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Cross-Sectional Analysis of Protective Foot Sensation and Complications in 387 Type 2 Diabetes Patients

Cross-Sectional Analysis of Protective Foot Sensation and Complications in 387 Type 2 Diabetes Patie…
Photo by Alan Calvert / Unsplash
Key Takeaway
Note smoking, severe CKD linked with loss of protective sensation in Type 2 Diabetes; causality unproven.

This retrospective cross-sectional study examined clinical characteristics and protective foot sensation status among 387 patients with Type 2 diabetes diagnosed with Diabetic Peripheral Neuropathy. Conducted at University Hospital Sharjah, the research aimed to identify differences in patient profiles based on protective foot sensation status. Follow-up duration was not reported, and the study was published as an abstract.

The primary exposure assessed was protective foot sensation status, categorized as Loss of Protective sensation versus Reduced protective sensation. Prevalence results showed that 45% of the cohort experienced Loss of Protective sensation, while 55% had Reduced protective sensation. No effect size or confidence intervals were reported for these prevalence figures.

Predictors associated with Loss of Protective sensation included smoking, ulcer history, amputation, and severe Chronic Kidney Disease. Smoking demonstrated an odds ratio of 38.91, while severe CKD showed an odds ratio of 6.04. Ulcer history and amputation had odds ratios of 3.35 and 3.46, respectively. Patients with Loss of Protective sensation exhibited higher rates of smoking, renal dysfunction, dyslipidemia, foot complications, and osteomyelitis compared to the comparator group.

Safety data regarding adverse events, serious adverse events, discontinuations, and tolerability were not reported. The study design is observational, meaning associations are reported but causation is not established. P-values were truncated in the source text, limiting statistical interpretation. Findings emphasize the need for early detection and targeted interventions to prevent Diabetic Peripheral Neuropathy progression, but certainty is limited by the abstract format and cross-sectional design.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
Diabetic Peripheral Neuropathy (DPN) is a common complication of diabetes, particularly in regions with high disease prevalence, such as the United Arab Emirates (UAE). This study aims to describe the clinical characteristics of patients with DPN and compare differences in patient profiles according to the status of protective foot sensation. This retrospective cross-sectional study included 387 patients with Type 2 diabetes diagnosed with DPN at University Hospital Sharjah (UHS) between 2019 and 2024. Data were extracted from medical records. Patients were grouped by protective sensation status and compared using t-tests, chi-square tests, and logistic regression. Among the cohort, 45% had Loss of Protective sensation(LOPS) and 55% had reduced protective sensation (RPS). Significant differences were observed in smoking status, active ulcers, amputation, Chronic Kidney Disease severity, lipid profile, and HbA1c levels. Multivariable regression analysis identified smoking (OR = 38.91), ulcer history (OR = 3.35), amputation (OR = 3.46), and severe CKD (OR = 6.04) as predictors of LOPS (all p This study confirms prior findings on DPN and highlights new associations related to loss of protective sensation. Patients with LOPS had higher rates of smoking, renal dysfunction, dyslipidemia, foot complications, and osteomyelitis. Smoking, ulcer or amputation history, and advanced CKD were significantly associated with LOPS. These findings emphasize the need for early detection and targeted interventions to prevent DPN progression.
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