Assess to identify the occurrence of foot ulcer by foot skin temperature among type-2 diabetes mellitus

Aim of the study: - Assess to identify the occurrence of foot ulcer by foot skin temperature among type-2 diabetes mellitus. Background: Foot ulcers in patients with diabetes is common, and frequently leads to lower limb amputation unless a prompt, rational, multidisciplinary approach to therapy is taken. The main components of management that can ensure successful and rapid healing of DFU include education, blood sugar control, wound debridement, advanced dressing, offloading, surgery, and advanced therapies, which are used clinically. These approaches should be used whenever feasible to reduce high morbidity and risk of serious complications resulting from foot ulcers. Temperature measurement represents a useful, still-growing area of new perspectives for the clinical assessment of the diabetic foot. Increased foot skin temperature has been described as a classical feature of diabetic neuropathy. The phenomenon is ascribable to increased blood flow in the foot due to impaired vasoconstriction. The advent of portable infrared thermometers has facilitated temperature measurement and enabled home monitoring of foot skin temperature, thereby preventing re-ulceration among high-risk patients. Moreover, a significant positive correlation between foot skin temperature and clinical severity of neuropathy has been reported. Methods: convenience Sampling method was used. A total of 30 type-2 diabetes mellitus participated in the study. Data was collected from all type-2 diabetic mellitus client by using infrared thermometer which is equipped with a “touch sensor” tip that detects contact with skin. Result. The Out of 30 diabetic client 19(63.3 %) were in the age group of 30-40 years and Majority of the clients are male 26(86.6%) , majority of them are high school 17(56.6%),most of client having family income below 5000-25(83.3%), Most of the client are non-vegetarian 25(83.3%) and they are working as a government employee 19(63,3%).Out of 30 diabetic client majority of the client 23 (76,6%) having moderate risk of foot ulcer. The analysis reveals that there is significant association between risk of foot ulcer with variable Gender , education , type of family, diet and family history of diabetes mellitus at p = 0.05 significant levels . there is no significant difference regarding others demographic variables. Conclusion The study was assess to identify the occurrence of foot ulcer by foot skin temperature among type-2 diabetes mellitus. The result shows that majority of the client having moderate risk of foot ulcer -23 (76,6%) and there is significant association between risk of foot ulcer with variable Gender , education , type of family, diet and family history of diabetes mellitus at p = 0.05. Therefore these finding highlight the need for the health education programmes for risk of foot ulcer among diabetic client.