Perfil clínico-metabólico de pacientes pé diabéticos frequentadores de uma Unidade Básica de Saúde de Altamira, Pará, Brasil

Antonio Vivaldo Pantoja; Marília Brasil Xavier; Maria José Leonardi Souza; Brenda Giovanna Silva Sousa; Késia Larissa Brito Coutinho; Natan Silva Carneiro; Ana Beatriz Costa da Silva; Rafaela Silva Damasceno; Ademir Ferreira da Silva Júnior

doi:10.5433/1679-0367.2023v44n1p25

Authors

Antonio Vivaldo Pantoja Universidade Federal do Pará - UFPA, Campus Altamira https://orcid.org/0009-0008-7912-1134
Marília Brasil Xavier Universidade do Estado do Pará - UEPA https://orcid.org/0000-0002-4727-3001
Maria José Leonardi Souza Faculdade Serra Dourada https://orcid.org/0000-0001-5881-9930
Brenda Giovanna Silva Sousa Universidade Federal do Pará - UFPA https://orcid.org/0000-0002-4518-2376
Késia Larissa Brito Coutinho Universidade Federal do Pará - UFPA https://orcid.org/0000-0003-3520-708X
Natan Silva Carneiro Universidade Federal do Pará - UFPA https://orcid.org/0000-0001-5510-477X
Ana Beatriz Costa da Silva Universidade Federal do Pará - UFPA https://orcid.org/0000-0002-8149-8802
Rafaela Silva Damasceno Universidade Federal do Pará - UFPA https://orcid.org/0000-0003-2227-964X
Ademir Ferreira da Silva Júnior Universidade Federal do Pará - UFPA https://orcid.org/0000-0001-9121-1206

DOI:

https://doi.org/10.5433/1679-0367.2023v44n1p25

Keywords:

Diabetic foot, Diabetic angiopathies, Diabetic neuropathies, Indicators of morbidity and mortality

Abstract

Introduction: the diabetic foot is of neuropathic origin and represents one of the complications of diabetes mellitus, encompasses several pathological conditions, including neuropathy, peripheral arterial disease, Charcot neuroarthropathy, foot ulceration, osteomyelitis and, in some cases, amputation.
Objective: to describe the clinical-metabolic profile of diabetic foot patients attending a basic health unit.
Material and method: this is a descriptive exploratory study with a quantitative approach. Fifteen patients with diabetic foot ulcers treated at the Basic Health Unit (BHU) Altamira, Pará, Brazil, were evaluated. The data were submitted to analysis according to the indicators of the investigated profiles.
Result: all patients have Type 2 Diabetes, low level of family income and education. The Body Mass Index -BMI was 92%, abdominal circumference (93%), Ultrasensitive C-Reactive Protein, Interleukin-6 and glycated hemoglobin were higher than normal in more than half of the patients, as well as vitamin D was deficient in more of half of the patients.
Conclusions: there are barriers to the proper management of patients with diabetic foot in primary care in the city of Altamira that can contribute to the development of macro and microvascular complications. Technical recommendations directed at local managers contribute to primary care in the region.

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Author Biographies

Antonio Vivaldo Pantoja, Universidade Federal do Pará - UFPA, Campus Altamira

Master's degree from the graduate program in Health in the Amazon by the Tropical Medicine Center of the Universidade Federal do Pará, Altamira, Pará, Brazil. Professor at the Universidade Federal do Pará School of Medicine, Altamira, Pará.

Marília Brasil Xavier, Universidade do Estado do Pará - UEPA

PhD in Neurosciences and Cell Biology from the Universidade Federal do Pará, Belém, Pará, Brazil. Full Professor in Dermatology and Adjunct Professor III of the Núcleo de Medicina Tropical of the Universidade Federal do Pará, Belém, Pará, Brazil.

Maria José Leonardi Souza, Faculdade Serra Dourada

PhD in Oncology by Fundação Antônio Prudente - Hospital do Câncer de São Paulo, São Paulo, São Paulo, Brazil. Professor of the Faculdade Serra Dourada, Altamira, Pará, Brazil.