Does the pilgrimage increase the podiatry risk in diabetic patients?

NewsBot · Sep 4, 2020

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Does the pilgrimage increase the podiatry risk in diabetic patients?
Salah Ameni et al
Endocrine Abstracts (2020) 70 AEP506 | DOI: 10.1530/endoabs.70.AEP506

Background: The number of diabetic pilgrims could exceed 220000/year. Among the complications that can be observed in these patients, foot lesions are very common. We are therefore interested in this study in the assessment of podiatric risk among diabetic pilgrims.

Material and Methods: A Cross-sectional study covered 43 diabetic patients from the city of Sousse, intending to perform the pilgrimage during 2019. The evaluation was made before and after pilgrimage and included clinical examination, evaluation of neuropathy and peripheral arterial disease.

Results: The average age of patients was 62.5 ± 5.4 years. Diabetes was in chronic imbalance in 39.5% of cases with an average glycated hemoglobin of 7.9 ± 1.3%. The clinical exam after the return of pilgrimage showed that the most frequent pological lesions were hyperkertosis (96.8%) as well as superficial fungal infections. Three patients had food ulcers which were mainly due to walking injuries and unsuitable shoes. The study of the risk of developing a foot ulcer showed that it was significantly associated with a lower total cholesterol, HDL cholesterol or LDL cholesterol and a higher triglyceride level (P respectively 0.02; 0.02; 0.01 and 0.04). The study of the other risk factors had not shown any significant correlation. However, there was a significant increase in the systolic pressure index in the left as well as the right foot after the pilgrimage (1.03 ± 0.19 vs 1.11 ± 0.19 and 1.03 ± 0.28 vs 1.11 ± 0.18, P < 0.05)

Conclusion: The Pilgrimage increases the risk of developing foot injuries among diabetic patients. Therefore, an assessment and an adapted care to the grade of risk are essential before, during and after the pilgrimage.
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