT
Background: The rise in diabetes mellitus (DM) has made it a major public health problem & a disaster of major proportion of Populations in India . This scenario becomes worse in rural setup where limited heath care facilities are available. So, to detect risk of diabetes the determinants of type-2 DM in people who are ≥45 years of age a study was done by selective screening methodology in rural area of Arang Block of Raipur district Methods: A cross-sectional population-based study was conducted in Arang block of Raipur District during 22nd April to 30th May 2019 among those who are at risk of developing DM, as per the WHO guidelines on Laboratory Diagnosis and monitoring of Diabetes Mellitus . Blood glucose estimation was done using a blood glucose meter. Personal Interview, Anthropometric measurements & Clinical Examination was done and a Pre-designed Questionnaire form was filled from every study subject. Analyzed on SPSS. Results: 8.4 % of the persons above the age of 45 years were diabetic. Study also revealed the proportion of people diagnosed with DM increases with increasing age groups. The difference between the post meal blood glucose level among the diabetics and nondiabetics was statistically significant. The proportion of diabetics was more among those who had family history of diabetes , BMI more than 25 and those with sedentary lifestyle. Conclusions: Implementation of preventive measures to reduce the burden of diabetes is needed. Identification of the various factors adversely related to glucose intolerance will help in evolving preventive strategies.