2018年糖尿病健康促進機構品管調查結果報告一糖尿病足部病變之流行病學與相關危險因子探討

Diabetic foot ulcers are one of serious diabetes complications which major contributing causes were peripheral neuropathy and peripheral arterial diseases. Also, diabetes is an important cause of nontraumatic lower limb amputations. It is important to find how to avoid subsequent complications by knowing current prevalence of these diseases and the possible risk factors in patients with type 2 diabetes (T2D) in Taiwan. Our study is the first cross-sectional study to survey the diabetes related foot complications in health promotion institutes in Taiwan. Questionnaires were used to collect associated data. Totally, 5720 T2D patients were enrolled in this study. The prevalence of foot ulcers, peripheral arterial diseases, peripheral neuropathy and amputation were 0.9 %, 1.33 %, 4.6 % and 0.2%, respectively. Most of the patients came from north Taiwan and medical centers and were non-smokers. After comparing our data with previous epidemiology studies, we found that the prevalence of diabetic foot ulcers, peripheral neuropathy, peripheral arterial diseases and amputation were lower than previous studies. However, the risk factors were similar.