conjunction with the celebration of the Diabetes Awareness, Operation
Bantay - Paa was launched last July 1998. This program aims to assess
the level of awareness on foot problem among diabetic patients.
Diabetic patients were asked to answer questionnaires distributed
to the different satellite. Diabetic Clinics of the Diabetes Center
of the Philippines. Nurse educators were tasked to screen diabetic
patients for foot problems through the examination of the feet for
the presence of ulcers, calluses, infections, status on the pedal
pulses, and sensation testing with the aid of monofilaments.
Thirty one centers participated in this program with include 15
hospitals in the NCR region, 3 hospitals in Central Luzon, 7 hospitals
in Southern Luzon, 5 hospitals in the Visayas, and 1 hospital in
Mindanao. A total of 696 patients were screened and examined. The
mean age group was 52 years old with a male to female ratio of 1:2.
Ninety five percent of patients had Type 2 Diabetes.
The data showed that only 54% of patients screened had attended
formal lectures on diabetes mainly on nature and complications of
diabetes and diet conducted by diabetes clinics. Seventy percent
of patients had foot problems in the duration of their illness,
majority of which were infectious particularly open wounds. Only
1.5% of patients had amputations of feet or toes. Numbness of the
toes was the most frequents subjective complaint among the patients.
Foot assessment revealed that 88% of patients showed clean feet,
34% had calluses, and only 1% had fungal infection. Vascular status
was noted to be good in 84% of the patients. Sensation testing with
aid of the monofilament showed 90% of patients had good results.
With the initial data that we gathered, foot problems, as a complication
among Type 2 Diabetics is indeed very evident. Seventy percent of
diabetics in our program had foot problems which calls our attention
in this aspect of management. A continuous program on screening
will serve as a vital tool in preventing foot problems especially
amputations among Filipino diabetic patients.
The Diabetes Center of the Philippines has included the Operation
Bantay-Paa in the program for the annual diabetes awareness week.
This study was done in cooperation with Otsuka Pharmaceuticals and
the different groups supporting the programs of the Diabetes Center
of the Philippines. Staff of Novo Nordisk Philippines did the statistical