THE INTEGRATED ASSESSMENT OF RISK FACTORS OF DEVELOPMENT OF THE SYNDROME OF DIABETIC FOOT

For the purpose of studying of risk factors of development of the syndrome of diabetic foot (SDF) and carrying out their integrated assessment 46 patients with diabetes 2 types of the heavy severity complicated by a neuroischemic form of a syndrome of diabetic foot were examined. At the integrated and predictive assessment of indicators of risk of emergence of a syndrome of diabetic foot are revealed that are subject to the greatest risk of formation of the SDF neuroischemic form: men (Rint=1,15), on age – persons of age group are more senior than 55 years (Rint=1,28), on an illness experience – more than 10 years (Rint=1,5), with existence in the anamnesis of hypertensive illness (GI) (Rint=2,17), with existence of addictions (Rint=1,5), with a glycaemia on an empty stomach more than 6,5 mmol/l (Rint=2,23), with a postprandial glycaemia more than 9,5 mmol/l (Rint=1,36), with a hypercholesterolemia (Rint=9,4), with the level of glykire hemoglobin is higher than 7% (Rint=1,52), with indicators of vibration sensitivity it is lower than 4 UE (Rint=9), with lack of painful sensitivity in 2kh and more points (Rint=1,68), with lack of tactile sensitivity in 2kh and more points (Rint=2,1), with low education level (Rint=4,6), with LPI indicators lower than 0,8 (Rint=0,85). Thus, carrying out the integrated assessment of risk factors will facilitate an integrated approach to a problem of prevention of emergence of SDS. As a result of the conducted research it was also found out that the neuroischemic form of a syndrome of diabetic foot develops at men is more senior than 55 years with duration of the sugar more than 10 years having a hypertensive illness and addictions in the anamnesis with high rates of a glycaemia on an empty stomach, a postprandial glycaemia and level of glyke hemoglobin more often. And also it is defined that the risk of development of a syndrome of diabetic foot is high at the persons having in the anamnesis of an ulcer of the lower extremities (63%) connected in 28% of cases with carrying close footwear and having pre-and a proliferative retinopathy.