Saudi Journal of Kidney Diseases and Transplantation

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 27  |  Issue : 5  |  Page : 893--901

Renal transplantation: Assessment of DQat riskDQ diabetic foot and recommendations for mitigation


OP Prajapati1, AK Verma1, RK Sharma2, M Sabaretnam1 
1 Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
2 Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
O P Prajapati
Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
India

We conducted a prospective study (between November 2013 and January 2015) to identify DQfoot at riskDQ in the diabetic renal transplant patients at a Tertiary Care Hospital in India. Patients (151) were divided into three groups: diabetic transplant recipients (n = 42), new onset diabetes after transplantation (NODAT) (n = 59), and controls (nondiabetic renal transplant recipients) (n = 50). Foot neuropathy and vasculopathy were assessed by standard methods. Patients with DQat riskDQ feet were given foot care advice. Of the 151 patients, 144 patients were male and seven were female with a male:female ratio of 20:1. Peripheral neuropathy was present among 42.9% of diabetic transplant patients, 35.6% of NODAT patients, and 12% of control patients. Vasculopathy was present in 28.6% of diabetic transplant patients, 23.7% of NODAT patients, and 2% of control patients. On multivariate analysis, patientSQs age, mean time interval since transplantation, and HbA1c levels were significantly associated with neuropathy, whereas the duration of diabetes and vibration perception threshold was associated with vasculopathy. After undergoing renal transplantation, a significant number of diabetic and NODAT patients has their DQfeet at riskDQ who in future may develop full-blown lesions of the diabetic foot. Proper advice to patients and information to the treating doctor helps to mitigate the risk.


How to cite this article:
Prajapati O P, Verma A K, Sharma R K, Sabaretnam M. Renal transplantation: Assessment of "at risk" diabetic foot and recommendations for mitigation.Saudi J Kidney Dis Transpl 2016;27:893-901


How to cite this URL:
Prajapati O P, Verma A K, Sharma R K, Sabaretnam M. Renal transplantation: Assessment of "at risk" diabetic foot and recommendations for mitigation. Saudi J Kidney Dis Transpl [serial online] 2016 [cited 2021 Oct 26 ];27:893-901
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2016;volume=27;issue=5;spage=893;epage=901;aulast=Prajapati;type=0