DOI: https://doi.org/10.36347/sasjs.2024.v10i10.004

Pages: 1116-1123

Background: Diabetic foot is a common complication of diabetes mellitus (DM). The Wagner classification is mostly used to grade its severity. Diabetic peripheral neuropathy (DPN) a disease often associated with neuropathic pain, foot ulceration and lower extremity amputation, which can significantly affect the quality of life of patients. To determine the severity of diabetic foot ulcer at various level of HBA1C and determine the association. Methods: An observational cross-sectional study was carried out at Department of surgery, Rangamati Medical College, Rangamati, Bangladesh from January to December 2022 with 100 diabetic patients who after giving consent filled questionnaires. The relationships between the HbA1c levels of the patients with the Wagner and PEDIS (Perfusion, Extent, Dept, Infection, Sensation) classification system grades, and the surgical procedures performed were analyzed and the treatment outcomes were evaluated. Results: The study included Sample size of 100 Patients. Here in the study mean age for group A was 41.2 years, for group B it was 29.6 years and for group C it was 25.8 years. There was significant difference found between these groups as p value was <0.05. It was observed that all the patients in group A were overweight. In group B majority 44.6% patients normal followed by 44.4% obese patients and 13.8% overweight patient. In group C we found that majority 48.5% patients were normal followed by 31.9% obese patients. Majority 40% patients in group A had T2DM. In group B we found that 52% patients had T2DM followed by 48% patients with T1DM. In group C we found that majority 67% patients had T2DM. It was observed that majority 60% patients in group A had no vasculopathy followed by 40% patients with post tibial art vasculopathy. We found that site of ulcer was improving with increasing duration of follow up. Initially we found 30% patients with infection at dorsum aspect of foot. After follow up day 6 we found improvement in ulcer ...