The frequency of diabetic patients taking proper foot care is highly insufficient. Proper Foot care practices are associated with provision of education of foot care and literacy status of patients. Most of diabetic patients are not provided with foot care educations and they are not offered regular foot examinations including patients with high risk feet. Frequencies of high risk behaviors are high. These malpractices are affecting the feet of diabetic patients. Our findings support, foot care education and regular foot examination as strategies for prevention of foot ulcers. Preventive practices must be reinforced so that patients without foot ulcers should not develop ulcers. Our study also high lights the need to increase foot care education along with proper diabetic foot clinics.

There are number of blood tests that reflect the condition of liver. Serum alanine aminotransferase (ALT) is one of the important and sensitive indicator of injury to liver cells although raised values can be caused by diseases unrelated to the liver. There is a tendency amongst clinicians to consider a raised serum alanine aminotransferase synonymous with a viral hepatitis, acute or chronic but there are a large number of unusually or frequently overlooked causes of raised serum alanine aminotransferase in addition to viral hepatitis. It is very important to consider these uncommon causes while investigating a patient for raised serum ALT because early detection may not only helpful in diagnosis but management of such cases as well. This study will not only help in earlier diagnosis of unusual causes of raised serum Alanine aminotransferase but also in management of such cases.