To explore risk factors of the foot in diabetic patients of Nyingchi Tibet, and compare the similarities and differences of the foot risk factors in diabetic patients between plateau area and plain area.

A total of 85 diabetic patients who were admitted to the hospital from March to May in 2019 were selected. Among them, 39 patients from Nyingchi people’s hospital were set as plateau group, and 46 patients from Lianping county people’s hospital were set as plain group. Foot appearance was observed and compared between the two groups, which including if there is abnormal color on the feet, abnormal toenail, dryness, chap, plantar callus and whether there is deformity. Foot pulses were touched,shoes and socks were inspected whether were appropriate, medical history were asked. Symptoms and signs of diabetic peripheral neuropathy were asked. Metabolic indicators of all patients were also collected for analysis.

There was no significant difference between the two groups in the rate of toenail abnormality, dryness, glycosylated hemoglobin A1c (HbA1c), low-density lipoprotein (LDL-C) (P>0.05).The abnormal rate of posterior tibial artery pulsation, the abnormal rate of skin color and temperature sensation, plantar callus and chap in plain group was higher than plateau group (P<0.05). Compared with the plain group, body mass index (BMI), fasting blood glucose (FPG), total cholesterol (TC), the the rate of pain on the feet, abnormal rate of the vibration sensation, and the rate of not receiving adequate protection education were higher in the plateau group, and these differences were statistically significant (P<0.05).

There are more foot risk factors for diabetic patients of plateau area and plain area.But the emphasis is different, so the foot protection education should also be focused on.