• Gomathi A Associate Professor, College of Nursing, AIIMS, Jodhpur
  • Dr. S. Kamalam Professor Cum Principal, AG Padmavathi College of Nursing, Puducherry
  • Jeevaanand. N Medical Officer (Ayurveda) Primary Health Centre, Ariyur, Puducherry




Diabetes Mellitus, Knowledge, Practice, Foot Care

Abstract [English]

Background: Diabetes is traditionally known as a “silent disease,” exhibiting no symptoms until it progresses to severe target organ damage.

Aims & Objective: The study was conducted to determine the knowledge of foot care ,knowledge regarding foot care practice and its associated factors among type 2 diabetes patients.

Material and Methods: A Community based cross-sectional study was conducted at a primary health centre, Pondicherry, 107 subjects were selected by convenience sampling technique. Data was collected from December 2020 to March 2021, among type 2 diabetes who attended the diabetic clinic. A validated pretested questionnaire was used to assess the knowledge of foot care, knowledge regarding foot care practice and its associated factors among type 2 diabetes patients. Data was analysed using SPSS 21.

Results: Among 107 diabetes patients 68(75.6%) of them had poor knowledge and only 2 (2.2%) of them had good practice. There was highly significant (p<0.001) relationship between knowledge of foot care and knowledge regarding foot care practice scores. There was highly significant association (p<0.05) between the knowledge of foot care with selected demographic variables of gender, occupation, alcohol consumption, regularity of treatment and source of information.

Conclusions: It is a need of the hour to conduct health education programme to create awareness among rural people for better glycaemic control and prevention of ulcer foot in type 2 diabetes mellitus patients.


Download data is not yet available.


Asmelash.D, Abdu.N, Tefer.S, Baynes.W.H,Derbew 2019. Cherie.Knowledge,Attitude,and Practice towards glycaemic control and its Associated Factors among Diabetes Mellitus Patients, Journal of Diabetes Research.1-9.https://doi.org/10.1155/2019/2593684. Accessed on May 11th. Retrived from https://doi.org/10.1155/2019/2593684 DOI: https://doi.org/10.1155/2019/2593684

D S D., Vincent J., Saju C.R. 2020; Knowledge, Attitude and Practice of Diabetic Patients about Their Foot Care in Rural Thrissur, Kerala. Journal of Medical Care Research and Review. 374−378.Retrived from https://doi.org /10.15520/mcrr.v3i6.98.

Dang CN, Boulton A.J. 2003; Changing perspectives in diabetic foot ulcer management. Int J Low Extrem Wounds 2:4-12. Retrived from https://doi.org/10.1177/1534734603002001002 DOI: https://doi.org/10.1177/1534734603002001002

F.M. Alsaleh, K.S. AlBassam, Z.K. Alsairafi et al., Knowledge and practice of foot self-care among patients with diabetes attending primary healthcare centres in Kuwait: A cross-sectional study, Saudi Pharmaceutical Journal, https://doi.org/10.1016/j.jsps.2021.04.006.

George H, Rakesh PS, Krishna M, Alex R, Abraham VJ, George K, et al. Foot care knowledge and practices and the prevalence of peripheral neuropathy among people with diabetes attending a secondary care rural hospital in southern India. J Fam Med Primary Care 2013; 2:27-3. DOI: https://doi.org/10.4103/2249-4863.109938

Kurian.B,Qurieshi M.N , Ganesh.R, Leelamon.K. 2016; A community based study on knowledge of diabetes mellitus among adults in a rural population of Kerala. Intl J of Non-communi Dis. 1, 59-64. Retrived from https://doi.org/10.4103/2468-8827.191925 DOI: https://doi.org/10.4103/2468-8827.191925

Mathers CD, Loncar D. 2006 ; Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 3, e442. Retrived from https://doi.org/10.1371/journal.pmed.0030442 DOI: https://doi.org/10.1371/journal.pmed.0030442

Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A, 2021 Diabetic foot, BMJ; 359:1:1-7.

Mohan.V, Sandeep.S, Deepa.R, Shah.B, Varghese.C. 2007; Epidemiology of type 2 diabetes: Indian scenario.Indian J Med Res. 175,217-30.

Nicolucci A, Kovacs Burns K, Holt RIG, Comaschi M, Hermanns N, Ishii H, et al. 2013; Diabetes Attitudes, Wishes and Needs second study (DAWN2TM): Cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes. Diabet Med J Br Diabet Assoc. 30(7), 767-77. Retrived from https://doi.org/10.1111/dme.12245 DOI: https://doi.org/10.1111/dme.12245

Pinzur MS, Slovenkai MP, Trepman E,Shields NN, 2005; DiabetesCommittee of American Orthopaedic Foot and Ankle Society.Guidelines for diabetic foot care: Recommendations endorsedby the diabetes committee of the American orthopaedic foot and ankle society. Foot Ankle Int 26:113-9. Retrived from https://doi.org/10.1177/107110070502600112 DOI: https://doi.org/10.1177/107110070502600112

Pitchai P, Joshi J. 2015; Knowledge and practice of foot care amongst diabetics in India: comparison between urban and rural setting- a reality check. Int J Health Sci Res. 5(4):181-189.

Saurabh S, Sarkar S, Selvaraj K, Kar SS, Kumar SG, Roy G. 2014; Effectiveness of foot care education among people with type 2 diabetes in rural Puducherry, India. Indian J Endocr Metab 18 :106-10. Retrived from https://doi.org/10.4103/2230-8210.126587 DOI: https://doi.org/10.4103/2230-8210.126587

Sharma K. 2013; Burden of non-communicable diseases in India: Setting priority for action. Int J Med Sci Public Health. 2,7-11. Retrived from https://doi.org/10.5455/ijmsph.2013.2.7-11 DOI: https://doi.org/10.5455/ijmsph.2013.2.7-11

Shrivastava PS, Shrivastava SR, Ramasamy J (2015) An Epidemiological Study to Assess the Knowledge and Self Care Practices among Type 2 Diabetes Mellitus Patients Residing in Rural Areas of Tamil Nadu. Biol Med S3: 002. doi: 10.4172/0974-8369.S3-002. Retrived from https://doi.org/10.4172/0974-8369.1000s3002 DOI: https://doi.org/10.4172/0974-8369.1000s3002

Sivapriya.T , John. 2019; S A Cross Sectional Study on Knowledge, Attitude and Practice of Type 2 Diabetes Mellitus Subjects about Diabetes, JKIMSU. 8(1), 14-21.

Stockl K, Vanderplas A, Tafesse E, Chang E. 2004; Costs of lower-extremity ulcers among patients with diabetes. Diabetes Care 27 :2129-34. Retrived from https://doi.org/10.2337/diacare.27.9.2129 DOI: https://doi.org/10.2337/diacare.27.9.2129

Subhashini S, Shah PB. 2016; Awareness and practice regarding foot self-care among patients of known type 2 diabetes mellitus in a rural area India. Int J Community Med Public Health 3 :861-4. Retrived from https://doi.org/10.18203/2394-6040.ijcmph20160917 DOI: https://doi.org/10.18203/2394-6040.ijcmph20160917

Vighnesh CS, Rangaswamy S, Arthi M. 2019 ; Awareness and practices of foot care in patients with diabetes mellitus in an urban area in Puducherry. Galore International Journal of Health Sciences & Research. 4(3) : 150-157.

WHO. 2016; Global report on diabetes: A summary.Int J Noncommun Dis 1-3. Retrived from https://doi.org/10.4103/2468-8827.184853. DOI: https://doi.org/10.4103/2468-8827.184853




How to Cite

Gomathi, A., Kamalam, S., & N, J. (2021). DIABETIC FOOT CARE KNOWLEDGE AND ITS ASSOCIATED FACTORS AMONG TYPE 2 DIABETES PATIENTS. International Journal of Research -GRANTHAALAYAH, 9(8), 59–69. https://doi.org/10.29121/granthaalayah.v9.i8.2021.4159