Correlación entre la enfermedad arterial periférica y el desarrollo de pie diabético en pacientes con diabetes mellitus 2 en el Hospital General Monte Sinaí durante el periodo 2021-2023.

Abstract

Introduction: Peripheral vascular disease increases the risk of diabetic foot, mainly in those with poor glycemic control. The ankle-brachial index is a simple method for diagnosing this pathology. A low ankle-brachial index and high glycosylated hemoglobin levels have been identified to increase the risk of diabetic foot and in turn increase the morbidity and mortality rate. Objective: To determine the correlation between peripheral arterial disease and the development of diabetic foot in patients with diabetes mellitus 2 at Mount Sinai General Hospital during the period 2021-2023. Methodology: This is a descriptive, cross-sectional and retrospective study involving 228 diabetic patients with peripheral vascular disease treated in the Outpatient Clinic. Medical records were reviewed, and study criteria were applied. Results: Men (57.02%) and the age group between 61 and 65 years (29.39%) predominate in the population. Arterial hypertension is the most common pathological antecedent. 51.75% have been diagnosed with type 2 diabetes mellitus for more than 10 years. Poor glycemic control was observed with glycosylated hemoglobin greater than 8% in 54.82%. 57.02% had an ankle and brachial index between 0.8-0.99%. Conclusions: There is a proportional relationship with glycated hemoglobin and diabetic foot. There is no correlation between the ankle-brachial index and diabetic foot.