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Med."],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine self\u2010awareness of diabetes\u2010related foot problems and its associates in a community\u2010based cohort of people with Type 2 diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A survey concerning diabetic foot problems was administered to 358 consecutive patients with Type 2 diabetes [mean \u00b1 <jats:sc>sd<\/jats:sc> age 67.4 \u00b1 10.8 years, 56.1% males, median (interquartile range) diabetes duration 9.0 (3.9\u201316.8) years] attending for detailed clinical, biochemical and questionnaire assessment as part of the longitudinal observational Fremantle Diabetes Study Phase <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the 213 patients (59.5%) who considered their feet to be normal, the 145 (40.5%) who considered their feet to be abnormal were older, had longer diabetes duration and were more likely to have sensory neuropathic symptoms and self\u2010reported poor circulation (<jats:italic>P<\/jats:italic>\u00a0&lt; 0.001). In those who considered their feet to be normal, 67.9% had peripheral sensory neuropathy (score &gt;2\/8 on the Michigan Neuropathy Screening Instrument clinical portion), 9.9% had an ankle\u2010brachial index &lt; 0.9, 6.1% had both peripheral sensory neuropathy and an ankle\u2010brachial index &lt; 0.90, and 86.9% had one or more features on inspection, such as deformity, dry skin, callus and fissures that could facilitate more serious complications, despite the majority having had at least one foot examination by a healthcare professional in the previous year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Self\u2010assessment of diabetes\u2010related foot problems by patients in the Fremantle Diabetes Study Phase <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> was unreliable. The present data suggest that self\u2010perceived foot health should be assessed together with foot examination findings. Intensive education and monitoring may be necessary in those who consider their feet to be normal but who have neurovascular, structural and\/or other precursors of serious foot pathology.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12521","type":"journal-article","created":{"date-parts":[[2014,6,12]],"date-time":"2014-06-12T15:15:49Z","timestamp":1402586149000},"page":"1439-1445","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Self\u2010awareness of foot health status in patients with Type 2 diabetes: the Fremantle Diabetes Study Phase <scp>II<\/scp>"],"prefix":"10.1111","volume":"31","author":[{"given":"M.","family":"Baba","sequence":"first","affiliation":[{"name":"School of Medicine and Pharmacology University of Western Australia Fremantle Hospital Fremantle"},{"name":"Podiatric Medicine Unit University of Western Australia Crawley, Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Foley","sequence":"additional","affiliation":[{"name":"Podiatric Medicine Unit University of Western Australia Crawley, Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. A.","family":"Davis","sequence":"additional","affiliation":[{"name":"School of Medicine and Pharmacology University of Western Australia Fremantle Hospital Fremantle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. M. E.","family":"Davis","sequence":"additional","affiliation":[{"name":"School of Medicine and Pharmacology University of Western Australia Fremantle Hospital Fremantle"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67698-2"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.6.1480"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721711410717"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.20.2268"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2013.6426"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-0744"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2009.02866.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys065"},{"key":"e_1_2_8_10_1","unstructured":"National Health and Medical Research Council of Australia.National Evidence\u2010Based Guideline. Prevention Identification and Management of Foot Complications in Diabetes. Melbourne 2011.Available at:http:\/\/www.nhmrc.gov.au\/_files_nhmrc\/publications\/attachments\/diabetes_foot_full_guideline_23062011.pdf. 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