Estado nutricional de pacientes con diagnóstico de pie diabético en población mexicana del centro del país

Abstract

Background: Malnutrition is more common in diabetic patients, and this can influence the severity of the diabetic foot due to impaired healing. Objective: To describe the characteristics of hospitalized patients due to diabetic foot, their nutritional status, their stage, and look for correlations between them. Method: Retrospective and analytical study of the Dr. Carlos Macgregor Sánchez Navarro Regional General Hospital from April to July 2023. Sample of 23 patients with diabetic foot with medical records and complete procedures. Demographic, clinical and laboratory data were collected and evaluated with the CONUT and WIFI scales. Results: Average of 61.5 years and an average duration of diabetes of 9.1 years, advanced lesions in the foot, with absent pulses, deformities and claudication. All with anemia and suboptimal glycemic control. Protein ratio suggests inflammation, metabolic stress and malnutrition. WIFI and CONUT scales: advanced injuries and malnutrition. No statistically significant association was found between nutritional status and injury severity. Conclusions: In older patients with long-term diabetes, the diabetic foot is complex. Optimal glucose control and multidisciplinary care are essential. Nutritional status should be evaluated and improved for better clinical outcomes and quality of life.