الفهرس 
Review of the LiteratureOnly 14 pages are availabe for public view
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Abstract
Introduction: Diabetes mellitus (DM) is a progressive metabolic disorder characterized by hyperglycemia, mainly due to resistance or deficiency of insulin hormone. Diabetic foot ulceration disturbs the daily life of patients including changes in sleep pattern, impaired mobility, and interference with certain aspects of life such as sexuality, feelings of loneliness, powerlessness, anxiety and depression. Aim of the work: To evaluate the impact of diabetic neuropathic foot complications on the psychological aspects of the patients, and compare such findings to diabetics without neuropathic foot complications. Subjects and methods: The study was a cross-sectional comparative study that included one hundred and eighty-six patients attending at the diabetic clinic and diabetic foot clinic at Specialized Medical Hospital, Mansoura University during the interval from June 2020 to May 2021. Results: -There was no statistically significant difference of age, sex, residence and smoking history between studied groups. -Diabetic disease duration more than or equal to 5 years was more among neuropathic group (71%) than non-neuropathic group (50.5%). -DFU was found in 54.8% of neuropathic group,deformity in 32.3% and charcot joint in 15.1%. Conclusion: Diabetes has an impact on the patient’s HRQOL. The prevention of diabetes-related complications is important to improve patient’s HRQOL which is an important outcome measurement from the patient’s perspective relating to the impact of the disease. Therefore, including HRQOL assessment as part of routine management is necessary. Finally, a further longitudinal study will be needed for understanding the associations of psychological factors of diabetic neuropathy.