Association of glycemic status with the types and severity of foot complications in leprosy patients Palash Chandra Banik MPhil in NCD Dept. of Community medicine BIHS

Background: The prevalence of diabetes for all age groups worldwide was estimated to be 2.8% in 2000 and projected 4.4% in The crude prevalence rates of NIDDM among men and women in Bangladesh were 4.13 and 3.90% and that of IGT were 7.20 and 8.11% respectively. An incidence of diabetes is only 2%, while leprosy patients had incidence of diabetic status of 14.2%.3 Those who developed a foot infection, compared with those who did not, the risk of hospitalization was 55.7 times greater and the risk of amputation was times greater. Leprosy,one of the most ancient, feared and disabling diseases of human kind, is on the verge of defeat

Rationale: Foot complications are common issues in leprosy and diabetic patient. Due to foot complications a lot of people of the world become disable by amputation. PN and foot ulcer are common matter in diabetes and leprosy patients, but there is no study have been found regarding this. Result of this study may help to reduce the foot complication in leprosy patient due to abnormal glycemia.

Research questions: 1. What is the proportion of different types of foot complications among leprosy patients? 2. How severe are the foot complications among leprosy patients? 3. What is the glycemic status among leprosy patients and what are the proportions of diabetes and prediabetes in leprosy patients? 4. Is there any association of glycemic status and different categories of abnormal glycemia with types of foot complications in leprosy patients? 5. Is there are any association of the severity of various types of foot complications with glycemic status and different categories of abnormal glycemia?

Objectives: General objective: To study the association of glycemic status with the types and severity of foot complications in leprosy patients

Specific objectives: 1.To find out the proportion of different types of foot complications among leprosy patients. 2.To find out the severity of the foot complications of leprosy patients. 3.To investigate the glycemic status among the leprosy patients and find out the proportion of diabetes and prediabetes in leprosy patients. 4.To find out the association of glycemic status and different categories of abnormal glycemia with types of foot complications in leprosy patients 5.To find out the association of the severity of various types of foot complications with glycemic status and different categories of abnormal glycemia 6.To find out the socio-demographic characteristics of the study population.

Conceptual framework:. Type and severity of foot complications Age Diet Income Occupation Treatment pattern Physiotherap y Use of cortisol Use of anti- diabetic drugs Diabetes Type of leprosy Personal Hygiene Smoking BMI Sex

Key variables: Independent VariablesDependent Variables Age Sex Occupation Income Diet(protein intake) BMITypes of foot complications Treatment patternSeverity of foot complications Physiotherapy treatment Use of cortisol Use of anti diabetic drugs Types of leprosy Personal hygiene Smoking Diabetes

Methodology: Study design: Analytical cross- sectional study

Study period: July 2011 to June 2012 Study place: North Bengal part of Bangladesh

Study population: –Inclusion criteria Patients with leprosy – Exclusion criteria Person who are unwilling to participate in this study

Sample size: N> 50+8m N= sample size M= no. of independent variables So, N >50+8*14 N >162

. Sampling technique: Random sampling Plan for data collection: Technique: Face to face interview and physical examination Data collection instrument: By a semi-structured questionnaire and check lists

Data analysis: Data will be analyzed by using Statistical Package for Social Studies (SPSS) version 17. Univariate, bivariate and multivariate analysis will be done. Chi- square test odd ratio Data presentation: Data will be presented by tables and graphs.

Ethical Consideration: Ethical permission will be taken from the appropriate authority. Inform consent Voluntary participation Confidentiality of the participants should be maintained Participants will be allowed to withdraw themselves at any stage of the study

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