The Comparative of Risk Factors on Diabetic Foot Ulcer in Doembangnangbuat Hospital


  • ประภาส จิบสมานบุญ Doembangnangbuat Hospital, Suphan Buri Province


Diabetic Mellitus Disease, Foot Ulcer, Doembangnangbuat Hospital


This retrospective analytic study aimed to compare risk factors; fasting plasma glucose, serum cholesterol, triglyceride and body mass index (BMI) between diabetic mellitus (DM) patients who had wound at foot (DM foot group) and who did not have (non-DM foot group). 364 medical records from 3,616 patients diagnosed of having DM at Doembangnangbuat Hospital between January 2009- August 2010 were chosen by simple random sampling method, 117 DM foot patients and 247 non DM foot patients. Data analysis used were frequency, percent, standard deviation and independent t-test. The results were shown that 1. 53.8% of DM foot group and 77.3% of non-DM foot group were female. Majority of the patients were more than 60 years old (42.7% and 55.5% of DM foot group and non DM foot group respectively), had high normal blood pressure (59.8% and 52.2% of DM foot group and non DM foot group respectively). Both groups were diagnosed of having DM for 1-3 years (40.2% and 36.8% of DM foot group and non DM foot group respectively). 2. The mean fasting plasma glucose, serum cholesterol and triglyceride of DM foot group was higher than that of non DM foot group (mean+/- SD =173.46 +/-69.48, 211.85+/-56.3, and 199.08+/-128.19 respectively). The mean BMI of non DM foot group was higher than the mean BMI of DM foot group (mean+/-SD=25.34+/-6.27) 3. There was a statistical significance (P<0.05) between mean fasting plasma glucose level in DM foot group and non DM foot group. The mean serum cholesterol, triglyceride, and BMI between both groups were not different.


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1. สำนักงานสำรวจสุขภาพประชาชนไทย. รายงานการสำรวจสุขภาพประชาชนไทยโดยการตรวจร่างกาย ครั้งที่ 4 พ.ศ.2551-2. นนทบุรี: บริษัท เดอะกราฟิโก ซิสเต็มส์ จำกัด; 2552.

2. Moss SE, Klein r, Klein BE: The Prevalence and Incidence of Lower Extremity Amputation in a Diabetic Population. Arch intern med 1992; 152 (3): 610-616.

3. David, G.A., & Lawrence, A.L. Diabetic foot ulcers: Prevention, Diagnosis and classification. (serial online) AAFP 2008 (cited 2010 July 5). Available from: / armstron.html.

4. Wieman, T.J., Mercke, Y.K., Cerrito, P.B., & Taber, S.W. "Resection of the metatarsal head for diabetic foot ulcers". Am J Surg 1998; 176 (5): 436-441.

5. Willoughby, D., & Burroughs, D. "A CNS-managed diabetes foot-care clinic: A descriptive survey of characteristics and foot-care behaviors of the patient population". Clinical Nurse Specialist 2001; 15(2): 52-57.

6. Pecoraro RE, Reiber GE, Burgess EM. Pathways to diabetic limb amputation: basis for prevention. Diabetes Care 1990; 13:513-521.

7. Boulton AJM. The diabetic foot: neuropathic in aetiology?. Diabet Med, 1990; 7:852-858.

8. เทพ หิมะทองคำ. ความรู้เรื่องเบาหวานฉบับสมบูรณ์. พิมพ์ครั้งที่ 8. กรุงเทพฯ: บริษัทวิทยพัฒน์ จำกัด; 2550.

9. Edmonds ME. Experience in multi disciplinary disbetia foot clinic. In: Boutom AJM, cornor H, Ward JD, eds. The foot in diabetes. 1st ed. Chicheter. UK: wiley; 1987.

10. Abbott CA., Vileikyte L., Williamson S., Carrington AL., & Boulton AJM. Multicenter study of the incidence of and predictive risk factors for diabetic neuropathic foot ulceration. Diabetes Care 1998; 21: 1071-5.

11. Wichai, A. and Prevalence and Management of Diabetes and Associated Risk Factors by Regions of Thailand. (serial online) Third National Health Examination Survey 2004. (cited 2010 July 10). Available from: http://care.

12. Rawdaree, P. and Thailand Diabetes Registry (TDR) Project: Clinical status and long term vascular complications in diabetic patients. J Med Assoc Thai 2006; 89 (Suppl1): S1-9.

13. Krittiyawong, S. and Thailand Diabetes Registry Project: prevalence and risk factors associated with lower extremity amputation in Thai diabetics. J Med Assoc Thai 2006; 89 (Suppl1): S43-8.

14. ณัฏฐิยา ตันติศิริวัฒน์ และศิริพร จันทร์ฉาย. ปัญหาเท้าที่พบบ่อยในคลินิกเท้าเบาหวาน. J Med Assoc Thai 2008; 91(7): 1101.

15. Edgar, J.G.; Peters, Lawrence, A.L. Effectiveness of the diabetic foot risk classification system of the international working group on the diabetic foot. Diabetic care 2001; 24:1442-7.

16. สุพรรณี ปังสุวรรณ. การศึกษาความชุกตามระดับความเสี่ยงของการเกิดแผลเบาหวานที่เท้า. J Thai Rahabil Med 2009; 19(1): 19-24.

17. Funmilayo, B.O. Challenges of Caring For Diabetic Foot Ulcers In Resource Poor Settings. The Internet Journal of Advanced Nursing Practice. (online) Available from: (cited 2010 July 5).2010.

18. ศักดิ์ชัย จันทรอมรกุล และคณะ. การดูแลสุขภาพเท้าในผู้เป็นเบาหวาน. กรุงเทพฯ: หจก. กราฟฟิคาแอดเวอร์ไทซิ่ง; 2551.

19. Gregory, M., Caputo, P.R., Cavanagh, J.S., Ulbrecht, G.W., & Adolf, W.K. Assessment and Management of Foot Disease in Patients with Diabetes. N Engl J med 1994; 331: 854-860.

20. สำนักงานหลักประกันสุขภาพแห่งชาติ. แนวทางเวชปฏิบัติสำหรับโรคเบาหวาน พ.ศ.2551. กรุงเทพฯ: รุ่งศิลป์การพิมพ์ จำกัด.




How to Cite

จิบสมานบุญ ป. The Comparative of Risk Factors on Diabetic Foot Ulcer in Doembangnangbuat Hospital. Dis Control J [Internet]. 2010 Sep. 30 [cited 2023 Nov. 29];36(3):154-63. Available from:



Original Article