Research Article

Risk Factors and Diagnosis of Diabetic Foot Ulceration in Users of the Brazilian Public Health System

Table 2

Clinical analysis of individuals with diabetes mellitus treated at a reference unit of basic healthcare at Anápolis, Goiás, Brazil, 2018.

Clinical characteristics

Average time since diagnosis of diabetes (years) (±standard deviation)14.5 (±9.0)
Medical history (%)
Records of diabetes mellitus in the family62 (72.9)
Previous use of oral hypoglycemic agents53 (62.4)
Regular use of insulin65 (76.5)
Systemic arterial hypertension64 (75.3)
Dyslipidemia57 (67.1)
Ophthalmologic alterations72 (84.7)
Cardiovascular alterations28 (32.9)
Smoking41 (48.2)
The practice of physical activity27 (31.8)
Barefoot walking habits18 (21.2)
Feet examined by the health agent24 (28.2)
Received feet healthcare orientations27 (31.8)
Signs of ulceration on the feet10 (11.8)
Pain when walking66 (77.6)
Muscle weakness on the feet or other lower limbs62 (72.9)
Any other diverse symptoms on the lower limbs77 (90.6)
Physical evaluation
Adequate footwear42 (49.4)
The appearance of the nails65 (76.5)
Nails properly cut38 (44.7)
Mycotic wounds on the feet72 (84.7)
Altered skin appearance81 (95.3)
Normal hair growth20 (23.5)
Hyperkeratosis80 (94.1)
Anhidrosis66 (77.6)
Deformities on the feet5 (5.6)
Previous amputations10 (11.8)
Peripheral arterial disease (PAD)25 (29.4)
Loss of protective sensation (LOPS)50 (58.8)
Altered 10 g monofilament exam55 (54.7)
Altered test of a 128 Hz tuning fork44 (51.7)